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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Rissanen, Heta", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-07-06T05:51:29Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-07-06T05:51:29Z", "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/123456789/71064", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Elintavoilla on merkitt\u00e4v\u00e4 vaikutus terveyteen ja hyvinvointiin, mutta samalla ik\u00e4\u00e4ntyvien henkil\u00f6iden elintavoissa tiedet\u00e4\u00e4n olevan parantamisen varaa. Interventiotutkimukset ovat osoittaneet, ett\u00e4 yksitt\u00e4isten elintapojen muutokset ovat mahdollisia viel\u00e4 vanhallakin i\u00e4ll\u00e4. Siksi on t\u00e4rke\u00e4\u00e4 kehitt\u00e4\u00e4 ik\u00e4ihmisille sopivia interventioita, joilla elintapoja voidaan muuttaa parempaan suuntaan, sek\u00e4 menetelmi\u00e4, joilla elintapamuutoksia on mahdollista mitata. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena on selvitt\u00e4\u00e4, voidaanko monimuotoisella elintapainterventiolla vaikuttaa ik\u00e4\u00e4ntyvien henkil\u00f6iden elintapoihin ja s\u00e4ilyv\u00e4tk\u00f6 muutokset elintavoissa intervention p\u00e4\u00e4tytty\u00e4.\n\nTutkielman aineistona k\u00e4ytettiin Terveyden ja hyvinvoinnin laitoksen FINGER -tutkimuksen alkumittausten, kahden vuoden ja viiden vuoden mittauksissa kyselylomakkeella ker\u00e4tty\u00e4 aineistoa. Tutkittavat olivat suomalaisia, 60\u201377-vuotiaita kotona asuvia henkil\u00f6it\u00e4, joiden kognitio voitiin luokitella keskitasoiseksi tai hieman matalammaksi kuin ik\u00e4istens\u00e4 keskiarvo. Tutkittavat jaettiin interventioryhm\u00e4\u00e4n (n= 631) ja tavanomaista terveysneuvontaa saaneeseen vertailuryhm\u00e4\u00e4n (n=629). Kahden vuoden monimuotoinen elintapainterventio sis\u00e4lsi monimuotoista, samanaikaisesti ravitsemukseen, liikuntaan, kognitiiviseen toimintaan ja syd\u00e4n- ja verisuonisairauksien riskitekij\u00f6ihin keskittyv\u00e4\u00e4 harjoittelua ja ohjausta. Tutkittavat vastasivat elintapoja laajasti k\u00e4sittelev\u00e4\u00e4n kyselylomakkeeseen. Kysymyksist\u00e4 20 valittiin t\u00e4t\u00e4 tutkielmaa varten koottuun elintapaindeksiin. Indeksi koostui nelj\u00e4st\u00e4 tasavahvasti painottuvasta osa-alueesta: ravitsemuksesta, fyysisest\u00e4 aktiivisuudesta, tupakoinnista ja alkoholink\u00e4yt\u00f6st\u00e4 sek\u00e4 kognitiivisesta aktiivisuudesta. Ryhmien v\u00e4lisi\u00e4 eroja alkutilanteessa analysoitiin riippumattomien otosten t-testill\u00e4 ja khiin neli\u00f6testill\u00e4. Intervention vaikutusta elintapaindeksin pisteisiin ja ryhmien v\u00e4list\u00e4 muutoseroa analysoitiin sekamallilla. \n\nInterventioryhm\u00e4n ja vertailuryhm\u00e4n elintapaindeksin pisteiss\u00e4 ei ollut merkitsev\u00e4\u00e4 eroa tutkimuksen alkaessa (p=0.492). Interventioryhm\u00e4ss\u00e4 elintapaindeksin pisteet parantuivat kahden vuoden intervention aikana merkitsev\u00e4sti (p<0.001), kun vertailuryhm\u00e4ss\u00e4 pisteiss\u00e4 ei tapahtunut muutoksia (p=0.888). Intervention p\u00e4\u00e4tytty\u00e4 pisteet laskivat interventioryhm\u00e4ss\u00e4, mutta muutos l\u00e4ht\u00f6tilanteesta oli merkitsev\u00e4 viel\u00e4 kolme vuotta intervention p\u00e4\u00e4ttymisen j\u00e4lkeenkin (p=0.002). Kahden vuoden monimuotoisen elintapaintervention vaikutus oli merkitsev\u00e4 (p<0.001) ja yhdysvaikutus s\u00e4ilyi merkitsev\u00e4n\u00e4 kolme vuotta intervention p\u00e4\u00e4ttymisen j\u00e4lkeen (p=0.023). Johtop\u00e4\u00e4t\u00f6ksen\u00e4 todetaan, ett\u00e4 monimuotoisella elintapainterventiolla voidaan vaikuttaa yli 60-vuotiaiden elintapoihin elintapaindeksill\u00e4 mitattuna ja saavutetut positiiviset muutokset s\u00e4ilyv\u00e4t osittain intervention p\u00e4\u00e4tytty\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lifestyles are known to have a significant impact on the health and well-being but at the same time it is well known that there is much to improve in lifestyles of older people. Intervention studies have shown that lifestyle changes are possible even at an old age. For that reason, it is important to develop lifestyle interventions, that are tailored for older adults, and methods by which lifestyle changes are possible to measure and follow. The purpose of this Master\u2019s thesis was to find out whether multi-domain lifestyle intervention is effective in improving lifestyles of older adults and whether the lifestyle changes will sustain after the intervention has ended. \n\nThis study was based on the baseline, two-year and five-year follow-up data of Finnish institute for health and welfare, Finnish intervention study to prevent cognitive decline and disability (FINGER). Subjects were Finnish, home-living people aged 60-77 years at the beginning of the study, who had elevated risk for developing dementia. Participants were randomly assigned to either a multi-domain intervention (n= 631) or regular health advice control group (n=629). The two-year multi-domain intervention concentrated simultaneously on nutrition, physical activity, cognitive training and the risk factors of cardiovascular diseases. The participants answered the large lifestyle questionnaire at baseline and follow-up visits. Of those questions, 20 were selected for Lifestyle Index, that was composed for this thesis. The Lifestyle Index contained four equally weighted fields: nutrition; physical activity; smoking and alcohol use; and cognitive activity. Baseline characteristics were analyzed by independent t-test and Chi-squared test. Mixed model analysis was used to analyze the intervention effect (time x group interaction) on the points of Lifestyle Index. \n\nThere was no statistically significant difference in Lifestyle Index points between the groups at the beginning of the study (p=0.492). The points of the Lifestyle Index increased significantly in the intervention group after the two-year multidomain lifestyle intervention (p<0.001), whereas there were no changes in the control group (p=0.888). After the intervention had ended, Lifestyle Index points declined in the intervention group, but the change compared to baseline was still significant (p<0.002) after the three-year follow-up. The effect of multi-domain lifestyle intervention (time x group interaction) was statistically significant (p<0.001) and remained significant after the follow-up (p=0.023). To conclude, based on the Lifestyle Index, it is possible to change the lifestyles of older adults with multi-domain lifestyle intervention, and positive changes will partly remain after the intervention period ends.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2020-07-06T05:51:29Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-07-06T05:51:29Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "83", "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": "elintapaindeksi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "monimuotoinen elintapainterventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "interventiotutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Monimuotoisen elintapaintervention vaikutus ik\u00e4\u00e4ntyvien henkil\u00f6iden elintapoihin ja elintapamuutoksen pysyvyyteen", "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-202007065237", "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": "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": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "elintavat", "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.subject.yso", "value": "interventio", "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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