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[{"key": "dc.contributor.author", "value": "Sepp\u00e4nen, Tiina-Emilia", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-09T09:24:49Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-09T09:24:49Z", "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:1543040", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50223", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Hauraus-raihnausoireyhtym\u00e4 on geriatrinen syndrooma, joka voi johtaa i\u00e4kk\u00e4\u00e4n ihmisen toimintakyvyn\r\nheikkenemiseen ja lis\u00e4\u00e4 sek\u00e4 laitoshoitoon joutumisen, ett\u00e4 kuolleisuuden riski\u00e4.\r\nHauraus-raihnausoireyhtym\u00e4n ennaltaehk\u00e4isyss\u00e4 ja hoidossa avaintekij\u00e4n\u00e4 on i\u00e4kk\u00e4\u00e4n ihmisen\r\nriitt\u00e4v\u00e4 fyysinen aktiivisuus. T\u00e4m\u00e4n pro gradu \u2013tutkielman tarkoituksena oli selvitt\u00e4\u00e4,\r\nvoidaanko liikuntaneuvonnalla vaikuttaa hauraus-raihnausoireyhtym\u00e4n fenotyyppiin kuuluviin\r\nosatekij\u00f6ihin, joita ovat hitaus, heikkous, uupumus, v\u00e4h\u00e4inen fyysinen aktiivisuus sek\u00e4\r\npainon lasku. Lis\u00e4ksi selvitettiin liikuntaneuvonnan yhteytt\u00e4 hauraus-raihnausoireyhtym\u00e4n\r\nilmenemiseen i\u00e4kk\u00e4ill\u00e4 ihmisill\u00e4.\r\nTutkielma on osa Liikuntaneuvonta i\u00e4kk\u00e4iden henkil\u00f6iden liikunta-aktiivisuuden lis\u00e4\u00e4j\u00e4n\u00e4 \u2013\r\ntutkimusta (SCAMOB), jossa tutkimusasetelmana on satunnaistettu, kontrolloitu koe. Tutkimukseen\r\nosallistui 632 i\u00e4lt\u00e4\u00e4n 75-81-vuotiasta Jyv\u00e4skyl\u00e4ss\u00e4 asuvaa henkil\u00f6\u00e4. T\u00e4m\u00e4 tutkielma\r\non sekund\u00e4\u00e4rianalyysi alkuper\u00e4isest\u00e4 ja analyysissa on mukana 577 henkil\u00f6\u00e4. Tutkimuksen\r\nalkumittauksissa selvitettiin tutkittavien fyysist\u00e4 aktiivisuutta sek\u00e4 toimintakyky\u00e4. Interventioryhm\u00e4l\u00e4iset\r\nsaivat yksil\u00f6llisen, noin tunnin kest\u00e4v\u00e4n liikuntaneuvonnan fysioterapeutilta ja\r\nkahden vuoden seuranta-aikana fysioterapeutti oli s\u00e4\u00e4nn\u00f6llisesti puhelinyhteydess\u00e4 tutkittaviin.\r\nIntervention j\u00e4lkeen toteutettiin loppumittaukset. Hauraus-raihnausoireyhtym\u00e4n fenotyypin\r\nosatekij\u00f6ist\u00e4 v\u00e4h\u00e4inen fyysinen aktiivisuus ja uupumus perustuivat tutkittavien itsearviointiin,\r\nheikkoutta mitattiin k\u00e4den puristusvoimalla, hitautta k\u00e4velynopeustestill\u00e4 ja painon\r\nlaskua painoindeksill\u00e4. N\u00e4ist\u00e4 fenotyypin osatekij\u00e4 -muuttujista rakennettiin haurausraihnausoireyhtym\u00e4\r\n-muuttuja niin, ett\u00e4 kolmen tai useamman osatekij\u00e4n ilmeneminen merkitsi\r\nHRO:ta. Liikuntaneuvonta \u2013intervention vaikutusta hauraus-raihnausoireyhtym\u00e4\u00e4n ja sen\r\nfenotyypin osatekij\u00f6ihin analysoitiin McNemarin testill\u00e4. Lis\u00e4ksi vaikutusta oireyhtym\u00e4n ilmenemiseen\r\ntestattiin alku- ja loppumittausten varianssianalyysill\u00e4 (GLM).\r\nTulosten mukaan liikuntaneuvonnalla pystyttiin vaikuttamaan tilastollisesti merkitsev\u00e4sti tutkittavien\r\nuupumukseen (p = 0.035). Intervention vaikutus oli n\u00e4ht\u00e4viss\u00e4 my\u00f6s fyysisen aktiivisuuden\r\nmuutoksissa. Interventioryhm\u00e4ss\u00e4 oli loppumittausten perusteella enemm\u00e4n liikunnallisesti\r\naktiivisia kuin kontrolliryhm\u00e4ss\u00e4. Hauraus-raihnausoireyhtym\u00e4n ilmenemiseen liikuntaneuvonnalla\r\nei ollut tilastollisesti merkitsev\u00e4\u00e4 vaikutusta.\r\nT\u00e4m\u00e4n pro gradu \u2013tutkielman tulokset vahvistavat aiempia tutkimustuloksia, joissa liikuntaneuvonnalla\r\non pystytty lis\u00e4\u00e4m\u00e4\u00e4n i\u00e4kk\u00e4iden ihmisten liikunta-aktiivisuutta. Haurausraihnausoireyhtym\u00e4n\r\nosalta tarvitaan jatkotutkimusta, jossa liikuntaneuvontaa kohdennettaisiin\r\nniihin i\u00e4kk\u00e4isiin, joilla on todettu hauraus-raihnausoireyhtym\u00e4 tai sen riskitekij\u00f6it\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Frailty is a geriatric syndrome, which increases the risk for disability, hospitalization and\r\nmortality. However, the key element in preventing frailty is adequate physical activity. The\r\npurpose of this study was to investigate the effect of physical activity counseling on the phenotype\r\nof frailty. The phenotype of frailty includes five elements: slowness, weakness, exhaustion,\r\nlow physical activity, and weight loss. In addition, the other purpose of this study\r\nwas to investigate the effect of physical activity counselling regarding the expression of frailty\r\nin elderly people.\r\nThe study is part of the Screening and Counseling for Physical Activity and Mobility in Older\r\nPeople project (SCAMOB), and it is a randomized controlled trial. The study involved 632\r\nsubjects who were 75- to 81-year-old, living independently in Jyv\u00e4skyl\u00e4. This study is a secondary\r\nanalysis involving 577 participants. The study researchers carried out initial measurements,\r\nwhich examined the participants\u2019 physical activity, as well as functional capacity. The\r\nintervention group received individual, approximately one-hour physical activity counselling\r\nsession from a physiotherapist, and in a two-year follow-up period, physiotherapist made regular\r\ntelephone contact with participants from the intervention group. After intervention, control\r\nmeasurements were taken. Low physical activity and exhaustion were measured by participants\u2019\r\nself-assessments. Weakness was assessed by handgrip, slowness by walking test\r\nand weight by body mass index. These phenotypes of frailty variables built up frailty variable:\r\nthe expression of three or more elements on phenotypes of frailty variables means frailty. The\r\nimpact of physical activity counseling on frailty and phenotype elements was evaluated according\r\nto McNemar test, and the effect of the expression of the syndrome was examined with\r\nthe generalized linear model (GLM).\r\nThe results showed that the effect of physical activity counseling was statistically significant\r\nregarding exhaustion (p = 0.035). After the intervention, there were less persons in the intervention\r\ngroup who had expression on exhaustion than in the control group. After intervention\r\nthere were also more physically active persons in the intervention group than in the control\r\ngroup. The effect of physical activity counseling on the expression of frailty was not a statistically\r\nsignificant.\r\nThe results of this study confirm previous research in which physical activity counseling has\r\nhelped to increase older people's physical activity. Frailty will require further research in\r\nwhich the study design is based on focusing physical activity counseling on the elderly who\r\nhave frailty or risk factors to frailty.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Tiina-Emilia Sepp\u00e4nen (tiriipin) on 2016-06-09 09:24:49.511724. 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 2016-06-09T09:24:49Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201606092996.pdf: 389059 bytes, checksum: fe51d4780cee2d2077278f5ac97add5d (MD5)\nlicense.html: 4855 bytes, checksum: f43881e3b501c0afeec760fd83bc6c42 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-06-09T09:24:49Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201606092996.pdf: 389059 bytes, checksum: fe51d4780cee2d2077278f5ac97add5d (MD5)\nlicense.html: 4855 bytes, checksum: f43881e3b501c0afeec760fd83bc6c42 (MD5)\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (39 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.title", "value": "Liikuntaneuvonnan vaikutus ik\u00e4\u00e4ntyneiden ihmisten hauraus-raihnausoireyhtym\u00e4\u00e4n", "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-201606092996", "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": "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": "2016-06-09T09:24:50Z", "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": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hauraus-raihnausoireyhtym\u00e4", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikuntaneuvonta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen aktiivisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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