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[{"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tulom\u00e4ki, Iina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-12-17T07:25:09Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-12-17T07:25:09Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/99028", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Naisilla ik\u00e4\u00e4ntymiseen liittyv\u00e4 fyysisen suorituskyvyn heikentyminen alkaa aikaisemmin ja tapahtuu nopeammin kuin miehill\u00e4. T\u00e4m\u00e4n biologisten sukupuolten ik\u00e4\u00e4ntymiseen liittyv\u00e4n eroavaisuuden taustalla olevia tekij\u00f6it\u00e4 on t\u00e4rke\u00e4 selvitt\u00e4\u00e4, jotta naisten terveytt\u00e4 ja toimintakyky\u00e4 pystyt\u00e4\u00e4n tukemaan kohdennetuilla interventiolla eri el\u00e4m\u00e4nvaiheissa. Yhten\u00e4 eroa selitt\u00e4v\u00e4n\u00e4 tekij\u00e4n\u00e4 on esitetty lantionpohjan toimintah\u00e4iri\u00f6it\u00e4. Lantionpohjan toimintah\u00e4iri\u00f6ist\u00e4 aiheutuvien oireiden v\u00e4ltt\u00e4minen voi v\u00e4hent\u00e4\u00e4 fyysist\u00e4 aktiivisuutta ja johtaa fyysisen suorituskyvyn heikentymiseen. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4, ovatko lantionpohjan toimintah\u00e4iri\u00f6t yhteydess\u00e4 fyysisen suorituskyvyn heikentymiseen vaihdevuosi-ik\u00e4isill\u00e4 naisilla nelj\u00e4n vuoden seurannassa. Lis\u00e4ksi tutkielmassa selvittiin poikkileikkausasetelmalla, ovatko lantionpohjan toimintah\u00e4iri\u00f6ist\u00e4 liikunnan harrastamiseen koetut haitat yhteydess\u00e4 heikompaan fyysiseen suorituskykyyn. Tutkielma tehtiin yhteisty\u00f6ss\u00e4 Jyv\u00e4skyl\u00e4n yliopiston liikuntatieteellisen tiedekunnan Gerontologian tutkimuskeskuksen kanssa ja tutkielman aineistona hy\u00f6dynnettiin ERMA- sek\u00e4 EsmiRs-tutkimusten aineistoja. Tutkittavat olivat 47\u201355-vuotiaita vaihdevuosi-ik\u00e4isi\u00e4 naisia (n = 298). Tutkielmassa lantionpohjan toimintah\u00e4iri\u00f6ist\u00e4 k\u00e4siteltiin virtsa- ja ulosteinkontinenssia sek\u00e4 laskeumaoireita, joiden esiintyvyytt\u00e4 ja koettua haittaa liikunnan harrastamiseen arvioitiin kyselylomakkeen avulla. Fyysisen suorituskyvyn mittareina olivat polven ojennusvoima, kuuden minuutin k\u00e4velymatka, esikevennyshypyn korkeus sek\u00e4 k\u00e4den puristusvoima. Aineiston analyysi toteutettiin IBM SPSS Statistics 28 -ohjelmalla. Analyysimenetelmin\u00e4 k\u00e4ytettiin Spearmanin j\u00e4rjestyskorrelaatiota sek\u00e4 lineaarista regressiota. Lantionpohjan toimintah\u00e4iri\u00f6iden esiintymisen ei havaittu olevan yhteydess\u00e4 fyysisen suorituskyvyn muutoksiin nelj\u00e4n vuoden seurannassa. Kuitenkin poikkileikkausasetelmalla tarkasteltuna havaittiin, ett\u00e4 suolen ja per\u00e4aukon oireista hikoiluttavan (\u03b2 = -0,12; p = 0,042) sek\u00e4 ponnistelua edellytt\u00e4v\u00e4n (\u03b2 = -0,11; p = 0,041) liikunnan harrastamiseen koetut haitat olivat tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 lyhyemp\u00e4\u00e4n k\u00e4velymatkaan kuuden minuutin k\u00e4velytestiss\u00e4. Lis\u00e4ksi rakon ja virtsaamisen oireista koettu haitta kevyen liikunnan harrastamiseen oli tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 matalampaan esikevennyshypyn korkeuteen (\u03b2 = -0,12; p = 0,028). Lantionpohjan toimintah\u00e4iri\u00f6iden esiintyminen ei selitt\u00e4nyt fyysisess\u00e4 suorituskyvyss\u00e4 nelj\u00e4n vuoden aikana tapahtuneita muutoksia. Tutkielman tulokset antavat kuitenkin viitteit\u00e4 siit\u00e4, ett\u00e4 lantionpohjan toimintah\u00e4iri\u00f6ist\u00e4 koetut haitat liikunnan harrastamiseen voivat olla yhteydess\u00e4 heikompaan fyysiseen suorituskykyyn. T\u00e4ss\u00e4 tutkielmassa n\u00e4it\u00e4 yhteyksi\u00e4 tutkittiin poikkileikkausasetelmalla, joka ei mahdollista kausaliteetin tulkintaa. Jatkossa tutkimusta tulisi jatkaa pitkitt\u00e4isasetelmalla ja pidemm\u00e4ll\u00e4 seuranta-ajalla huomioiden oireista koetut haitat liikunnan harrastamiseen sek\u00e4 fyysisen suorituskyvyn eri osa-alueet.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The age-related decline in physical performance begins earlier and occurs more rapidly in women than in men. It is important to identify the factors underlying this gender difference to support women\u2019s health and functional capacity through targeted interventions at different stages of life. Pelvic floor dysfunction has been suggested as one of the factors explaining this difference. Avoiding the symptoms of pelvic floor dysfunction can reduce physical activity and lead to a decline in physical performance. The aim of this master\u2019s thesis was to investigate whether pelvic floor dysfunction is associated with a decline in physical performance in menopausal women over a four-year period. Also, the aim was to examine in a cross-sectional study setting whether the perceived disadvantages of pelvic floor dysfunction in engaging in physical exercise are associated with poorer physical performance. The thesis was conducted in collaboration with the Gerontology Research Center at the Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4 and the data utilized in this thesis was drawn from ERMA and EsmiRs studies. The participants were menopausal women aged 47\u201355 years (n = 298). The thesis addressed urinary and fecal incontinence as well as prolapse symptoms. Their prevalence and the perceived impact on physical activity was assessed through questionnaires. The measures of physical performance included isometric knee extension force, six-minute walking test, vertical jumping height and hand grip force. The data analysis was conducted using IBM SPSS Statistics 28 software. Spearman\u2019s rank correlation and linear regression were used as the analysis methods. The presence of pelvic floor dysfunction was not associated with changes in physical performance over the four-year follow-up period. However, in the cross-sectional analysis, it was observed that the perceived disadvantages of engaging in vigorous (\u03b2 = -0,12; p = 0,042) and strenuous (\u03b2 = -0,11; p = 0,041) physical activities due to bowel and anal symptoms were statistically significantly associated with a shorter walking distance in the six-minute walk test. Additionally, the perceived disadvantage of engaging in light physical activity due to bladder and urinary symptoms was statistically significantly associated with lower vertical jumping height (\u03b2 = -0,12; p = 0,028). The presence of pelvic floor dysfunction did not explain the changes in physical performance over the four-year period. However, the results of the thesis suggest that the perceived impact of pelvic floor dysfunction on exercise participation may be associated with poorer physical performance. In this thesis, these associations were examined using a cross-sectional study design, which does not allow for interpretations of causality. Future research is required with a longitudinal study design and a longer follow-up period, considering the perceived impact of symptoms on exercise participation and the different dimensions of physical performance.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-12-17T07:25:08Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-12-17T07:25:09Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "91", "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.subject.other", "value": "lantionpohjan toimintah\u00e4iri\u00f6t", "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": "Lantionpohjan toimintah\u00e4iri\u00f6iden yhteys fyysiseen suorituskykyyn nelj\u00e4n vuoden seurantatutkimuksessa vaihdevuosi-ik\u00e4isill\u00e4 naisilla", "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-202412177843", "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": "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.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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaihdevuodet", "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": "naiset", "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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