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[{"key": "dc.contributor.author", "value": "Mikkonen, Tuija", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-04-16T09:50:36Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-04-16T09:50:36Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1867670", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/57606", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Mikkonen, T. 2018. Fyysisen aktiivisuuden ja istumisen yhteys niskahartiaseudun ja alasel\u00e4n kipujen esiintyvyyteen ty\u00f6ik\u00e4isill\u00e4. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, Liikuntal\u00e4\u00e4ketieteen pro gradu -tutkielma, 62 s, 1 liite. \n\nNiskahartiaseudun ja alasel\u00e4n kivut ovat Suomessa ja maailmanlaajuisesti suurin ty\u00f6ik\u00e4isten sairaslomap\u00e4ivi\u00e4 aiheuttava syy. Samaan aikaan fyysisen aktiivisuuden tiedet\u00e4\u00e4n v\u00e4hentyneen ja p\u00e4ivitt\u00e4isen istumisen ja muun paikallaanolon lis\u00e4\u00e4ntyneen. Viime vuosikymmenin\u00e4 useat tutkimukset ovat osoittaneet, ett\u00e4 fyysisell\u00e4 aktiivisuudella voidaan parantaa terveytt\u00e4. Istumisen taas tiedet\u00e4\u00e4n olevan itsen\u00e4isen\u00e4 tekij\u00e4n\u00e4 yhteydess\u00e4 huonompaan terveyteen. Fyysisen aktiivisuuden ja istumisen yhteys niskahartiaseudun ja alasel\u00e4n kipujen esiintyvyyteen ei ole t\u00e4ysin selv\u00e4. T\u00e4m\u00e4n tutkimuksen tarkoituksena on selvitt\u00e4\u00e4, onko vapaa-ajalla, ty\u00f6matkalla tai ty\u00f6ajalla mitattu fyysinen aktiivisuus ja vapaa-ajalla tai ty\u00f6ajalla mitattu istuminen yhteydess\u00e4 niskahartiaseudun tai alasel\u00e4n kipujen esiintyvyyteen Tampereen alueen ty\u00f6ik\u00e4isill\u00e4.\n\nTutkimusaineisto, jota t\u00e4ss\u00e4 tutkimuksessa k\u00e4ytettiin, on saatu kokonaisuudessaan UKK- instituutilta. Aineisto on osa K\u00c4PY- hankkeessa (K\u00e4velyn- ja py\u00f6r\u00e4ilyn edist\u00e4mishanke) ker\u00e4tty\u00e4 aineistoa. T\u00e4ss\u00e4 tutkimuksessa k\u00e4ytetty aineisto on ker\u00e4tty vuosien 2014\u20132015 v\u00e4lill\u00e4. Aineisto koostui sek\u00e4 kyselylomakkeella ker\u00e4tyst\u00e4 datasta ett\u00e4 objektiivisesti HookieAM20 liikemittarilla mitatusta datasta. 1117 henkil\u00f6\u00e4 t\u00e4ytti kyselylomakkeen ja 422 k\u00e4ytti liikemittaria. Kyselylomakkeesta saatiin tutkittavien niskahartiaseudun ja alasel\u00e4n kipua sek\u00e4 ty\u00f6matkaliikuntaa kuvaavat arvot. Liikemittarista saatiin vapaa-ajan ja ty\u00f6ajan fyysist\u00e4 aktiivisuutta ja istumista kuvaavat arvot. Tilastollisista menetelmist\u00e4 k\u00e4ytettiin Khiin neli\u00f6 (\u03c72) -testi\u00e4, Kruskal-Wallis-testi\u00e4, Spearmanin korrelaatiokerrointa ja bin\u00e4\u00e4rist\u00e4 logistista regressioanalyysia. \n\nKyselylomakkeella mitattu ty\u00f6matkoilla tapahtunut fyysinen aktiivisuus oli tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 niskahartiaseudun kipujen esiintyvyyteen, silloin kun ty\u00f6matkalla k\u00e4ytettiin py\u00f6r\u00e4\u00e4. K\u00e4vellen kuljetun ty\u00f6matkan ja niskahartiaseudun kipujen v\u00e4lill\u00e4 ei havaittu tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4. Harvemmin 1\u20132 kertaa viikossa kuljettu ty\u00f6matka lis\u00e4si kipujen esiintyvyytt\u00e4, kun usein 3\u20135 viikossa kuljettu ty\u00f6matka v\u00e4hensi kipujen esiintymist\u00e4. Monimuuttuja-analyysissa niskahartiaseudun kipujen esiintyvyytt\u00e4 selitti ty\u00f6matkapy\u00f6r\u00e4ilyn lis\u00e4ksi naissukupuoli, nuorempi ik\u00e4 ja koettu huonompi terveydentila. Ty\u00f6matkalla tapahtunut fyysinen aktiivisuus ei ollut yhteydess\u00e4 alasel\u00e4n kipujen esiintyvyyteen. Objektiivisesti mitattu vapaa-ajan ja ty\u00f6ajan fyysinen aktiivisuus tai istuminen ei ollut tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 niskahartiaseudun tai alasel\u00e4n kipuihin. Heikko korrelaatio havaittiin niskahartiaseudun kipujen ja ty\u00f6aikaisen istumisen v\u00e4lill\u00e4. \n\nT\u00e4m\u00e4 tutkimus antaa viitteit\u00e4 siit\u00e4, ett\u00e4 3-5 kertaa viikossa py\u00f6r\u00e4ll\u00e4 kuljettu ty\u00f6matka saattaisi v\u00e4hent\u00e4\u00e4 niskahartiaseudun kipujen esiintyvyytt\u00e4 ty\u00f6ik\u00e4isill\u00e4, kun 1-2 kertaa viikossa kuljettu ty\u00f6matka py\u00f6r\u00e4ll\u00e4 saattaa lis\u00e4t\u00e4 kipuja. Aikaisempia tutkimuksia ty\u00f6matkapy\u00f6r\u00e4ilyn ja niskahartiaseudun kivun esiintyvyyden yhteydest\u00e4 ei juurikaan ole. Ty\u00f6matkapy\u00f6r\u00e4ilyll\u00e4 on kuitenkin havaittu olevan muita terveytt\u00e4 edist\u00e4vi\u00e4 vaikutuksia. Erityisesti ty\u00f6nantajien kannattaa panostaa ty\u00f6matkaliikuntaan, koska parempi terveys on yhteydess\u00e4 v\u00e4hentyneisiin sairaspoissaoloihin. Jatkossa on t\u00e4rke\u00e4\u00e4, ett\u00e4 aihetta tutkitaan lis\u00e4\u00e4. \n\n\nAvainsanat: Niskahartiaseudun kipu, alasel\u00e4n kipu, fyysinen aktiivisuus, istuminen, vapaa-aika, ty\u00f6aika ja ty\u00f6matkaliikunta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Mikkonen T. 2018. Association of physical activity and sedentary behavior with neck shoulder and low back pain in sample of working aged population. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Sports and Exercise Medicine, Master\u2019s thesis, 62 pp, 1 appendix. \n\nNeck and shoulder pain as well as low back pain are major health problems among working age population. At the same time, we know that physical activity has decreased and that daily sedentary behavior has increased. In recent decades researchers have published several studies with evidence that physical activity can improve health. Recently studies have also found that sedentary behavior is associated with poorer health status as an independent factor. However, associations between physical activity and sedentary behavior to the neck shoulder pain and low back pain are not completely clear. The aim of this study is to investigate the associations between physical activity, sedentary behavior (leisure time, occupational or commute periods), neck shoulder pain and low back pain among working age population in the Tampere region.\n\nThe data for this study was provided by UKK Institute and it was part of the study Socio-Ecological Intervention to Promote Active Commuting to Work. The data in this study was collected by using questionnaires and the objective data was collected with the triaxle accelerometer HookieAM20 in 2014 and 2015. 1117 participants filled the questionnaire and 422 wore accelerometers. The questionnaire included questions about neck shoulder pain, low back pain and active commuting by using a bicycle or walking. The accelerometer included data about leisure time, occupational physical activity and sedentary behavior. The associations between variables were then analyzed by using Chi-square (\u03c7\u00b2)-test, Kruskall-Wallis test, Spearman correlation coefficients and multinomial logistic regression analysis.\n\nActive commuting measured by the questionnaire was associated to the incidence of neck shoulder pain when a bicycle was used. Commuting by walking was not associated to the neck shoulder pain. Participants using a bicycle 1-2 times per week for commuting seemed to have more neck shoulder pain than those using it 3-5 times per week. Multinomial regression analysis showed that also female gender, younger age and poorer health status were associated to the incidence of neck shoulder pain. Active commuting was not associated to the low back pain. Objective measured physical activity or sedentary behavior were not associated to the neck shoulder pain or low back pain. Weak correlation was noticed between the occupational sedentary behavior and neck shoulder pain.\n\nThis study shows that active commuting by using a bicycle 3-5 times per week may decrease the incidence of neck shoulder pain; correspondingly using it 1-2 per week for commuting may increase the incidence of neck shoulder pain. There is a relatively small amount of recent studies on the association between commuting by using a bicycle and the incidence of neck shoulder pain though they have shown that commuting by using a bicycle has other health promoting factors. Because better health is associated with reduced sick leave employers should promote active commuting. In the future this topic needs to be further researched.\n\n\nKeywords: Neck shoulder pain, low back pain, physical activity, sedentary behavior, leisure time, occupational time and active commuting.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Tuija Mikkonen (tuiannmi) on 2018-04-16 09:50:35.431792. 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 2018-04-16T09:50:36Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201804162079.pdf: 616687 bytes, checksum: 10e8acec134e1ef7c2b67c486aac8736 (MD5)\nlicense.html: 4870 bytes, checksum: c84757c50daba756e9c0cb31fd7a1a71 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-04-16T09:50:36Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201804162079.pdf: 616687 bytes, checksum: 10e8acec134e1ef7c2b67c486aac8736 (MD5)\nlicense.html: 4870 bytes, checksum: c84757c50daba756e9c0cb31fd7a1a71 (MD5)\n Previous issue date: 2018", "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": "ty\u00f6matkaliikunta", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", 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