| fullrecord |
[{"key": "dc.contributor.author", "value": "P\u00f6ysti, Janina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-10-31T07:06:47Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-10-31T07:06:47Z", "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/123456789/91109", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ulkona liikkumisen autonomia tarkoittaa yksil\u00f6n kokemaa mahdollisuutta vaikuttaa oman kotinsa ulkopuolisiin aktiviteetteihin osallistumiseen. Se kuvaa yksil\u00f6n osallistumisen toiveiden ja siihen koettujen mahdollisuuksien kohtaamista. Ik\u00e4\u00e4ntyess\u00e4 kehon vanheneminen, lis\u00e4\u00e4ntyv\u00e4t sairaudet ja usein v\u00e4hentyv\u00e4 fyysinen rasitus heikent\u00e4v\u00e4t fyysist\u00e4 suorituskyky\u00e4, mik\u00e4 voi heikent\u00e4\u00e4 kyky\u00e4 liikkua ulkona. T\u00e4ss\u00e4 tutkielmassa tarkasteltiin fyysisen suorituskyvyn sek\u00e4 \nulkona liikkumiskyvyn yhteyksi\u00e4 ulkona liikkumisen autonomiaan ja sen ajalliseen muutokseen 2\u20133 vuoden aikana i\u00e4kk\u00e4ill\u00e4 72\u201384-vuotiailla ihmisill\u00e4. \n\nTutkittavat (n=625) olivat Helsingiss\u00e4 sairaalassa vuosina 1934\u20131944 syntyneit\u00e4 seurantakohortin j\u00e4seni\u00e4, jotka olivat osallistuneet kliiniseen tutkimukseen vuonna 2017 tai 2018 sek\u00e4 vastanneet vuonna 2020 postikyselyyn. Ulkona liikkumisen autonomiaa mitattiin molemmissa mittauspisteiss\u00e4 Impact on Participation and Autonomy-kyselyll\u00e4 ja sit\u00e4 tarkasteltiin kaksiluokkaisena: eritt\u00e4in hyv\u00e4 ja rajoittuneempi autonomia. Fyysist\u00e4 suorituskyky\u00e4 mitattiin ensimm\u00e4isess\u00e4 mittauspisteess\u00e4 lyhyell\u00e4 fyysisen suorituskyvyn testist\u00f6ll\u00e4 (SPPB) sek\u00e4 k\u00e4den puristusvoimana, ja ulkona liikkumiskyky\u00e4 RAND-36-kyselyn osalla itsearvioituina rajoitteina 500 metrin k\u00e4velemisess\u00e4, yhden kerrosv\u00e4lin portaiden nousussa ja kohtuullisissa ruumiillisissa rasitteissa. Autonomian ja suoritus- ja liikkumiskyvyn v\u00e4lisi\u00e4 yhteyksi\u00e4 tarkasteltiin kullekin suoritus- ja liikkumiskyvyn muuttujalle erikseen sovitetulla yleistetyill\u00e4 estimointiyht\u00e4l\u00f6ill\u00e4 (GEE) estimoidulla bin\u00e4\u00e4risell\u00e4 logistisella regressiomallilla. Puristusvoimaa tarkasteltiin sukupuolittain ja mallissa vakioitiin koettu terveys, masennusoireet sek\u00e4 yksin\u00e4isyys. SPPB-testist\u00f6n ja \nulkona liikkumiskyvyn malleissa vakioitiin lis\u00e4ksi ik\u00e4, sukupuoli ja nettotulot.\n\nParemmaksi ulkona liikkumiskykyns\u00e4 arvioineilla oli suurempi todenn\u00e4k\u00f6isyys kokea samanaikaisesti eritt\u00e4in hyv\u00e4\u00e4 ulkona liikkumisen autonomiaa, mutta ulkona liikkumiskyky ei ennustanut yksiselitteisesti my\u00f6hemp\u00e4\u00e4 autonomiaa. Ulkona liikkumiskykyns\u00e4 rajoittuneeksi arvioineilla eritt\u00e4in hyv\u00e4n autonomian todenn\u00e4k\u00f6isyys suurentui ja rajoittumattomaksi arvioineilla pienentyi ajassa (ulkona liikkumiskyky x aika II-kerroin ristitulosuhteelle (OR)=0,54, 95 %:n luottamusv\u00e4li [0,26, 1,09]), mutta muutos ei ollut tilastollisesti aivan merkitsev\u00e4. Eritt\u00e4in hyv\u00e4n \nulkona liikkumisen autonomian todenn\u00e4k\u00f6isyyksiss\u00e4 ja niiden ajallisessa muutoksessa ei ollut tilastollisesti merkitsevi\u00e4 eroja niiden v\u00e4lill\u00e4, joilla oli erilainen puristusvoima tai eri pisteet SPPB-testist\u00f6st\u00e4. SPPB-testist\u00f6ss\u00e4 paremmin suoriutuminen ennusti kuitenkin melko todenn\u00e4k\u00f6isesti heikommin suoriutuneita suurempaa eritt\u00e4in hyv\u00e4n autonomian todenn\u00e4k\u00f6isyytt\u00e4 seurantamittauksessa (OR=1,15, 95 %:n luottamusv\u00e4li [0,98, 1,35]). \n\nTarkastelluilla tutkittavilla oli p\u00e4\u00e4osin hyv\u00e4 fyysinen suorituskyky ja ulkona liikkumiskyky, jotka olivat korkeintaan heikosti eritt\u00e4in hyv\u00e4n ulkona liikkumisen autonomian todenn\u00e4k\u00f6isyytt\u00e4 erottelevia tekij\u00f6it\u00e4. Fyysisen suorituskyvyn ja ulkona liikkumiskyvyn yhteyksi\u00e4 ulkona liikkumisen autonomiaan tulisi tutkia suoritus- ja liikkumiskyvylt\u00e4\u00e4n moninaisemmissa v\u00e4est\u00f6iss\u00e4. Liikkumiskyvylt\u00e4\u00e4n erilaisten ihmisten kodin ulkopuolella liikkumisen mahdollisuuksiin olisi kiinnitett\u00e4v\u00e4 huomiota.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Autonomy outdoors is defined as perceived possibilities to participate in out-of-home activities according to one\u2019s preferences. Deterioration in physical performance is related to aging and may lead to a decline in the ability to move outdoors. The purpose of this master\u2019s thesis was to study the associations of physical performance and ability to move outdoors with autonomy outdoors and its change over 2-or 3-year follow-up among older adults aged 72 to 84 years. \n\nThe study subjects consisted of 625 cohort members who were born in a hospital in Helsinki between 1934-1944 and took part in clinical visit in 2017 or 2018 and postal survey in 2020. Autonomy outdoors was assessed at both measurement points using the Impact on Participation and Autonomy questionnaire and dichotomized as very good and more restricted autonomy. Physical performance was measured at the first measurement point using the Short Physical \nPerformance Battery (SPPB) and handgrip strength, and ability to move outdoors as self-assessed using the RAND-36-survey\u2019s items of limitations in walking 500 meters, climbing one flight of stairs, and participating in moderate activities. Separate binary logistic GEE models for each performance-variable were used to analyze the associations between these and autonomy outdoors. Grip strength was examined by sex and the model was adjusted for perceived health, depressive symptoms, and feelings of loneliness. The SPPB- and ability to move outdoors-models were, in addition, adjusted for age, sex, and net income. \n\nParticipants having better ability to move outdoors had higher odds of very good autonomy in cross-sectional analysis, but ability to move outdoors did not systematically predict autonomy at follow-up. The odds of very good autonomy increased among participants with mobility limitation over time and decreased among participants that did not have mobility limitation (ability to move outdoors x time II-coefficient=0.54, 95% confidence interval [0.26, 1.09]), but the \nchange was not statistically significant. The odds of very good autonomy or their change over follow-up did not differ statistically significantly according to grip strength or SPPB-result. However, higher SPPB-points were a possible predictor of higher odds of very good autonomy at follow-up (odds ratio (OR)=1.15, 95% confidence interval [0.98, 1.35]).\n\nThe study participants had mainly good physical performance and ability to move outdoors that at most weakly differentiated possibilities to perceive very good autonomy outdoors. The associations between physical performance, ability to move outdoors and outdoor autonomy should be further studied in populations having more variation in physical performance and ability to move outdoors. Attention should be drawn into the possibilities to participate out-of-home activities regardless of one\u2019s abilities to move.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2023-10-31T07:06:47Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-10-31T07:06:47Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "58", "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": "seurantatutkimukset", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fyysisen suorituskyvyn ja ulkona liikkumiskyvyn yhteydet ulkona liikkumisen autonomiaan i\u00e4kk\u00e4ill\u00e4 ihmisill\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-202310317131", "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.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "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": "autonomia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ulkoilu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen toimintakyky", "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.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
|