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[{"key": "dc.contributor.author", "value": "Laine, Tuija", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-03-13T10:46:03Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-03-13T10:46:03Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/68152", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ylipaino ja lihavuus ovat merkitt\u00e4vi\u00e4 kansanterveydellisi\u00e4 uhkia, jotka lis\u00e4\u00e4v\u00e4t riski\u00e4 sairastua useisiin eri el\u00e4m\u00e4ntapasairauksiin, kuten tyypin 2 diabetekseen ja verenpainetautiin. Painonpudotuksessa ja -hallinnassa el\u00e4m\u00e4ntapamuutosten omaksuminen ja yll\u00e4pit\u00e4minen ovat t\u00e4st\u00e4 syyst\u00e4 terveyden kannalta tavoiteltavia asioita. Hyv\u00e4ksymis- ja omistautumisterapian tavoite on lis\u00e4t\u00e4 henkil\u00f6n psykologista joustavuutta, jonka tiedet\u00e4\u00e4n vaikuttavan el\u00e4m\u00e4ntapamuutosten onnistumiseen ja pysyv\u00e4\u00e4n painonhallintaan. T\u00e4m\u00e4n tutkielman tarkoitus oli selvitt\u00e4\u00e4, onko 24 kuukauden verkkopohjaisella, kokemusasiantuntijatuetulla, hyv\u00e4ksymis- ja omistautumisterapial\u00e4ht\u00f6isell\u00e4 el\u00e4m\u00e4ntapainterventiolla vaikutusta tyypin 2 diabetesta tai verenpainetautia sairastavien fyysiseen aktiivisuuteen ja metabolisiin riskitekij\u00f6ihin.\nAineisto oli osa Jyv\u00e4skyl\u00e4n yliopiston ja Keski-Suomen sairaanhoitopiirin toteuttamaa Muutosmatka -interventiota, jonka sis\u00e4\u00e4nottokriteerin\u00e4 oli ylipaino (kehon painoindeksi, BMI \u2265 25 kg/m2). Aineiston poissulkukriteerin\u00e4 olivat muut sairaudet kuin tyypin 2 diabetes tai verenpainetauti, jolloin koehenkil\u00f6iden m\u00e4\u00e4r\u00e4ksi muodostui 90. Aineisto ker\u00e4ttiin tutkimuksessa k\u00e4ytetyst\u00e4 Terveystottumus -kyselyst\u00e4 sek\u00e4 kliinisesti mitatuista muuttujista 0, 12 ja 24 kuukauden kohdalla. Tutkimuksen p\u00e4\u00e4lopputulosmuuttujat olivat liikunta-aktiivisuutta kuvaava FIT-indeksi, kehonpaino, vy\u00f6t\u00e4r\u00f6nymp\u00e4rys, systolinen ja diastolinen verenpaine sek\u00e4 verest\u00e4 mitattavat laboratorioarvot (HDL-kolesteroli, LDL-kolesteroli, kokonaiskolesteroli, triglyseridit ja paastoverensokeri). Aineisto analysoitiin IBM SPSS Statistics 24-ohjelmalla ja analyysimenetelm\u00e4n\u00e4 k\u00e4ytettiin toistomittausten varianssianalyysia.\nAlkumittauspisteess\u00e4 tutkittavien keskim\u00e4\u00e4r\u00e4inen paino oli 104,0 kiloa, FIT-indeksin pisteet 30 ja vy\u00f6t\u00e4r\u00f6nymp\u00e4rys 120,4 cm. Loppumittaustulokset saatiin 51-58 tutkittavalta. Tutkittavien kehonpaino laski kahden vuoden seurannassa keskim\u00e4\u00e4rin 1,6 kiloa (1,46 %), FIT-indeksin pisteet nousivat noin 6 pistett\u00e4 ja vy\u00f6t\u00e4r\u00f6nymp\u00e4rys pieneni 2,7 cm. N\u00e4m\u00e4 tulokset olivat tilastollisesti merkitsevi\u00e4 (p<0.05). Terveydellisesti merkitt\u00e4v\u00e4n 5 %:n painonpudotuksen saavutti 14 tutkittavaa (24,6 %). Sen sijaan verenpaineissa ja veren glukoosi- ja rasva-arvoissa ei havaittu tilastollisesti merkitsevi\u00e4 muutoksia.\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 voidaan todeta hyv\u00e4ksymis- ja omistautumisterapial\u00e4ht\u00f6isell\u00e4 el\u00e4m\u00e4ntapainterventiolla olevan vaikutusta tyypin 2 diabetesta tai verenpainetautia sairastavien liikunta-aktiivisuuteen, kehonpainon laskuun sek\u00e4 vy\u00f6t\u00e4r\u00f6nymp\u00e4ryksen pienenemiseen. Liikunnan lis\u00e4\u00e4ntyminen tuo lukuisia terveyshy\u00f6tyj\u00e4 ylipainoisille ja lihaville henkil\u00f6ille. Laadukkaita, verkkopohjaisia RCT-tutkimuksia hyv\u00e4ksymis- ja omistautumisterapian vaikutuksesta el\u00e4m\u00e4ntapamuutokseen tarvitaan edelleen lis\u00e4\u00e4 tutkimusn\u00e4yt\u00f6n vahvistamiseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Overweight and obesity are remarkable threats for public health that increase the risk for many lifestyle-effected diseases, e.g. for type 2 diabetes and hypertonia. For this reason, adopting and maintaining lifestyle changes in weight loss and maintenance is desirable for one\u2019s health. The goal of acceptance and commitment therapy is to increase a person\u2019s psychological flexibility which is known to have an impact on succeeding in lifestyle change and permanent weight management. The purpose of this thesis was to find out if 24-month web-based, lay health worker -supported acceptance and commitment therapy lifestyle intervention effects to physical activity and metabolic risk factors in people with type 2 diabetes or hypertonia.\nThe thesis data was part of the University of Jyv\u00e4skyl\u00e4\u2019s and Central Finland Health Care District\u2019s intervention study in which the inclusion criteria was overweight (body mass index, BMI \u2265 25 kg/m2). Data exclusion criteria were other diseases than type 2 diabetes or hypertonia. The final number of participants was 90. Data was collected from a health-habit questionnaire and clinically measured outcomes in 0, 12 and 24-month measuring points. The primary outcomes of the study were physical activity representative FIT index, body weight, waist circumference, systolic and diastolic blood pressure and laboratory measures (HDL, LDL, total cholesterol, triglycerides and fasting blood sugar). The data analysis was performed with repeated measures ANOVA in IBM SPSS Statistics 24 -program.\nParticipants mean weight was 104,0 kilograms, FIT index points 30 and waist circumference 120,4 cm at baseline. 51-58 participants participated in final measurements. In a two-year follow-up, participants mean body weight decreased by 1,6 kilograms (1,46 %), FIT index points increased approximately 6 points and waist circumference decreased 2,7 cm. These outcomes were statistically significant (p<0.05). Remarkable 5 % weight loss for health was achieved by 14 participants (24,6 %). There were no statistically significant changes in blood pressure or glucose and lipid levels.\nIn conclusion, the results of this study indicate that 24-month web-based lay health worker -tutored acceptance and commitment therapy lifestyle intervention is effective for physical activity and decreasing body weight and waist circumference in people with type 2 diabetes or hypertonia. The increase in physical activity brings multiple health benefits to overweight and obese persons. More quality randomized controlled trials about web-based acceptance and commitment therapy effects on lifestyle change are needed to confirm the results and evidence of this method.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-03-13T10:46:03Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-03-13T10:46:03Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "68", "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": "el\u00e4m\u00e4ntapamuutos", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "metaboliset riskitekij\u00e4t", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "El\u00e4m\u00e4ntapamuutos tyypin 2 diabetesta tai verenpainetautia sairastavilla henkil\u00f6ill\u00e4 : 24 kuukauden verkkopohjaisen, kokemusasiantuntijatuetun, hyv\u00e4ksymis- ja omistautumisterapial\u00e4ht\u00f6isen el\u00e4m\u00e4ntapaintervention vaikutus fyysiseen aktiivisuuteen ja metabolisiin riskitekij\u00f6ihin", "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-202003132399", "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": "Liikuntal\u00e4\u00e4ketiede", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Sport Medicine", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "student", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": null, "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": "5042", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "aikuistyypin diabetes", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kohonnut verenpaine", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ylipaino", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "elintavat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventio", "language": null, "element": 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