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[{"key": "dc.contributor.advisor", "value": "Hautala, Arto", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Laakkonen, Eija", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Laikola, Jenna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-04-30T06:59:57Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-04-30T06:59:57Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/94584", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Vaihdevuodet saattavat olla masennusoireiden kokemiselle altis ajanjakso naisen el\u00e4m\u00e4ss\u00e4. Vaihdevuosien j\u00e4lkeinen el\u00e4m\u00e4nvaihe on elinajanodotteen nousun my\u00f6t\u00e4 aiempaa pidempi, mink\u00e4 vuoksi t\u00e4m\u00e4n el\u00e4m\u00e4nvaiheen psyykkist\u00e4 hyvinvointia koskettavat kysymykset ovat erityisen t\u00e4rkeit\u00e4 ja ajankohtaisia. Fyysinen aktiivisuus on n\u00e4hty yhten\u00e4 masennusoireita lievitt\u00e4v\u00e4n\u00e4 tekij\u00e4n\u00e4 vaihdevuosi-ik\u00e4isten naisten el\u00e4m\u00e4ss\u00e4. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena on selvitt\u00e4\u00e4 ennustavatko 47\u201355-vuotiaiden vaihdevuosi-ik\u00e4isten naisten fyysinen aktiivisuus tai fyysinen suorituskyky muutoksia itse ilmoitetuissa masennusoireissa nelj\u00e4n vuoden seurannassa. \n\nTutkielmassa on hy\u00f6dynnetty Jyv\u00e4skyl\u00e4n yliopiston Estrogeeni, vaihdevuodet ja toimintakyky (ERMA) -tutkimuksen aineistoa sek\u00e4 ERMA-tutkimukseen pohjautuvan nelivuotisseurantamittaukset toteuttaneen Estrogeeni, mikro-RNA:t ja metabolisten toimintah\u00e4iri\u00f6iden riski (EsmiRs) -tutkimuksen aineistoa. Tutkittavat olivat 47\u201355-vuotiaita vaihdevuosi-ik\u00e4isi\u00e4 naisia. Analyysiss\u00e4 oli mukana 407 tutkittavaa, jotka olivat osallistuneet sek\u00e4 ERMA-alkumittaukseen ett\u00e4 EsmiRs-seurantamittaukseen nelj\u00e4 vuotta my\u00f6hemmin. Tutkittavien masennusoireita selvitettiin CES-D-kyselylomakkeen avulla. Fyysist\u00e4 aktiivisuutta mitattiin tutkittavien itse ilmoittamaan arvioon sek\u00e4 liikemittareiden dataan pohjautuen. Fyysisen suorituskyvyn mittareina olivat k\u00e4den puristusvoima, polven ojennusvoima sek\u00e4 kuuden minuutin k\u00e4velymatka. Muuttujien v\u00e4lisi\u00e4 yhteyksi\u00e4 tarkasteltiin korrelaatiokertoimien avulla, mink\u00e4 j\u00e4lkeen lineaarisella regressioanalyysill\u00e4 selvitettiin, ennustavatko alkumittaustilanteen fyysinen aktiivisuus tai fyysinen suorituskyky muutoksia tutkittavien ilmoittamissa masennusoireissa. \n\nFyysisen suorituskyvyn muuttujista ainoastaan k\u00e4den puristusvoima oli yhteydess\u00e4 masennusoireiden muutokseen (r=0,12; p=0,03). Suurempi k\u00e4den puristusvoima alkumittauksessa vaikuttaisi olevan yhteydess\u00e4 korkeampaan masennusoireiden tasoon nelj\u00e4n vuoden seurannassa. Mit\u00e4 enemm\u00e4n masennusoireita tutkittavilla oli alkumittauksessa, sit\u00e4 enemm\u00e4n ne v\u00e4heniv\u00e4t nelj\u00e4n vuoden seurannassa (r=-0,44; p<0,01). K\u00e4den puristusvoima ja taustamuuttujana huomioidut psykologiset vaihdevuosioireet selittiv\u00e4t 2,5 % masennusoireiden muutoksesta (p=0,01). \n\nFyysinen aktiivisuus ei ennustanut muutoksia vaihdevuosi-ik\u00e4isten naisten itse ilmoittamissa masennusoireissa nelj\u00e4n vuoden seurannassa. Fyysist\u00e4 suorituskyky\u00e4 kuvaavalla korkeammalla k\u00e4den puristusvoimalla havaittiin yhteys masennusoireiden tason nousuun seuranta-aikana. Aiemmat tutkimukset ovat p\u00e4\u00e4osin ristiriidassa t\u00e4m\u00e4n tutkielman tulosten kanssa viitatessaan fyysisen aktiivisuuden toimivan masennusoireita ehk\u00e4isev\u00e4n\u00e4 tekij\u00e4n\u00e4. Toisaalta pitk\u00e4n seuranta-ajan aikana on voinut tapahtua muutoksia, joita t\u00e4ss\u00e4 tutkielmassa ei kontrolloitu, joten lis\u00e4\u00e4 kontrolloituja seurantatutkimuksia tarvitaan.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Menopause might be a vulnerable period for experiencing depressive symptoms in a woman\u2019s life. The postmenopausal phase of life has become longer due to increased life expectancy, making questions related to psychological well-being during this phase especially relevant and timely. Physical activity has been identified as one factor that can alleviate depressive symptoms in menopausal women. The purpose of this master\u2019s thesis is to investigate whether the physical activity and physical performance of menopausal women aged 47\u201355 predict changes in self-reported depressive symptoms during a four-year follow-up. \n\nThe study utilizes data from the Estrogen, Menopause, and Functional Ability (ERMA) study at University of Jyv\u00e4skyl\u00e4, as well as the four-year follow-up study Estrogen, micro-RNAs, and Risk of Metabolic Disorders (EsmiRs). The participants were women aged 47\u201355 going through menopause. The analysis included 407 participants who had participated in both the initial ERMA measurements and the EsmiRs four-year follow-up measurements. Depressive symptoms were assessed using the CES-D questionnaire. Physical activity was measured based on participants\u2019 self-reported estimates and accelerometer data. Physical performance was assessed using grip strength, knee extension strength, and a six-minute walk test. The relationships between variables were examined using correlation coefficients, followed by linear regression analysis to determine whether physical activity and physical performance at the baseline predict changes in self-reported depressive symptoms among the participants. \n\nAmong the variables related to physical performance, only hand grip strength was associated with changes in depressive symptoms (r=0,12; p=0,03). Greater hand grip strength at baseline appeared to be associated with higher levels of depressive symptoms over the four-year follow-up. The more depressive symptoms participants had at baseline, the more they decreased during the four-year follow-up (r=-0,44; p<0,01). Hand grip strength together with psychological menopausal symptoms, which were considered as background variable, explained 2,5 % of the change in depressive symptoms (p=0,01). \n\nPhysical activity did not predict changes in self-reported depressive symptoms among perimenopausal women during a four-year follow-up. However, a higher handgrip strength, indicative of physical performance, was associated with an increase in depressive symptoms during the follow-up period. Previous studies have mostly contradicted the findings of this study, which suggest that physical activity acts as a preventive factor for depressive symptoms. However, it is important to acknowledge that over the long follow-up period, uncontrolled changes may have occurred, so further controlled follow-up studies are needed.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-04-30T06:59:57Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-04-30T06:59:57Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "64", "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": "masennusoireet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fyysinen suorituskyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Vaihdevuosi-ik\u00e4isten naisten fyysisen aktiivisuuden ja fyysisen suorituskyvyn yhteys masennusoireisiin : nelj\u00e4n vuoden seuranta", "language": null, "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-202404303212", "language": null, "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": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "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": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen aktiivisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaihdevuodet", "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"}]
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