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[{"key": "dc.contributor.advisor", "value": "Laukkanen, Jari", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Savolainen, Taija", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-06-02T06:52:40Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-06-02T06:52:40Z", "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/123456789/69385", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Monisairastavuus on yleist\u00e4 erityisesti vanhemmissa ik\u00e4luokissa, ja sen seuraukset yhteiskunnalle ja yksil\u00f6n terveydelle ovat merkitt\u00e4vi\u00e4. Riitt\u00e4v\u00e4 fyysinen aktiivisuus on t\u00e4rke\u00e4\u00e4 i\u00e4kk\u00e4iden toimintakyvyn kannalta, ja se n\u00e4ytt\u00e4\u00e4 my\u00f6s alentavan monisairastavuuden riski\u00e4. Objektiivisesti mitattua tietoa monisairaiden i\u00e4kk\u00e4iden fyysisest\u00e4 aktiivisuudesta ja paikallaanolosta on saatavilla viel\u00e4 rajoitetusti. T\u00e4m\u00e4n tutkielman tarkoituksena oli selvitt\u00e4\u00e4, onko monisairastavuus yhteydess\u00e4 kotona asuvien ik\u00e4ihmisten objektiivisesti mitattuun fyysiseen aktiivisuuteen, paikallaanoloon, liikkumisen suositusten saavuttamiseen kest\u00e4vyysliikunnan osalta, tai fyysisen aktiivisuuden muutoksiin 12 kk liikuntaintervention aikana.\nTutkielmassa hy\u00f6dynnettiin Jyv\u00e4skyl\u00e4n yliopistossa toteutetun Promoting Safe Walking among Older People (PASSWORD) -interventiotutkimuksen aineistoa. Tutkittavat (n=238) olivat 70\u221285 vuotiaita kotona asuvia jyv\u00e4skyl\u00e4l\u00e4isi\u00e4. Tutkielman selitt\u00e4v\u00e4 muuttuja oli monisairastavuus, joka m\u00e4\u00e4riteltiin \u22652 samanaikaiseksi pitk\u00e4aikaissairaudeksi yhteens\u00e4 18 sairauden/sairausryhm\u00e4n listasta. Vastemuuttujina olivat UKK RM42 -kiihtyvyysmittarilla objektiivisesti mitattu p\u00e4ivitt\u00e4inen kevyt fyysinen aktiivisuus, kohtalainen\u2212raskas fyysinen aktiivisuus sek\u00e4 paikallaanoloaika. Tilastollisissa analyyseiss\u00e4 k\u00e4ytettiin vastemuuttujien alku-, 6 kk v\u00e4li-, ja 12 kk loppumittausten dataa. Analyysimenetelmin\u00e4 olivat kaksisuuntainen varianssianalyysi, khiin neli\u00f6 -testi sek\u00e4 toistomittausten varianssianalyysi.\nTutkimusjoukosta monisairaita oli 71,0 %. Tuloksissa havaittiin, ett\u00e4 monisairaille kertyi alkumittauksissa ei-monisairaita v\u00e4hemm\u00e4n kohtalaista\u2013raskasta aktiivisuutta sukupuolesta, i\u00e4st\u00e4, painoindeksist\u00e4 tai fyysisest\u00e4 suorituskyvyst\u00e4 riippumatta (p<0,05). Monisairastavuudella ei havaittu yhteytt\u00e4 paikallaanoloajan tai kevyen aktiivisuuden vaihteluun, joita selitti vahvemmin sukupuoli. Naiset viettiv\u00e4t miehi\u00e4 v\u00e4hemm\u00e4n aikaa paikallaan (p<0,001) ja heille kertyi enemm\u00e4n kevytt\u00e4 aktiivisuutta (p=0,003). Monisairaat miehet eiv\u00e4t onnistuneet saavuttamaan liikkumisen suosituksia yht\u00e4 usein ei-monisairaisiin n\u00e4hden (p=0,008). Monisairastavuudella ei havaittu yhteytt\u00e4 mink\u00e4\u00e4n vastemuuttujan muutoksiin 12kk liikuntaintervention aikana.\nTutkielman tulosten mukaan monisairaat kotona asuvat ik\u00e4ihmiset liikkuvat ei-monisairaita v\u00e4hemm\u00e4n kohtalaisella\u2212raskaalla intensiteetill\u00e4. Monisairastavuus ei kuitenkaan n\u00e4yt\u00e4 olevan este reippaalle liikunnalle, sill\u00e4 useimmat monisairaat tutkittavat saavuttivat liikkumisen suositukset, eik\u00e4 monisairastavuudella havaittu yhteytt\u00e4 fyysisen aktiivisuuden muutoksiin liikuntaintervention aikana. Monisairaat onnistuivat lis\u00e4\u00e4m\u00e4\u00e4n aktiivisuuttaan tutkimuksen v\u00e4limittauksiin suhteessa saman verran kuin ei-monisairaat, mik\u00e4 tukee fyysisen aktiivisuuden edist\u00e4mist\u00e4 ja asiantuntevan liikunnanohjauksen j\u00e4rjest\u00e4mist\u00e4 my\u00f6s monisairaille ik\u00e4ihmisille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Multimorbidity is a common phenomenon especially in older adults and its burden to society and individuals is substantial. In addition of maintaining physical functioning, sufficient physical activity (PA) also appears to modify the risk of multimorbidity in older adults. To date, there is limited evidence of objectively measured physical activity and sedentary time in multimorbid older adults. The aim of this master\u2019s thesis was to study the associations between multimorbidity and objectively measured physical activity, sedentary time and adherence to aerobic physical activity recommendations in community-dwelling older adults. In addition, associations between multimorbidity and the change of PA variables during a 12-month physical training intervention were investigated.\nThis thesis is based on data of Promoting Safe Walking among Older People (PASSWORD) -intervention study conducted in University of Jyv\u00e4skyl\u00e4. The sample included 238 community-dwelling older adults aged 70\u221285 living in Jyv\u00e4skyl\u00e4. Independent variable, multimorbidity, was defined as the presence of two or more chronic conditions from a list of 18 different chronic conditions. The dependent variables were daily light physical activity, moderate-to-vigorous physical activity and sedentary time, which were assessed objectively by UKK RM42 -accel-erometer. Statistical analyses included data from baseline, 6-month and 12-month assessments. Two-way ANOVA, chi-squared test and repeated measures ANOVA were applied.\nAnalyses revealed that 71,0 % of the participants were multimorbid. Multimorbidity was associated with moderate-to-vigorous PA but not with light PA or sedentary time. Multimorbid participants had significantly less moderate-to-vigorous PA after adjusting for sex, age, BMI and physical performance (p<0,05). Gender was significantly associated with light PA and sedentary time; women had more light PA (p=0,003) and less sedentary time (p<0,001) than men regardless of multimorbidity. Multimorbid men were less likely to achieve the PA recommendations than non-multimorbid men (p=0,008). Multimorbidity was not associated with the change of any dependent variable during the 12-month physical training intervention.\nThe results of this thesis indicate that multimorbid community-dwelling older adults spend less time in moderate-to-vigorous physical activities compared with non-multimorbid persons. However, multimorbidity was not associated with the change of PA variables during a 12-month physical training intervention and most multimorbid participants met the recommended levels of aerobic PA, suggesting that multimorbidity is not a barrier to moderate-to-vigorous PA. Multimorbid participants improved PA behavior from baseline to 6-month measurements equivalent to non-multimorbid participants, which supports the promotion of PA and delivery of PA programs to multimorbid older adults as well.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-06-02T06:52:40Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-06-02T06:52:40Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "69", "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": "paikallaanolo", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4ihmiset", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Monisairastavuuden yhteys kotona asuvien ik\u00e4ihmisten objektiivisesti mitattuun fyysiseen aktiivisuuteen ja paikallaanoloon", "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-202006023643", "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.funding", "value": "0", "language": "", "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": 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": "komorbiditeetti", "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.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "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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