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[{"key": "dc.contributor.author", "value": "Kimpim\u00e4ki, Terhi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-05-23T12:54:57Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-05-23T12:54:57Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1435808", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43535", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli kuvata ja ymm\u00e4rt\u00e4\u00e4 nuorten aikuisten, joilla oli taustalla vaikea tai sairaalloinen lihavuus, merkityksi\u00e4 laihduttamisesta. Tutkimukseen osallistui kuusi 22 - 29-vuotiasta henkil\u00f6\u00e4; nelj\u00e4 naista ja kaksi miest\u00e4. Ennen laihduttamista heid\u00e4n painoindeksins\u00e4(BMI) sijoittuivat v\u00e4lille 34.9 - 48.3 ja haastatteluhetkell\u00e4 v\u00e4lille 25.9 - 34.7. Laihduttamisen aloittamisesta oli aikaa vuodesta nelj\u00e4\u00e4n vuotta. Tutkimuksessa k\u00e4ytettiin fenomenologis-hermeneuttista tutkimusmenetelm\u00e4\u00e4 ja haastatteluaineisto analysoitiin Giorgin (1985) ja Laineen (2010) nelivaiheisella analyysimenetelm\u00e4ll\u00e4.\r\n\r\nKaikki tutkimukseen osallistuneet nuoret aikuiset olivat olleet lihavia lapsesta saakka. Laihduttamisen merkitys nuorelle aikuiselle ilmenee merkityskokonaisuuksista: 1) kriittinen suhtautuminen itseen, mik\u00e4 kuvaa osallistujien kokemuksia ennen laihduttamista, sek\u00e4 2) muutoskykyisyys,3) omien ruokailutottumusten muuttaminen ja 4) voimavara hallita sy\u00f6mist\u00e4\r\nuusissa tilanteissa.\r\n\r\nLaihduttamisessa onnistuneita nuoria aikuisia yhdisti itsen\u00e4isyys, omatoimisuus ja vastuullisuus omien el\u00e4m\u00e4ntapojen muuttamisessa. He rupesivat laihduttamaan kokeilumieless\u00e4, eik\u00e4 tavoitteeksi asetettu tietty\u00e4 kilom\u00e4\u00e4r\u00e4\u00e4. Kolmella osallistujalla innostus laihduttamiseen sai alkunsa yst\u00e4v\u00e4n, sisaruksen tai ty\u00f6kaverin esimerkist\u00e4. Osallistujien itsen\u00e4inen el\u00e4m\u00e4ntilanne mahdollisti ruokavalion muuttamisen ja nopea painonpudostus laihduttamisen alkuvaiheessa oli eritt\u00e4in t\u00e4rke\u00e4\u00e4, koska se toi uskoa itseen. Terveydenhoitajilla oli t\u00e4rke\u00e4 rooli ohjaajina ja kannustajina ja heill\u00e4 oli resursseja sitoutua kontrollik\u00e4ynteihin useiden kuukausien ajaksi. Naisilla, joilla ilmeni tunnesy\u00f6mist\u00e4/ahmimista, oli pitk\u00e4aikainen tuen tarve. Laihdutustuloksen pysyvyyden kannalta omavalvonta painon seurannassa ja sy\u00f6misen hallinnan kannalta haasteellisten tilanteiden ennakoiminen ja niihin varautuminen on t\u00e4rke\u00e4\u00e4. V\u00e4h\u00e4kalorinen ja -rasvainen, kasvisvoittoinen ruokavalio, josta on j\u00e4tetty pois huonot hiilihydraatit, s\u00e4\u00e4nn\u00f6llinen\r\nateriarytmi sek\u00e4 monipuolinen s\u00e4\u00e4nn\u00f6llinen liikunta tukevat painonhallintaa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The purpose of this study was to describe and understand weight loss experiences of young\r\nadults who have been severely or morbidly obese. Data was collected through interviews with\r\nsix young adults, four women and two men, who were 22 - 29 years old. Before weight loss\r\ntheir body mass indexes were from 34.9 to 48.3 and during the interviews from 25.9 to 34.7.\r\nThey started their weight loss from one \u2013 to four years ago. The phenomenologicalhermeneutic\r\nmethod was used and the material was analysed through phenomenological analysis by Giorgi (1985) and Laine (2010).\r\n\r\nThe young adults that participated in this research had been obese since childhood. The meaning of weight loss is revealed by four themes: 1) critical attitude to oneself, which describes participants\u2019 experiences before weight loss, 2) capability to change, 3) change in eating habits and 4) resource to control eating in new situations.\r\n\r\nYoung adults who succeeded in weight loss were independent, self-directed, responsible and\r\nwilling to change their lifestyle. They started weight loss as an experiment and they did not set a specific weight goal at the beginning. Three participants became enthusiastic about weight loss when they followed the example of a sibling, friend or colleague. It was possible to change their diet because of the participant\u2019s independent situation in life. Quick weight loss in the beginning was very important because it increased their self-confidence. Public health nurses had an important role as assistants and supporters and they had enough resources to commit to the follow-up visits for several months. Women, who had problems with emotional or binge eating, were in need of long-term support. Self-monitoring weight and preparing oneself for challenging situations from an eating perspective are important to achieve permanent weight loss. A low-calorie and low-fat food, vegetable-rich diet without poor quality carbohydrate, a regular meal rhythm and diverse regular exercise support weight loss maintenance.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Terhi Kimpim\u00e4ki (tetukimp) on 2014-05-23 12:54:57.175022. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-05-23T12:54:57Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201405231802.pdf: 1953210 bytes, checksum: 48a7b857ab2915bf86d2b1980db0155d (MD5)\r\nlicense.html: 4939 bytes, checksum: 101080457e2d3d33909f9bc6605644fc (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-05-23T12:54:57Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201405231802.pdf: 1953210 bytes, checksum: 48a7b857ab2915bf86d2b1980db0155d (MD5)\r\nlicense.html: 4939 bytes, checksum: 101080457e2d3d33909f9bc6605644fc (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (76 sivua)", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "Lihavuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "laihduttaminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "nuori aikuinen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kokemus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "laadullinen tutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Laihduttamisen merkityksi\u00e4 nuorelle aikuiselle : \"ei oo ikin\u00e4 tarkootus olla en\u00e4\u00e4 sen kokoonen\"", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201405231802", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.method", "value": "Kvalitatiivinen tutkimus", "language": null, "element": "subject", "qualifier": "method", "schema": "dc"}, {"key": "dc.date.updated", "value": "2014-05-23T12:54:58Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", 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