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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Pahkam\u00e4ki, Nelli", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-03-13T20:32:58Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-03-13T20:32:58Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2017", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1675629", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/53245", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Pahkam\u00e4ki, N. 2017. Vaihdevuosi-ik\u00e4isten naisten unenlaatu - vaihdevuosistatuksen yhteys koettuihin uniongelmiin 48-55 \u2013vuotiailla naisilla ja niihin yhteydess\u00e4 olevat tekij\u00e4t. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja Kansanterveyden pro gradu tutkielma, 68s.\r\n\r\nUni ja sen laatu on yksi t\u00e4rkeimmist\u00e4 terveyteen vaikuttavista tekij\u00f6ist\u00e4 ja pitk\u00e4\u00e4n jatkuessaan uniongelmat suurentavat monien sairauksien riski\u00e4, heikent\u00e4v\u00e4t p\u00e4iv\u00e4aikaista toimintakyky\u00e4 sek\u00e4 huonontavat el\u00e4m\u00e4nlaatua. Uniongelmat ovat yksi tyypillisimmist\u00e4 vaihdevuosioireista ja etenkin koetut uniongelmat lis\u00e4\u00e4ntyv\u00e4t vaihdevuosien yhteydess\u00e4. T\u00e4ss\u00e4 havainnoivassa poikkileikkausasetelmaa hy\u00f6dynt\u00e4v\u00e4ss\u00e4 pro gradu \u2013tutkielmassa tarkasteltiin millainen on vaihdevuosi-ik\u00e4isten naisten subjektiivinen unenlaatu 48-55 \u2013vuotiailla naisilla. Lis\u00e4ksi selvitettiin onko vaihdevuosistatus yhteydess\u00e4 koettuihin uniongelmiin.\r\n\r\nTutkielma on osa laajempaa Estrogeeni, vaihdevuodet ja toimintakyky (ERMA) \u2013tutkimushanketta. Kutsu tutkimukseen l\u00e4hetettiin noin 3800:lle satunnaisotannalla valitulle Jyv\u00e4skyl\u00e4n kaupungin alueella asuvalle 48\u201354-vuotiaalle naiselle. Tutkielman otokseen rajattiin ERMA \u2013aineistosta henkil\u00f6t, jotka olivat vastanneet ERMA \u2013tutkimuksen alkumittauskyselyyn ja joille oli tehty antropometriset mittaukset vuoden 2015 loppuun menness\u00e4. Tutkimuksen poissulkukriteerein\u00e4 olivat monirakkulainen munasarjaoireyhtym\u00e4, molempien munasarjojen poistoleikkaus, hormonikorvaushoidon k\u00e4ytt\u00f6, BMI > 40, sairastettu syd\u00e4ninfarkti, Crohnin tauti, colitis ulcerosa, kortisoni-, tulehdus-, tai stytostaattil\u00e4\u00e4kitys, diabetes, vaikea tuki- ja liikuntaelinten vaiva tai reumasairaus, hoidossa oleva sy\u00f6p\u00e4 sek\u00e4 vakava mielenterveyden sairaus. Lopulliseen otokseen valikoitui 498 naista. Tutkimukseen osallistuvat naiset jaettiin nelj\u00e4\u00e4n ryhm\u00e4\u00e4n vaihdevuosistatuksen mukaan (premenopaussi, aikainen perimenopaussi, my\u00f6h\u00e4inen perimenopaussi ja postmenopaussi) verin\u00e4ytteest\u00e4 mitatun FSH -konsentraation ja kuukautisstatuksen mukaisesti. Tiedot tutkittavien koetusta unenlaadusta sek\u00e4 terveys- ja el\u00e4m\u00e4ntapatekij\u00f6ist\u00e4 (masennus- ja vaihdevuosioireet, terveyden kokemus, BMI, tupakointi, koulutustaso ja fyysinen aktiivisuus) selvitettiin kyselylomakkeen avulla. Aineistoa tarkasteltiin ristiintaulukoinnilla ja \u03c72 -testill\u00e4 sek\u00e4 yksisuuntaisella varianssianalyysilla ja F-testill\u00e4. Uniongelmiin yhteydess\u00e4 olevia terveys- ja el\u00e4m\u00e4ntapatekij\u00f6it\u00e4 tarkasteltiin logistisella regressioanalyysill\u00e4. \r\n\r\nTutkimuksen tulosten mukaan vaihdevuosistatuksella ja koettulla huonolla unenlaadulla ei n\u00e4ytt\u00e4isi olevan merkitsev\u00e4\u00e4 yhteytt\u00e4. Masennusoireet, p\u00e4\u00e4- tai nivelkipu, vasomotoriset oireet sek\u00e4 heikko koettu terveys olivat itsen\u00e4isesti yhteydess\u00e4 vaihdevuosi-ik\u00e4isten naisten koettuihin uniongelmiin, kun vaihdevuosistatuksen vaikutusta ei otettu huomioon. Vaihde-vuosistatuksella vakioidussa monimuuttujamallissa masennusoireet selittiv\u00e4t vahvimmin uniongelmia ja lis\u00e4siv\u00e4t vaihdevuosioireita enemm\u00e4n riski\u00e4 koetuille uniongelmille (p<.001). \r\n\r\nHuonoon unenlaatuun liittyv\u00e4t uniongelmat vaihdevuosi-ik\u00e4isill\u00e4 naisilla ovat moniulotteinen ilmi\u00f6, johon erityisesti koetut masennusoireet ovat yhteydess\u00e4 muita vaihdevuosioireita enemm\u00e4n. Tulevaisuudessa tulisi tutkia tarkemmin huonoon unenlaatuun liittyvi\u00e4 riskitekij\u00f6it\u00e4 sek\u00e4 kausaliteetteja, jotta uniongelmiin liittyvi\u00e4 terveysongelmia voitaisiin tehokkaasti ehk\u00e4ist\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Pahkam\u00e4ki, N. 2017. Quality of sleep in women in menopause \u2013 association between menopausal state and subjective sleep. Faculty of Sport Sciences, University of Jyv\u00e4skyl\u00e4, Geron-tology and public health, Master\u2019s thesis, 66 pp.\r\n\r\nSleep and the quality of sleep are one of the most important determinants of health. Chronic sleep problems increase the risk of many diseases, impair daytime functioning and reduce quality of life. Sleep problems are one of the most typical menopausal symptoms and particularly subjective sleeping problems increase with menopause. The purpose of this observational cross-sectional study was to investigate whether sleep quality in women between 48-55 years of age is associated with menopausal status and what are the factors associated with sleep problems among menopausal women.\r\n\r\nThis study is based on the data collected in the on-going Estrogen Regulation of Muscle Apoptosis (ERMA) \u2013study. Invitation to the study was sent to 3800 community-dwelling women, aged 48-55, living in the municipality of Jyv\u00e4skyl\u00e4. The study sample was limited to persons who had responded to the initial survey measurement of ERMA -study and who had undergone anthropometric measurements by the end of 2015. Exclusion criteria were multi-vesicular ovarian syndrome, removal surgery of both ovaries, the use of hormone replacement therapy, BMI> 40, previous myocardial infarction, Crohn's disease, colitis ulcerosa, cortisone, anti-inflammatory or cytostatic treatment, diabetes, severe musculoskeletal discomfort or rheumatic disease, cancer and serious mental illness. The final sample consisted of 498 wo-men. Women participating in the study were divided into four groups of menopausal status (premenopausal, early perimenopausal, late perimenopausal and postmenopausal), measured from a blood sample in accordance with the concentration of the FSH and menstrual status. Data concerning the womens quality of sleep and poor sleep quality was investigated by questionnaire. Data was examined by cross-tabulation and with \u03c72 -test and one-way analysis of variance and F-public test. The association between poor quality of sleep and the health and lifestyle factors were investigated by logistic regression analysis.\r\n\r\nAccording to this study it would seem that poor sleep quality is not connected to menopausal state. Depressive symptoms, head or joint pain, vasomor symptoms and poor self-rated health were statistically significantly associated with subjective sleep problems in women in menopausal age. In standardized multivariate model depressive symptoms explained the experienced poor sleep quality the strongest (p = <. 001).\r\n\r\nAccording to this study, poor sleep quality in menopausal women is a multi-dimensional phenomenon and in particular, depressive symptoms are associated to sleeping problems more than other menopausal symptoms. It is important to study more closely about the risk factors and causalities related to poor sleep quality in order to efficienty prevent interrelated negative health conditions. \r\n\r\n\r\n\r\nKey words: Menopause, sleep quality, sleeping problems, menopausal symptoms, menopausal status", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Nelli Pahkam\u00e4ki (neempahk) on 2017-03-13 20:32:57.591897. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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"dc.subject.other", "value": "unenlaatu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "uniongelmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vaihdevuosioireet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vaihdevuosistatus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Vaihdevuosi-ik\u00e4isten naisten unenlaatu : vaihdevuosistatuksen yhteys koettuihin uniongelmiin", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.title.alternative", "value": "Vaihdevuosistatuksen yhteys koettuihin uniongelmiin", "language": null, "element": "title", "qualifier": "alternative", "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": 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