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[{"key": "dc.contributor.author", "value": "Rekola, Tuulia", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-10-06T17:18:17Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-10-06T17:18:17Z", "language": null, "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:1446620", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44385", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tyypin 2 diabetes on yleistynyt sek\u00e4 Suomessa ett\u00e4 maailmalla. Se on vakava ja kansantaloudellisesti eritt\u00e4in kallis sairaus. Sairautta voidaan kuitenkin ennaltaehk\u00e4ist\u00e4 j\u00e4rjest\u00e4m\u00e4ll\u00e4 elintapaohjausta korkeassa sairastumisriskiss\u00e4 oleville. \n\nT\u00e4m\u00e4n tutkimuksen tarkoitus oli tutkia, auttoiko viisi kuukautta kest\u00e4v\u00e4 elintapaohjaus ryhm\u00e4ohjauksessa olleita pudottamaan painoa eri mitoilla mitattuna (paino, vy\u00f6t\u00e4r\u00f6nymp\u00e4rys, BMI) sek\u00e4 selvitt\u00e4\u00e4 elintapaohjauksella saavutettuja muutoksia liittyen tutkimushenkil\u00f6iden ravinnon rasvan laatuun sek\u00e4 kuidun ja koetun liikunnan m\u00e4\u00e4r\u00e4\u00e4n. Lis\u00e4ksi tutkimuksessa kuvattiin, miss\u00e4 elintapa-asioissa asiakkaat halusivat tehd\u00e4 muutoksia, mit\u00e4 valmiuksia terveellisiin elintapoihin ryhm\u00e4ohjaus antoi ja mik\u00e4 auttoi eniten elintapatavoitteissa onnistumisessa. Tutkimuksen aineisto koostui P\u00e4ij\u00e4t-H\u00e4meen alueella vuosina 2010 \u2013 2011 toimineista Ikihyv\u00e4 -elintapaohjausryhmist\u00e4 ja ryhm\u00e4\u00e4n osallistuneilta ker\u00e4tyist\u00e4 tutkimuslomakkeista. Ryhmien ohjaus toteutettiin osana perusterveydenhuollon normaalia toimintaa. Elintapaohjausryhmiin osallistuneet tutkimushenkil\u00f6t olivat korkeassa diabetesriskiss\u00e4. Tutkimushenkil\u00f6it\u00e4 oli yhteens\u00e4 65, joista suurin osa oli naisia (n=48) ja yli 50-vuotiaita (n=51). Aineiston analyysissa k\u00e4ytettiin sek\u00e4 kvantitatiivisen ett\u00e4 kvalitatiivisen tutkimuksen menetelmi\u00e4. \n\nTutkimuksessa elintapaohjaus auttoi pudottamaan painoa, BMI:\u00e4 ja vy\u00f6t\u00e4r\u00f6nymp\u00e4ryst\u00e4 tilastollisesti eritt\u00e4in merkitsev\u00e4sti. Ryhmitt\u00e4in tarkasteltuna naiset ja yli 50-vuotiaat onnistuivat parhaiten. Rasvan laatu ja kuidun saanti paranivat my\u00f6s tilastollisesti merkitsev\u00e4sti, mutta tyytyv\u00e4isyys omaan liikuntaan ei lis\u00e4\u00e4ntynyt merkitsev\u00e4sti. Tutkimuksen mukaan ryhm\u00e4ohjaukseen osallistuneet halusivat tehd\u00e4 eniten muutoksia terveelliseen ruokavalioon ja sy\u00f6misen hallintaan liittyen. Asiakkaiden mukaan ohjaus antoi eniten valmiuksia terveelliseen ruokavalioon ja sy\u00f6misen hallintaan liittyen. Elintapamuutoksissa onnistumisessa auttoi eniten tuki.\n\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 elintapaohjausta kannattaa j\u00e4rjest\u00e4\u00e4 erityisesti tyypin 2 diabeteksen korkessa riskiss\u00e4 oleville. Paino, BMI ja vy\u00f6t\u00e4r\u00f6nymp\u00e4rys pienenev\u00e4t elintapaohjauksessa. My\u00f6s ruokavalion rasvan laatu ja kuidun saanti paranevat, mutta tyytyv\u00e4isyydess\u00e4 omaan liikuntaan ei tapahdu muutosta. Naiset ja yli 50-vuotiaat n\u00e4ytt\u00e4v\u00e4t hy\u00f6tyv\u00e4n elintapaohjauksesta eniten. Eniten elintapamuutoksia halutaan tehd\u00e4 terveelliseen ruokavalioon ja sy\u00f6misen hallintaan liittyen, johon elintapaohjaus antaa my\u00f6s eniten valmiuksia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Type 2 diabetes has increased both in Finland and abroad. It is a serious and economically very costly disease. The disease can be prevented by providing lifestyle counseling for people at high risk of disease. \n\nThe purpose of this study was firstly to investigate whether a five month, group based lifestyle counseling helped participants to lose weight when measured with different measurements (weight, waist circumference, BMI) and secondly clarify the quality of fat and fiber intake and satisfaction of the participants with their physical activity. In addition, the study described in which lifestyle issues the participants wanted to make changes and what capacities this lifestyle program gave them and what helped them the most to achieve their lifestyle goals.\n\nThe data consisted of research questionnaires which were collected from GOAL \u2013 lifestyle groups that operated in the P\u00e4ij\u00e4t-H\u00e4me area in 2010 \u2013 2011. The lifestyle groups were carried out as part of primary health care. The participants in this study were at high risk of diabetes. There were a total of 65 subjects, most of them were women (n = 48) and most were over 50 years of age (n = 51). Both quantitative and qualitative research methods were used in the analysis.\n\nLifestyle intervention helped subjects to lose weight. Weight (kg), BMI and waist circumference diminished statistically significantly. Women and people over the age of 50 were the most successful groups. The quality of fat and fiber intake also improved significantly but the satisfaction of the participants with their physical activity did not increase significantly. The participants wanted to make the most changes in healthy diet and eating habits, for which lifestyle education gave the most capacities as well. Support from others helped the most to succeed in lifestyle changes.\n\nIn conclusion, lifestyle counseling is very important for people at high risk of diabetes. In this study, weight, BMI and waist circumference reduced with group based lifestyle counseling. Also, the quality of dietary fat and fiber intake improved. However, in the case of satisfaction with own physical activity, there was no change in the lifestyle groups. Women and people over the age of 50 seemed to benefit most from lifestyle guidance. Most participants wanted to concentrate on healthy diet and eating habits, for which they also got most capacities from the lifestyle intervention.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Tuulia Rekola (tukareko) on 2014-10-06 17:18:16.699108. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-10-06T17:18:17Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201410062936.pdf: 3383326 bytes, checksum: d4c62bc002ae4d33fbb3c94472a471bb (MD5)\nlicense.html: 4859 bytes, checksum: 2a7f2eecbb4c30a1d5def6f16d930f75 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-10-06T17:18:17Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201410062936.pdf: 3383326 bytes, checksum: d4c62bc002ae4d33fbb3c94472a471bb (MD5)\nlicense.html: 4859 bytes, checksum: 2a7f2eecbb4c30a1d5def6f16d930f75 (MD5)\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (77 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": "elintapaohjaus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ryhm\u00e4ohjaus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tyypin 2 diabetes", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ennaltaehk\u00e4isy", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Tyypin 2 diabeteksen ennaltaehk\u00e4isy ryhm\u00e4ohjauksella osana perusterveydenhuollon normaalia toimintaa", "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-201410062936", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, 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"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.date.updated", "value": "2014-10-06T17:18:18Z", "language": null, "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", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": 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