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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Karinkanta, Saija", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Raittila, P\u00e4ivi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-01T05:25:00Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-01T05:25:00Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2016", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1542552", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50021", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ik\u00e4\u00e4ntyneiden henkil\u00f6iden kaatumisalttius lis\u00e4\u00e4ntyy, kun liikkumiskyky heikkenee. Yli 65-vuotiaista yli kolmannes kaatuu vuosittain ja heist\u00e4 puolet vuoden sis\u00e4ll\u00e4 uudelleen. Kaatumiset aikaansaavat usein toimintakyvyn heikkenemisen kierteen, johon kuuluu my\u00f6s liikunta-aktiivisuuden v\u00e4hentymist\u00e4 ja kaatumispelon esiintymist\u00e4. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, millainen yhteys p\u00e4ivitt\u00e4isell\u00e4 k\u00e4velyn kilometrim\u00e4\u00e4r\u00e4ll\u00e4 ja v\u00e4hint\u00e4\u00e4n puolen tunnin yht\u00e4jaksoisten liikuntaharjoittelukertojen useudella on ik\u00e4\u00e4ntyneiden henkil\u00f6iden kokemaan kaatumispelkoon.\n\nT\u00e4m\u00e4n poikkileikkaustutkimuksen aineistona on k\u00e4ytetty KaatumisSeula-hankkeen yhteydess\u00e4 Sein\u00e4joella ker\u00e4tty\u00e4 v\u00e4est\u00f6otoskysely\u00e4 (n = 762). Kyselyyn osallistuvat olivat i\u00e4lt\u00e4\u00e4n 65\u2013100-vuotiaita. Kyselyll\u00e4 selvitettiin tutkittavien kaatumisiin ja kaatumisten ehk\u00e4isyyn liittyvi\u00e4 tausta- ja vaaratekij\u00f6it\u00e4. Analyyseiss\u00e4 tarkasteltiin erilaisin menetelmin liikunta-aktiivisuuden yhteytt\u00e4 kaatumispelkoon. Liikunta-aktiivisuutta on kysytty p\u00e4ivitt\u00e4isell\u00e4 k\u00e4velyn m\u00e4\u00e4r\u00e4ll\u00e4 ja v\u00e4hint\u00e4\u00e4n puolen tunnin mittaisella viikoittaisella liikunnan harrastamisella. Kaatumispelkoa on mitattu kaatumishuolestuneisuuskyselyll\u00e4 (FES-I). Naisten ja miesten v\u00e4lisi\u00e4 eroja tarkasteltiin \u03c72-testill\u00e4 ja Mann-Whitney U-testill\u00e4. Kaatumispelkoon ja liikunta-aktiivisuuden v\u00e4hentymiseen liittyvien muuttujien v\u00e4lisi\u00e4 korrelaatioita tarkasteltiin Spearmanin j\u00e4rjestyskorrelaatiolla. Kaatumispelon vaihtelua liikunta-aktiivisuuden mukaan analysoitiin ordinaalisella regressioanalyysill\u00e4 ja kaatu-mispelon keskiarvojen suhdetta tarkasteltiin kaatumispelkoon yhteydess\u00e4 olevien tekij\u00f6iden mu-kaan gammaregressioanalyyseill\u00e4. Sekoittavina tekij\u00f6in\u00e4 tehdyiss\u00e4 gammaregressioanalyyseiss\u00e4 huomioitiin sukupuoli, ik\u00e4, sivilis\u00e4\u00e4ty, kaatumisten lukum\u00e4\u00e4r\u00e4, apuv\u00e4lineiden k\u00e4ytt\u00f6 sek\u00e4 itsear-vioitu terveydentila ja toimintakyky. Analyysit tehtiin SPSS Statistics 22 \u2013ohjelmalla.\n\nV\u00e4h\u00e4n k\u00e4velevill\u00e4 oli yli 11-kertainen (95 % CI 7.24\u201317.12) riski ja v\u00e4h\u00e4n liikuntaa harrastavilla yli 4-kertainen (2.99\u20135.92) riski merkitt\u00e4v\u00e4\u00e4n kaatumispelkoon, kun heit\u00e4 verrattiin paljon k\u00e4ve-leviin tai paljon liikuntaa harrastaviin. K\u00e4velyn m\u00e4\u00e4r\u00e4 ja liikunnan harrastaminen olivat my\u00f6s yhteydess\u00e4 kaatumispelon summapistem\u00e4\u00e4r\u00e4n keskiarvon suuruuteen tilastollisesti merkitsev\u00e4sti. Kaatumispelon summapistem\u00e4\u00e4r\u00e4n keskiarvo oli kohtuullisesti p\u00e4ivitt\u00e4in k\u00e4velevill\u00e4 0.91-kertainen (0.86\u20130.95) ja paljon k\u00e4velevill\u00e4 0.90-kertainen (0.85\u20130.96) verrattuna v\u00e4h\u00e4n k\u00e4vele-viin riippumatta i\u00e4st\u00e4, sukupuolesta, toimintakyvyst\u00e4, apuv\u00e4lineiden k\u00e4yt\u00f6st\u00e4 ja kaatumisten lukum\u00e4\u00e4r\u00e4st\u00e4. Viikoittain paljon liikuntaa harrastavilla kaatumispelon summapistem\u00e4\u00e4r\u00e4n kes-kiarvo oli 0.94-kertainen (0.90\u20130.99) verrattuna v\u00e4h\u00e4n liikuntaa harrastaviin. Lis\u00e4ksi havaittiin, ett\u00e4 toimintakyvylt\u00e4\u00e4n heikoilla oli enemm\u00e4n kaatumispelkoa, yli 85-vuotiaat pelk\u00e4siv\u00e4t kaatu-mista enemm\u00e4n kuin t\u00e4t\u00e4 nuoremmat, jatkuvasti apuv\u00e4lineit\u00e4 k\u00e4ytt\u00e4v\u00e4t pelk\u00e4siv\u00e4t kaatumista enemm\u00e4n kuin satunnaisesti tai ei ollenkaan apuv\u00e4lineit\u00e4 k\u00e4ytt\u00e4v\u00e4t, naiset pelk\u00e4siv\u00e4t kaatumisia enemm\u00e4n kuin miehet ja aiempien kaatumisten lukum\u00e4\u00e4r\u00e4 oli yhteydess\u00e4 kaatumispelkoon tilas-tollisesti merkitsev\u00e4sti (p<0.001). \n\nT\u00e4m\u00e4n tutkimuksen mukaan k\u00e4velyn m\u00e4\u00e4r\u00e4 ja liikunnan harrastaminen olivat yhteydess\u00e4 kaa-tumispelkoon. K\u00e4velyn m\u00e4\u00e4r\u00e4 vaikutti kaatumispelkoon enemm\u00e4n kuin liikunnan harrastami-nen. K\u00e4vely\u00e4 ja liikuntaharjoittelua merkitt\u00e4v\u00e4mm\u00e4ksi kaatumispelkoon yhteydess\u00e4 olevaksi tekij\u00e4ksi nousi kuitenkin toimintakyky, eli mit\u00e4 huonompi toimintakyky oli, sit\u00e4 enemm\u00e4n esiin-tyi kaatumispelkoa. T\u00e4m\u00e4n tutkimuksen perusteella voidaan siten kaatumispelon ehk\u00e4isemiseksi ja v\u00e4hent\u00e4miseksi suositella erityisesti toimintakyvyn yll\u00e4pit\u00e4mist\u00e4 ja kehitt\u00e4mist\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The propensity for fall increases when mobility decreases. More than one third of over 65-year-olds suffer a fall annually and half of those are likely to fall again within a year. These accidents often cause further decline in function, which will also reduce physical activity and increase fear of falling. The aim of this study was to investigate the association between fear of falling and daily walking distance, and fear of falling and minimum 30-minute continuous physical activity among the elderly.\n\nThis cross-sectional study is based on KaatumisSeula-survey (n = 762) conducted in Sein\u00e4joki, Finland. Participants were aged between 65 and 100 years. Exercise activity was surveyed by daily walking distance and a minimum of half an hour\u2019s worth of weekly exercise. Fear of fall-ing was measured using Falls Efficacy Scale International (FES-I). Risks for falls and measures taken to reduce the risk for falling were enquired \u03c72-test, Mann-Whitney U-test, Spearman\u2019s correlation test and ordinal and gamma regression with covariates such as sex, age, marital sta-tus, the number of past falls, usage of mobility aids and the self-assessment of one\u2019s health and mobility were used to analyze factors that explain fear of falling. The analyses were conducted using SPSS Statistics 22 software package.\n\nAs per ordinal regression; those who walked a little had over 11 (95 % CI 7.24\u201317.12) times higher risk and those who exercised moderately had over 4 times (2.99\u20135.92) higher risk to suf-fer from serious fear of falling compared to those who walked or exercised very much. Based on gamma regression the amounts of walking and exercise explained the fear of falling scores (p<0.05). Fear of falling scores were 0.91\u2013fold (0.86\u20130.95) among those who walk moderately and 0.90 (0.85\u20130.96) among those who walked very much compared to those who walked a little irrespective of age, sex, mobility, aid usage or number of previous falls. Those who exer-cised very much scored on average 0.94-fold (0.90\u20130.99) in the fear of falling compared to those who exercised a little. Moreover, it was found that when mobility was declined, the fear of falling was greater. Over 85-year-olds were more afraid of falling than their younger counter-parts; those who used aids continuously were more afraid of falling than those who used aids occationally or not at all. In addition, women were more afraid of falling than men and previous falls were associated with greater fear of falling in both sexes (p<0.001).\n\nAs a conclusion, walking distance and exercise was found to correlate with fear of falling. Walking affected the fear of falling more than exercise. Moreover, poor mobility was more im-portant factor to explain fear of falling than amount of walking or exercise. This study con-cludes that it is recommended to develop and improve mobility to reduce fear of falling.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by P\u00e4ivi Raittila (paarrait) on 2016-06-01 05:24:59.250842. 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.group@korppi.jyu.fi) on 2016-06-01T05:24:59Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201606012797.pdf: 879170 bytes, checksum: 5b80706f55f6e444b5e15c73b4e1afbb (MD5)\nlicense.html: 4849 bytes, checksum: f47a249d05c06be2c0d84c0a57e0ba89 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-06-01T05:25:00Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201606012797.pdf: 879170 bytes, checksum: 5b80706f55f6e444b5e15c73b4e1afbb (MD5)\nlicense.html: 4849 bytes, checksum: f47a249d05c06be2c0d84c0a57e0ba89 (MD5)\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (62 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": "kaatumispelko", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikunta-aktiivisuus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "k\u00e4velyn m\u00e4\u00e4r\u00e4", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikunnan harrastuneisuus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Liikunta-aktiivisuus ik\u00e4\u00e4ntyneiden henkil\u00f6iden kaatumispelkoa selitt\u00e4v\u00e4n\u00e4 tekij\u00e4n\u00e4", "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-201606012797", "language": null, "element": 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"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": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2016-06-01T05:25:00Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": null, "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": 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