| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Holopainen, Riikka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Lahti, Jouni", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kuusela, Markus", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-06-27T09:01:57Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-06-27T09:01:57Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2023", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/88085", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtyminen aiheuttaa merkitt\u00e4v\u00e4\u00e4 terveydellist\u00e4 ja taloudellista haittaa niin yksil\u00f6lle kuin koko yhteiskunnalle. Ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtymisen riski\u00e4 kasvattaa v\u00e4h\u00e4inen fyysinen aktiivisuus, ylipaino, tupakointi, ep\u00e4edulliset ty\u00f6olot sek\u00e4 huono terveys ja toimintakyky. T\u00e4ss\u00e4 pro gradu \u2013tutkielmassa tarkastellaan fyysisen kunnon osa-alueiden yhteytt\u00e4 ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtymisen riskiin ty\u00f6ik\u00e4isten suomalaisten keskuudessa Terveys 2011 \u2013v\u00e4est\u00f6tutkimuksen liikunta-alaotoksen pohjalta.\nTutkimusaineisto sis\u00e4lsi Terveys 2011 -v\u00e4est\u00f6tutkimuksen liikunta-alaotoksen (n=2050). Tutkittavat suorittivat nelj\u00e4 eri kuntomittausta. Ponnistushyppy-testill\u00e4 mitattiin alaraajojen ojentajalihasten kyky\u00e4 tuottaa nopeusvoimaa. Liikehallintakyky\u00e4 mitattiin yhden jalan seisontatestill\u00e4. Yl\u00e4raajojen lihasvoimaa mitattiin muunnellun punnerrustestin avulla. Hengitys- ja verenkiertoelimist\u00f6n kuntoa mitattiin 6 minuutin k\u00e4velytestill\u00e4. Lis\u00e4ksi 6 minuutin k\u00e4velytestin pohjalta tutkittaville laskettiin arvioitu maksimaalisen hapenottokyvyn tulos (Vo2max). Osallistujien tiedot yhdistettiin ty\u00f6kyvytt\u00f6myysel\u00e4ke rekisteritietoihin. Kun tutkimuksesta poissuljettiin henkil\u00f6t, joilla ei ollut riski\u00e4 ty\u00f6kyvytt\u00f6myysel\u00e4kkeeseen lopullinen tutkittavien lukum\u00e4\u00e4r\u00e4 oli 1381. \nTy\u00f6kyvytt\u00f6myysel\u00e4kkeen riski\u00e4 kuntomuuttujien mukaan tutkittiin Coxin regressioanalyysilla, huomioiden kattavasti sekoittavia tekij\u00f6it\u00e4. Mallissa 1 vakioitiin ik\u00e4 ja sukupuoli. Mallissa 2 vakioitiin lis\u00e4ksi koulutustaso, siviilis\u00e4\u00e4ty, ty\u00f6markkina-asema ja koettu terveys. Mallissa 3 vakioitiin lis\u00e4ksi painoindeksi (BMI) ja tupakointi. Kuntotestien tulosten perusteella tutkittavat jaettiin tertiilien mukaan kolmeen luokkaan. Kaikissa malleissa verrattiin parasta kolmannesta heikoimpaan kolmannekseen. Tulosmuuttujana oli siirtyminen ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle, joka m\u00e4\u00e4riteltiin ensimm\u00e4iseksi tilanteeksi, jolloin henkil\u00f6 sai ty\u00f6kyvytt\u00f6myysel\u00e4kett\u00e4 yhdeks\u00e4n vuoden seurantajakson aikana. Tulokset analysoitiin IBM Statistics SPSS-ohjelman versiolla 29.\nYhdeks\u00e4n vuoden seurannan aikana 61 henkil\u00f6\u00e4 (4,4 %) siirtyi ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle. Coxin regressiomallissa havaittiin fyysisen kunnon osa-alueilla olevan tilastollisesti merkitsev\u00e4 yhteys ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtymisen riskiin. Mallissa 1 kaikkien kuntotestien tulokset olivat tilastollisesti merkitsevi\u00e4. Riskisuhteet (HR) vaihtelivat v\u00e4lill\u00e4 2.36\u20135.75 (95 % luottamusv\u00e4li 1.03\u201317.9). Mallissa 3 mahdollisia sekoittavia tekij\u00f6it\u00e4 vakioidessa yhteydet heikkeniv\u00e4t, mutta ponnistushyppy-testin tulos HR 4.33 (95 % CI 1.32\u201314.1), sek\u00e4 6-minuutin k\u00e4velytestin tulos 3.81 (95% CI 1.35-10.7) olivat tilastollisesti merkitsevi\u00e4.\nT\u00e4m\u00e4n tutkimuksen perusteella voidaan todeta, ett\u00e4 heikommat tulokset fyysisen kunnon osa-alueiden testeiss\u00e4 olivat yhteydess\u00e4 kohonneeseen riskiin siirty\u00e4 ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle. Tulokset korostavat hyv\u00e4n fyysisen kunnon t\u00e4rkeytt\u00e4 ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtymisen ennalta ehk\u00e4isemisess\u00e4 ty\u00f6ik\u00e4isess\u00e4 v\u00e4est\u00f6ss\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Disability pension causes significant health and economic harm both to individuals and society. Factors such as low physical activity, overweight or obesity, smoking, unfavorable working conditions, and poor health and functioning contribute to an increased risk of transitioning to a disability pension. This Master's thesis examines the relationship between physical fitness and the risk of disability pension among working-age individuals in Finland based on the physical fitness subsample of the Health 2011 population survey.\nThe research data consisted of the physical fitness subsample of the Health 2011 population survey (n=2050). Participants underwent four different fitness assessments. The vertical jump test measured the ability of the lower extremity extensor muscles to generate explosive strength. Balance was assessed using a single leg standing test. Upper extremity muscular strength was measured using a modified push-up test. Cardiorespiratory fitness was evaluated using a 6-minute walk test. Additionally, based on the 6-minute walk test, an estimated maximum oxygen uptake (Vo2max) score was calculated for each participant. Participant data was linked to disability pension register information. After excluding individuals not at risk of disability pension, the final sample size was 1381.\nThe risk of disability pension according to fitness variables was examined using Cox regression analysis, while comprehensively adjusting for confounding factors. Model 1 included age and gender as covariates. Model 2 additionally adjusted for education level, marital status, occupational status, and self-perceived health. Model 3 further adjusted for body mass index (BMI) and smoking. Based on the results of the fitness tests, participants were categorized into three groups according to tertiles. In all models, the highest tertile was compared to the lowest tertile. The outcome variable was the transition to disability pension, defined as the first instance of receiving disability pension benefits during the nine-year follow-up period. The data were analyzed using IBM Statistics SPSS software version 29.\nDuring the nine-year follow-up period, 61 individuals (4.4%) transitioned to disability pension. Cox regression analysis revealed a statistically significant association between different aspects of physical fitness and the risk of disability pension. In Model 1, all fitness test results were statistically significant, except for the modified push-up test. Relative risk (HR) varied between 2.36 to 5.75 (95% confidence interval CI 1.03-17.9). When adjusting for potential confounding factors in Model 3, the associations weakened, but the results of the vertical jump test HR 4.33 (95% CI 1.32-14.1) and 6-minute walk test HR 3.81 (95% CI 1.35-10.7) remained statistically significant.\nBased on this study, it can be concluded that poor performance in subsequent physical fitness tests is associated with an elevated risk of transitioning to a disability pension. These findings highlight the importance of maintaining good physical fitness to prevent disability pension among the working-age population.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2023-06-27T09:01:57Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-06-27T09:01:57Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "54", "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": null, "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "ty\u00f6ik\u00e4inen v\u00e4est\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fyysisen kunnon osa-alueiden yhteys ty\u00f6kyvytt\u00f6myysel\u00e4kkeelle siirtymisen riskiin : yhdeks\u00e4n vuoden seurantatutkimus ty\u00f6ik\u00e4isess\u00e4 v\u00e4est\u00f6ss\u00e4", "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-202306274148", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "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.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "v\u00e4est\u00f6tutkimus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen kunto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyvytt\u00f6myysel\u00e4kkeet", "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": "ty\u00f6ik\u00e4iset", "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"}, {"key": "dc.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/collections/archival-workstation).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/kokoelmat/arkistotyoasema..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
|