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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Turunen, Katri", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Mansikka, Anna-Maria", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-05-31T17:26:03Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-05-31T17:26:03Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/76101", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "I\u00e4kk\u00e4iden henkil\u00f6iden kaatumiset ja niiden seuraukset aiheuttavat merkitt\u00e4vi\u00e4 yksil\u00f6llisi\u00e4 ja yhteiskunnallisia ongelmia. Kaatumiset ovat seurausta monista yksil\u00f6\u00f6n tai ymp\u00e4rist\u00f6\u00f6n liittyvist\u00e4 vaaratekij\u00f6ist\u00e4. Erityisesti muutokset fyysisess\u00e4 ja kognitiivisessa toimintakyvyss\u00e4 ovat keskeinen syy i\u00e4kk\u00e4iden henkil\u00f6iden kaatumisten taustalla. Liikuntaharjoittelu on tehokasta kaatumisten ehk\u00e4isyss\u00e4, mutta my\u00f6s kognitiivisella harjoittelulla on saatu lupaavia tuloksia. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4 kognitiivisen toiminnanohjauksen yhteytt\u00e4 i\u00e4kk\u00e4iden henkil\u00f6iden kaatumisiin. Lis\u00e4ksi tutkittiin fyysisen ja kognitiivisen harjoittelun vaikutuksia kaatumisiin kotona asuvilla, erilaisen kaatumishistorian omaavilla i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4 verrattuna pelkk\u00e4\u00e4n fyysiseen harjoitteluun.\n\nTutkielma on osa Jyv\u00e4skyl\u00e4n yliopiston Gerontologian tutkimuskeskuksen PASSWORD-tutkimuksen tutkimustuloksia. Tutkimukseen osallistui 314 kotona asuvaa 70\u201385-vuotiasta jyv\u00e4skyl\u00e4l\u00e4ist\u00e4 naista ja miest\u00e4, jotka eiv\u00e4t liikkuneet vallitsevan liikuntasuosituksen mukaan. Tutkittavat satunnaistettiin kahteen harjoitteluryhm\u00e4\u00e4n, jossa kaikki osallistuivat vuoden kest\u00e4v\u00e4\u00e4n liikuntaohjelmaan (LIIKU) ja puolet osallistui lis\u00e4ksi tietokonepohjaiseen kognitiiviseen harjoitteluun (LIIKUKO). Kaatumisten m\u00e4\u00e4r\u00e4\u00e4 selvitettiin sek\u00e4 retrospektiivisesti strukturoidulla kyselyll\u00e4 ett\u00e4 intervention aikana kaatumisp\u00e4iv\u00e4kirjojen avulla. Toiminnanohjauksen arviointiin k\u00e4ytettiin Stroopin v\u00e4risanatesti\u00e4. Analyysej\u00e4 varten tutkittavat jaettiin ryhmiin kaatumishistorian mukaan (kaatujat n=164 ja ei-kaatujat n=150) sek\u00e4 edelleen alaryhmiin huomioimalla kaatumishistoria tutkimusryhmiss\u00e4 (LIIKUKO: kaatujat n=72, ei-kaatujat n=83 ja LIIKU: kaatujat n=92, ei-kaatujat n=67). Toiminnanohjauksen yhteytt\u00e4 edellisen vuoden kaatumisiin selvitettiin logistisella regressioanalyysill\u00e4. Lopullisissa malleissa vakioivina tekij\u00f6in\u00e4 olivat ik\u00e4, sukupuoli, koettu terveys, kaatumispelko, jatkuva kipu, koulutustaso, kognitiivinen toimintakyky, liikkumiskyky ja diastolinen verenpaine. Intervention vaikutuksia kaatumisiin arvioitiin negatiivisella binomiaalisella regressiomallilla.\n\nTutkimuksen alkumittausaineiston analyysi osoitti, ett\u00e4 lopullisissa malleissa toiminnanohjaus oli yhteydess\u00e4 edelt\u00e4v\u00e4n vuoden toistuviin (OR 1.012, 95 % CI 1.001-1.024), mutta ei yksitt\u00e4isiin (OR 1.000, 95 % CI 0.990-1.010) kaatumisiin. Tutkimuksen aikana tapahtui yhteens\u00e4 304 kaatumista, joista vamman aiheuttavia kaatumisia oli 28. Tutkittavista henkil\u00f6ist\u00e4 noin puolet kaatui intervention aikana, joista 86 henkil\u00f6\u00e4 kerran ja 66 henkil\u00f6\u00e4 toistuvasti. LIIKUKO-ryhm\u00e4ss\u00e4 kaatumisia oli v\u00e4hemm\u00e4n kuin LIIKU-ryhm\u00e4ss\u00e4, mutta ryhmien v\u00e4linen ero ei ollut tilastollisesti merkitsev\u00e4 (IRR 0.79, 95 % CI 0.57\u20131.09). Kaatumistiheys oli suurempi (IRR 2.61, 95 % CI 1.82\u20133.73) niill\u00e4 tutkittavilla henkil\u00f6ill\u00e4, jotka olivat kaatuneet v\u00e4hint\u00e4\u00e4n kerran interventiota edelt\u00e4v\u00e4n vuoden aikana verrattuna tutkittaviin, jotka eiv\u00e4t olleet kaatuneet. LIIKU- ja LIIKUKO-interventioiden vaikutukset kaatumisiin eiv\u00e4t kuitenkaan eronneet kaatumishistorian mukaan (IRR 0.68, 95 % CI 0.33\u20131.40). Vamman aiheuttavien kaatumisten osalta ryhmien v\u00e4lill\u00e4 ei n\u00e4hty tilastollisesti merkitsevi\u00e4 eroja.\n\nJohtop\u00e4\u00e4t\u00f6kset: toiminnanohjaus on yhteydess\u00e4 toistuviin, mutta ei yksitt\u00e4isiin kaatumisiin enint\u00e4\u00e4n kohtalaisesti liikkuvilla 70\u201385-vuotiailla naisilla ja miehill\u00e4. Yhdistelm\u00e4harjoittelulla ei ole pelkk\u00e4\u00e4 fyysist\u00e4 harjoittelua tehokkaampaa vaikutusta erilaisen kaatumishistorian omaavien i\u00e4kk\u00e4iden henkil\u00f6iden kaatumisiin. Jatkotutkimuksissa toiminnanohjauksen yhteytt\u00e4 kaatumisiin ja yhteytt\u00e4 muokkaavia ja v\u00e4litt\u00e4vi\u00e4 tekij\u00f6it\u00e4 tulisi tutkia pitkitt\u00e4isasetelmilla. Kokeen tulos perustuu alaryhm\u00e4analyysiin, joten tulevaisuudessa asiaa tulee tutkia isommassa aineistossa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Falls and resulting consequences cause significant individual and societal problems in the older population. Falls are result of many individual or environmental risk factors. In particular, changes in physical and cognitive functioning are a major cause of falls in older people. Exercise training is effective in preventing falls, but cognitive training has also yielded promising results. The purpose of this master\u2019s thesis was to investigate the association between executive function and falls in older people. In addition, the effects of physical and cognitive training on falls in older people living at home with a different history of falls compared to physical training alone were studied.\n\nThis study is part of the PASSWORD research project by the Gerontology Research Center of the University of Jyv\u00e4skyl\u00e4. Participants (n=314) were community-dwelling 70- to 85-year-old women and men living in the City of Jyv\u00e4skyl\u00e4, who did not meet the physical activity guidelines. Subjects were randomized into two training groups, where all subjects participated in a one-year exercise program (LIIKU) and half of the subjects participated in computer-based cognitive training (LIIKUKO). The incidence of falls was investigated both retrospectively by a structured questionnaire and during the intervention using fall diaries. The Stroop Color and Word Test was used to evaluate executive function. For the analyses, the subjects were divided into groups according to the fall history (faller n=164 and non-faller n=150) and further into subgroups by considering the fall history in the study groups (LIIKUKO: faller n=72, non-faller n=83 and LIIKU: faller n=92, non-faller n=67). The association between executive function and the previous year's falls was investigated by logistic regression analysis. Final models were adjusted for age, gender, perceived health, fear of falling, persistent pain, level of education, cognitive functioning, mobility, and diastolic blood pressure. The effects of the intervention on falls were evaluated by using a negative binomial regression model.\n\nThe analysis of the baseline data of the study showed that in the final models\u2019 executive function was associated to recurrent (OR 1.012, 95 % CI 1.001-1.024) but not to single (OR 1.000, 95 % CI 0.990-1.010) falls. A total of 304 falls occurred during the study, out of which 28 caused injuries. Half of the subjects fell during the intervention, of which 86 once and 66 repeatedly. There were fewer falls in the LIIKUKO-group than in the LIIKU-group, but the difference between the groups was not statistically significant (IRR 0.79, 95 % CI 0.57\u20131.09). The fall incidence rate was higher (IRR 2.61, 95 % CI 1.82-3.73) among the subjects who had fallen at least once during the year prior to the intervention compared to the subjects who had not fallen. However, the effects of LIIKUKO and LIIKU interventions on falls did not differ according to the history of the falls (IRR 0.68, 95 % CI 0.33\u20131.40). The groups did not differ statistically significantly for fall injuries.\n\nConclusions: executive function is associated with recurrent but not with single falls among sedentary or at most moderately physically active 70- to 85-year-old women and men. Combination training is not more effective than physical training alone on falls of older people with different fall history. Longitudinal studies are needed to confirm the connection between executive function with falls and the factors that moderate and mediate the connection. The result of the trial is based on a subgroup analysis, thus further research in larger data is needed in the future.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-05-31T17:26:03Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-05-31T17:26:03Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "76", "language": "", "element": "format", "qualifier": "extent", "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": "kaatumishistoria", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kognitiivinen harjoittelu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fyysisen ja kognitiivisen harjoittelun vaikutukset kaatumisiin kotona asuvilla i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4 : erityinen huomio kaatumishistoriaan", "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-202105313343", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "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.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": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toiminnanohjaus (psykologia)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyminen", "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": "kaatuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "harjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
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