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[{"key": "dc.contributor.author", "value": "Saarinen, Veera", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-05-21T06:13:02Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-05-21T06:13:02Z", "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/123456789/95016", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Obesity is associated with several health consequences such as an increased risk of many chronic diseases as well as reduced health-related quality of life (HRQoL). Increasing exercise is one of the most important lifestyle modifications related to obesity treatment. Regular exercise has shown beneficial effects on weight loss and weight management, cardiorespiratory fitness and general well-being. The purpose of this registry-based study was to find out if individual exercise therapy is effective on health-related quality of life of obese patients as measured by the RAND-36 Item Health Survey. In addition, the results were examined in groups between those who increased exercise during the treatment and those who did not. It was also examined whether quality of life changes were associated with weight changes. The data was collected from the patient records of the Sports and Exercise Medicine Clinic of Hospital Nova in the wellbeing services county of Central Finland. The data was collected for those obese (BMI \u2265 30 kg/m\u00b2) patients who had completed RAND-36 quality of life questionnaire at the beginning and end of exercise therapy (n=15). The data was analyzed with the IBM SPSS Statistics 28 program. Wilcoxon signed rank test and Mann-Whitney U test were used as the analysis methods to examine the change in quality of life in entire data and between those who increased exercise and those who did not. The association between quality of life and weight changes was examined using Spearman\u2019s rank correlation coefficient. Individual subscales of RAND-36 were used as variables describing quality of life, as well as the sum variables (physical and mental health-related quality of life) formed from them. During the follow-up, well over half of the participants successfully increased their exercise (57 %). No statistically significant differences were found between the initial and final measurements when the entire data was analyzed (n=15). After removing outliers, mental HRQoL improved statistically significantly between initial and final measurements (n=13, Z=-2.041, p=0.039, r=0.40). Removal of outliers did not affect the statistical significance of the physical HRQoL or individual RAND-36 subscales. No significant differences in quality of life measures were found between those who increased exercise and those who did not. Changes in quality of life were also not significantly related to changes in weight. During an average of 14 months of follow-up, individual exercise therapy was successful in increasing physical activity in patients who did not exercise regularly before participating this study. Exercise therapy also had a positive effect on mental HRQoL. However, the improvement in quality of life did not depend on successful increase in exercise or changes in weight. The results of the study should be interpreted with caution, as the data was small and not all confounding factors such as serious mental health illness or other concurrent treatment, could be accounted for. Further research on the subject will be done when more data is available in the outpatient Sports and Exercise Medicine Clinic.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lihavuuteen liittyy useita terveydellisi\u00e4 haittoja kuten lis\u00e4\u00e4ntynyt riski sairastua moniin kroonisiin sairauksiin ja oireyhtymiin sek\u00e4 heikentynyt terveyteen liittyv\u00e4 el\u00e4m\u00e4nlaatu. Liikunnan lis\u00e4\u00e4minen on yksi t\u00e4rkeimmist\u00e4 lihavuuden hoitoon liittyvist\u00e4 elintapamuutoksista. S\u00e4\u00e4nn\u00f6llinen liikuntaharjoittelu edist\u00e4\u00e4 painonpudotusta ja -hallintaa, kardiorespiratorista kuntoa sek\u00e4 yleist\u00e4 hyvinvointia. T\u00e4m\u00e4n rekisteritutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 yksil\u00f6llisen liikuntahoidon vaikutuksia lihavuuspotilaiden terveyteen liittyv\u00e4\u00e4n el\u00e4m\u00e4nlaatuun RAND-36-mittarilla mitattuna. Lis\u00e4ksi tuloksia tarkasteltiin ryhmitt\u00e4in hoidon aikana liikuntaa lis\u00e4nneiden ja sit\u00e4 lis\u00e4\u00e4m\u00e4tt\u00f6mien v\u00e4lill\u00e4 sek\u00e4 tarkasteltiin el\u00e4m\u00e4nlaadun muutosten riippumista painon muutoksista. Tutkimusaineisto ker\u00e4ttiin Keski-Suomen hyvinvointialueen Sairaala Novan liikuntal\u00e4\u00e4ketieteen poliklinikan potilastietoj\u00e4rjestelm\u00e4st\u00e4. Aineisto ker\u00e4ttiin niiden lihavien (BMI \u2265 30 kg/m\u00b2) potilaiden osalta, ketk\u00e4 olivat t\u00e4ytt\u00e4neet RAND-36-el\u00e4m\u00e4nlaatukyselyn hoidon alussa ja lopussa (n=15). Aineisto analysoitiin IBM SPSS -Statistics 28 -ohjelmalla. Analyysimenetelmin\u00e4 k\u00e4ytettiin Wilcoxonin merkittyjen sijalukujen testi\u00e4 ja Mann-Whitneyn U-testi\u00e4, joiden avulla tarkasteltiin el\u00e4m\u00e4nlaadussa tapahtunutta muutosta koko aineistossa sek\u00e4 liikuntaa lis\u00e4nneiden ja sit\u00e4 lis\u00e4\u00e4m\u00e4tt\u00f6mien v\u00e4lill\u00e4. El\u00e4m\u00e4nlaadun ja painon muutosten v\u00e4list\u00e4 yhteytt\u00e4 tarkasteltiin Spearmanin j\u00e4rjestyskorrelaatiokertoimen avulla. El\u00e4m\u00e4nlaatua kuvaavina muuttujina k\u00e4ytettiin RANDin yksitt\u00e4isi\u00e4 osa-asteikkoja sek\u00e4 niist\u00e4 muodostettuja summamuuttujia, jotka kuvaavat fyysiseen ja psyykkiseen terveyteen liittyv\u00e4\u00e4 el\u00e4m\u00e4nlaatua. Seurannan aikana liikuntaa onnistui lis\u00e4\u00e4m\u00e4\u00e4n reilusti yli puolet tutkittavista (57 %). Alku- ja loppumittauksien v\u00e4lill\u00e4 ei todettu tilastollisesti merkitsevi\u00e4 eroja, kun analysoitiin koko aineisto (n=15). Poikkeavien havaintojen poistamisen j\u00e4lkeen psyykkinen el\u00e4m\u00e4nlaatu parani tilastollisesti merkitsev\u00e4sti alku- ja loppumittausten v\u00e4lill\u00e4 (n=13, Z=-2,041, p=0,039, r=0,40). Fyysisen el\u00e4m\u00e4nlaadun tai yksitt\u00e4isten RANDin osa-asteikkojen osalta poikkeavien havaintojen poistaminen ei vaikuttanut tilastolliseen merkitsevyyteen. Liikuntaa lis\u00e4nneiden ja sit\u00e4 lis\u00e4\u00e4m\u00e4tt\u00f6mien v\u00e4lill\u00e4 ei todettu merkitsevi\u00e4 eroja el\u00e4m\u00e4nlaatumittareissa. El\u00e4m\u00e4nlaadussa tapahtuneet muutokset eiv\u00e4t olleet my\u00f6sk\u00e4\u00e4n merkitsev\u00e4sti yhteydess\u00e4 painossa tapahtuneisiin muutoksiin. Yksil\u00f6llisell\u00e4 liikuntahoidolla pystyttiin lis\u00e4\u00e4m\u00e4\u00e4n v\u00e4h\u00e4n liikkuvien potilaiden fyysist\u00e4 aktiivisuutta keskim\u00e4\u00e4rin 14 kuukauden mittaisen seurannan aikana. Liikuntapoliklinikan interventiolla havaittiin positiivinen vaikutus potilaiden psyykkiseen el\u00e4m\u00e4nlaatuun. El\u00e4m\u00e4nlaadun paraneminen ei kuitenkaan ollut riippuvaista liikunnan onnistuneesta lis\u00e4yksest\u00e4 tai painossa tapahtuneista muutoksista. Tutkimuksen tuloksia tulee tulkita varauksella, sill\u00e4 tutkimuksen aineisto oli pieni eik\u00e4 tutkimuksessa pystytty esimerkiksi ottamaan huomioon kaikkia sekoittavia tekij\u00f6it\u00e4 kuten vakavia mielenterveysongelmia tai muuta samanaikaista hoitoa. Jatkotutkimusta aiheesta tehd\u00e4\u00e4n, kun liikuntal\u00e4\u00e4ketieteen poliklinikalle kertyy enemm\u00e4n aineistoa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-05-21T06:13:02Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-05-21T06:13:02Z (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.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.title", "value": "Liikuntal\u00e4\u00e4ketieteen poliklinikan toteuttaman hoidon vaikutus lihavuuspotilaiden el\u00e4m\u00e4nlaatuun", "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-202405213779", "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": "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": "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": "Liikuntal\u00e4\u00e4ketiede", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Sport Medicine", "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": "5042", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lihavuus", "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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