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[{"key": "dc.contributor.advisor", "value": "Sillanp\u00e4\u00e4, Elina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Elomaa, Teemu", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-04-10T06:38:45Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-04-10T06:38:45Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/63448", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lihavuuden hoidossa tavoitelluilla elintapamuutoksilla pyrit\u00e4\u00e4n saavuttamaan 5-10 %:n pysyv\u00e4 painonpudotus. Painonpudotus saavutetaan yll\u00e4pit\u00e4m\u00e4ll\u00e4 pitk\u00e4aikaista negatiivista energiatasapainoa. Energiatasapainon s\u00e4\u00e4telyss\u00e4 lihaksilla on keskeinen merkitys, koska lihasmassa vaikuttaa yksil\u00f6n aineenvaihdunnan m\u00e4\u00e4r\u00e4\u00e4n. Lihasmassan merkitys on tunnistettu painonhallinnassa, mutta sen roolia painonpudotuksessa on tutkittu v\u00e4h\u00e4n. Painonpudotukseen yhdistet\u00e4\u00e4n usein runsas ja s\u00e4\u00e4nn\u00f6llinen fyysinen aktiivisuus, sill\u00e4 se lis\u00e4\u00e4 energiankulutusta. Aktiiviset yksil\u00f6t ovat tyypillisesti inaktiivisempia yksil\u00f6it\u00e4 paremmassa kunnossa. Tutkimustieto on kuitenkin v\u00e4h\u00e4ist\u00e4 siit\u00e4, miten fyysinen kuntotaso vaikuttaa painonpudotukseen. T\u00e4m\u00e4n pro gradu \u2013 tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 onko elintapahoidon aloitusta edelt\u00e4v\u00e4ll\u00e4 lihasmassan m\u00e4\u00e4r\u00e4ll\u00e4 ja fyysisen kunnon tasolla merkityst\u00e4 painonpudotuksen onnistumiseen kuuden kuukauden hoitojakson aikana. Tutkimuksessa selvitettiin my\u00f6s miten elintapa- ja k\u00e4ytt\u00e4ytymistekij\u00e4t eroavat v\u00e4hint\u00e4\u00e4n 5 %:n painonpudotustavoitteessa onnistuneiden ja niiden v\u00e4lill\u00e4, jotka eiv\u00e4t saavuttaneet painonpudotustavoitetta.\nTutkimus toteutettiin Keski-Suomen keskussairaalan liikuntal\u00e4\u00e4ketieteen poliklinikan potilailla, joilla kehonpainoindeksi ylitti 30 kg/m2 (n=16). Lihasmassaa mitattiin bioimpedanssianalyysill\u00e4 ja fyysist\u00e4 kuntoa kuuden minuutin k\u00e4velytestill\u00e4, Ortonin testist\u00f6n toistokyykistystestill\u00e4 ja yl\u00e4raajojen dynaamisella toistotestill\u00e4. Yleist\u00e4 lihasvoimaa mitattiin puristusvoimamittarilla. Potilaiden elintapa- ja k\u00e4ytt\u00e4ytymistekij\u00f6it\u00e4 selvitettiin kyselylomakkeella. Aineiston analyysit suoritettiin ei-parametrisilla menetelmill\u00e4 ja potilaat jaettiin painonpudotuksen onnistumisen mukaan kahteen ryhm\u00e4\u00e4n ryhmien v\u00e4list\u00e4 vertailua varten.\nTutkimustuloksissa havaittiin, ett\u00e4 nelj\u00e4 potilasta onnistui painonpudotustavoitteessa. He pudottivat painoaan enemm\u00e4n ensimm\u00e4isen kolmen (p<0.05) ja kuuden (p<0.01) kuukauden aikana verrattuna niihin, jotka eiv\u00e4t saavuttaneet painonpudotustavoitetta (n=12). Alkutason lihasmassan m\u00e4\u00e4r\u00e4 ei merkitsev\u00e4sti vaikuttanut painonpudotuksen m\u00e4\u00e4r\u00e4\u00e4n. Koko ryhm\u00e4ll\u00e4 alkutason heikompi kest\u00e4vyyskunto oli yhteydess\u00e4 suurempaan painonpudotuksen m\u00e4\u00e4r\u00e4\u00e4n (r=-0.51, p<0.05) ja ensimm\u00e4isen 3kk:n painonpudotus oli vahvasti yhteydess\u00e4 suurempaan painonpudotukseen 6kk:n aikana (r=-0.86, p<0.001). Alkutason kest\u00e4vyyskunnolla, lihaskunnolla, lihasvoimalla eik\u00e4 elintapa- ja k\u00e4ytt\u00e4ytymistekij\u00f6ill\u00e4 ollut merkitsev\u00e4\u00e4 eroa ryhmien v\u00e4lill\u00e4. Kyselylomakevastausten perusteella painonpudotuksessa onnistuneilla havaittiin olevan jonkin verran my\u00f6nteisempi terveysk\u00e4ytt\u00e4ytyminen.\nTutkimuksen p\u00e4\u00e4tulokset ovat ristiriidassa verrattuna aikaisempaan tutkittuun tietoon, joissa suurempi lihasmassan m\u00e4\u00e4r\u00e4 ja parempi kuntotaso ovat olleet yhteydess\u00e4 suurempaan painonpudotukseen. Tutkimus vahvistaa nykyist\u00e4 k\u00e4sityst\u00e4 painonpudotukseen vaikuttavista heterogeenisist\u00e4 tekij\u00f6ist\u00e4 ja siit\u00e4, ett\u00e4 varhainen sitoutuminen elintapamuutoksiin ennustaa my\u00f6nteisi\u00e4 pidempiaikaisia tuloksia painonpudotuksessa. Tutkimustuloksia ei voida luotettavasti yleist\u00e4\u00e4 laajempaan v\u00e4est\u00f6\u00f6n, sill\u00e4 tutkimuksen aineisto oli hyvin pieni.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lifestyle changes are crucial in obesity treatment and main goal is to reach at least 5-10 % sustained weight loss. Weight loss is achieved by long-term negative energy balance and the amount of muscle mass is closely related to metabolic rate. Although, the role of muscle mass in weight management is acknowledged, research lacks on how muscle mass contributes to acute weight loss during weight loss intervention period. Physical activity is linked to weight loss as it boosts energy consumption. Also those who are more physically active tend to have better fitness compared to those with sedentary lifestyle. However, research knowledge on effects of physical fitness level on weight loss is sparse. This master\u00b4s thesis examined how the level of baseline muscle mass and physical fitness is associated with the amount of weight loss during the six month weight loss intervention. Thesis also examined, are lifestyle and behavioural habits different in those individuals who accomplish successful weight loss (>5%).\nThe current study was performed in 16 obese (BMI>30 kg/m2) patients in Central Finland Central Hospital Sports medicine clinic. Muscle mass was measured using bioimpedance analysis. Physical fitness was measured using six minute walk test, dynamic squatting test and standing dumbbell press test and general muscle strength with handgrip strength test. Lifestyle assessment was conducted using a questionnaire. Study analyses were conducted with nonparametric tests. For group comparison, the patients were divided into two groups according to successful or unsuccessful weight loss.\nIn total four patients successfully achieved their weight loss goal (n=4). They lost more weight during the first three (p<0.05) and the whole six months (p<0.01) compared to those who did not achieve their weight loss goal (n=12). Level of baseline muscle mass was not associated with weight loss. In all, lower baseline level in aerobic fitness was associated with greater weight loss (r=-0.51, p<0.05), and the amount of weight loss during first three months was highly correlated with higher weight loss during six months (r=-0.86, p<0.001). However, subjects who achieved weight loss goal did not differ from those who did not succeed in weight loss in baseline aerobic fitness, muscle fitness, handgrip strength and lifestyle habits. Moreover successful weight loss group had slightly better health behaviour according to lifestyle assessment.\nMain results of this study are in conflict compared to earlier research findings showing that greater baseline muscle mass and better fitness level predicts greater weight loss during weight loss intervention. This study support current knowledge that weight loss is affected by very heterogeneous factors between individuals and short term weight loss predicts better long term results. These study results may not be generalized to larger populations because of the small sample size.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-04-10T06:38:45Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-04-10T06:38:45Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "75", "language": "", "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": "elintapojen muutos", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "painonpudotus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Lihasmassan ja fyysisen kunnon yhteys painonpudotuksen onnistumiseen : tutkimus Keski-Suomen keskussairaalan liikuntal\u00e4\u00e4ketieteen poliklinikan potilailla.", "language": "", "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-201904102127", "language": "", "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": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "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": 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