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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Aukee, Pauliina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kuutti, Mari", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-06-24T06:45:55Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-06-24T06:45:55Z", "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/123456789/76834", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Naisen ik\u00e4\u00e4ntymisen my\u00f6t\u00e4 sukupuolihormonitasoissa tapahtuu muutoksia ja nainen siirtyy \nhedelm\u00e4llisest\u00e4 ajanjaksosta menopaussin siirtym\u00e4vaiheen kautta postmenopaussivaiheeseen. \nElimist\u00f6n hiipuva estrogeenituotanto aiheuttaa muutoksia lantionpohjan kudoksissa ja erilaiset \ntoimintah\u00e4iri\u00f6t yleistyv\u00e4t. Lantionpohjan toimintah\u00e4iri\u00f6ill\u00e4 on todettu olevan yhteys \nv\u00e4hentyneeseen fyysiseen aktiivisuuteen ja heikentyneeseen suorituskykyyn. T\u00e4m\u00e4n \ntutkielman tarkoituksena oli selvitt\u00e4\u00e4, onko 47\u201355-vuotiaiden naisten lantionpohjan \ntoimintah\u00e4iri\u00f6iden esiintyvyydess\u00e4 eroa eri vaihdevuosivaiheiden v\u00e4lill\u00e4. Lis\u00e4ksi tutkittiin, \nonko 47\u201355-vuotiaiden lantionpohjan toimintah\u00e4iri\u00f6iden oireita kokevien ja oireettomien \nnaisten v\u00e4lill\u00e4 eroa fyysisess\u00e4 aktiivisuudessa tai suorituskyvyss\u00e4. Tutkimuksen aineistona \nk\u00e4ytettiin Gerontologian tutkimuskeskuksen ja Liikuntatieteellisen tiedekunnan Estrogeeni, \nvaihdevuodet ja toimintakyky (Estrogenic Regulation of Muscle Apoptosis, ERMA) -\ntutkimuksen alkumittausaineistoa. Tutkimukseen rekrytoidut 47\u201355-vuotiaat naiset jaettiin \nverin\u00e4ytteest\u00e4 mitattujen hormonipitoisuuksien ja kuukautisvuotop\u00e4iv\u00e4kirjan perusteella \nvaihdevuositilan mukaisesti premenopaussi-, aikainen perimenopaussi-, my\u00f6h\u00e4inen \nperimenopaussi- ja postmenopaussiryhmiin. Tutkittavien lantionpohjan toimintah\u00e4iri\u00f6it\u00e4\narvioitiin virtsan- ja ulosteenkarkailua, ummetusta ja ulostamisvaikeuksia sek\u00e4 laskeuman \ntunnetta kartoittavan kyselylomakkeen avulla. Fyysist\u00e4 aktiivisuutta arvioitiin 7-portaisella \nliikuntakysymyksell\u00e4 ja fyysist\u00e4 suorituskyky\u00e4 esikevennyshypyn hyppykorkeuden, kuuden \nminuutin aikaisen k\u00e4velymatkan ja kymmenen metrin maksimaalisen k\u00e4velynopeuden avulla.\nTulokset osoittavat, ett\u00e4 ERMA-tutkimukseen osallistuneista keski-ik\u00e4isist\u00e4 naisista yli \npuolella oli jokin lantionpohjan toimintah\u00e4iri\u00f6. Ponnistusvirtsankarkailu oli h\u00e4iri\u00f6ist\u00e4 yleisin ja \nsit\u00e4 esiintyi enemm\u00e4n aikaisessa kuin my\u00f6h\u00e4isess\u00e4 perimenopaussissa. Tutkittavat, joilla ei \nollut virtsan- tai ulosteenkarkailun oireita, olivat fyysisesti aktiivisempia ja hypp\u00e4siv\u00e4t \nkorkeammalle esikevennyshyppytestiss\u00e4 kuin inkontinenssioireista raportoineet tutkittavat.\nVirtsan- ja ulosteenkarkailun ja laskeuman tunteen oireista raportoineet tutkittavat suoriutuivat \nheikommin fyysisen suorituskyvyn testeist\u00e4 kuin samassa vaihdevuosien vaiheessa olevat \noireettomat tutkittavat: Inkontinenssien osalta ero havaittiin premenopaussissa\nesikevennyshyppytestiss\u00e4 ja kuuden minuutin k\u00e4velytestiss\u00e4, my\u00f6h\u00e4isess\u00e4 perimenopaussissa\nesikevennyshyppytestiss\u00e4 ja postmenopaussissa kuuden minuutin k\u00e4velytestiss\u00e4. Laskeuman \ntunteen osalta ero havaittiin postmenopaussissa kuuden minuutin k\u00e4velytestiss\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "In women, aging-related changes in sex hormones accelerate during middle-age. Menopausal \nyears are characterized by the decline in serum estrogen concentrations, which leads to changes \nin the pelvic floor tissue and potentially to disorders. According to previous studies, pelvic floor \ndisorders are associated with reduced physical activity and decreased physical performance.\nThe aim of this thesis was to study whether there are differences in the prevalence of pelvic \nfloor disorders between the menopausal stages among women aged 47 to 55 years. In addition, \nit was evaluated whether there are differences in physical activity or performance between \nwomen who experience symptoms of pelvic floor disorders and women without symptoms. The \nstudy population consisted of middle-aged women who participated in Estrogenic Regulation \nof Muscle Apoptosis (ERMA) study implemented by the Gerontology Research Center.\nWomen aged 47 to 55 were categorized as premenopausal, early, and late perimenopausal, and \npostmenopausal, based on serum concentrations of follicle-stimulating hormone and bleeding \ndiary. The symptoms of pelvic floor disorders within the previous month and current physical \nactivity were assessed by questionnaires. Physical performance was measured by vertical \njumping height, 6-minute walking distance and maximal walking speed.\nThe results showed that over half of the women participating in the ERMA study had symptoms \nof pelvic floor disorders. Stress urinary incontinence was the most common disorder, and its \nprevalence was higher during early than late perimenopause. Participants without symptoms of \nurinary or fecal incontinence were more physically active and performed better in vertical \njumping than participants who had reported incontinence symptoms. The physical performance \nof the participants with symptoms of urinary and fecal incontinence or pelvic organ prolapse \nwas weaker compared to the participants without symptoms in the same menopausal stage: \nWhen considering the incontinences, the difference was discovered in vertical jumping height \nand 6-minute walking distance among premenopausal women, in vertical jumping height \namong late perimenopausal women, and 6-minute walking distance among postmenopausal \nwomen. In pelvic organ prolapse, the difference was discovered in 6-minute walking distance \namong postmenopausal women.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2021-06-24T06:45:55Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-06-24T06:45:55Z (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.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": "fyysinen suorituskyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Keski-ik\u00e4isten naisten fyysinen aktiivisuus, suorituskyky ja lantionpohjan toimintah\u00e4iri\u00f6t", "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-202106244029", "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.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": "naiset", "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": "vaihdevuodet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintah\u00e4iri\u00f6t", "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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