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Tämän väitöskirjatutkimuksen tavoitteena oli tutkia liikunnan ja unen välisiä yhteyksiä sydän- ja verisuonitautien riskiin cheap cialis extra dosage online visa erectile dysfunction heart. Tavoitteena oli mallintaa liikuntakäyttäytymisen ja unen ryhmittymistä ihmisten välillä sekä tutkia sydän- ja verisuonitautien riskitekijöitä ja kokonaisriskiä näiden ryhmittymien pohjalta discount cialis extra dosage erectile dysfunction treatment. Lisäksi aiemman urheilutaustan buy cialis extra dosage with mastercard erectile dysfunction pump infomercial, liikunnan ja unen vuorovaikutusta sydäntautikuolleisuuden kanssa tutkittiin entisistä huippu- urheilijamiehistä koostuvassa aineistossa trusted 130mg viagra extra dosage. Entisten huippu-urheilijoiden kohortin urheilijamiehet (n=1364) ja ei-urheilevat verrokit (n=777) täyttivät vuonna 1985 terveyskyselylomakkeen discount malegra fxt 140mg overnight delivery. Väitöskirjan pääasialliset tilastomenetelmät ovat latentti luokka-analyysi generic 100 mg viagra super active free shipping, painotettu logistinen regressioanalyysi, painotettu varianssianalyysi ja Coxin suhteellisen vaaran malli. Latentti luokka-analyysi on henkilökeskeinen, latentti muuttujamalli, jossa piileviä ryhmittymiä tunnistetaan samankaltaisten käyttäytymisprofiilien avulla. Tämä tutkimus osoittaa, että liikuntakäyttäytymisen ja unen ryhmittyminen tai Profiili erottelee lähtökohtaisesti sydänterveessä väestössä neljä piilevää ryhmää niin miehissä kuin naisissa. Naisilla vähäinen liikunnan määrä, runsas istuminen ja lyhyt ja riittämättömäksi koettu uni 6 kuvaavat Profiilia, jonka jäsenillä oli havaittavissa myös korkeita sydän- ja verisuonitautien aineenvaihdunnallisia riskitekijäarvoja. Miehillä jäsenyys tähän vähäisen liikunnan ja huonon unen Profiiliin oli tilastollisesti yhteydessä vain yhteen yksittäiseen riskitekijään (kymmenestä), mutta miehillä oli tässä Profiilissa muita Profiileja korkeampi ennustettu 10 vuoden tautiriski. Tutkimuksessa havaittiin myös, että väestössä erottuu vahvasti kronotyyppejä iltatyyppisyyden ja aamuväsyneisyyden mukaan. Iltatyypit ja aamuväsyneet, jotka olivat enemmän ilta- kuin aamutyyppejä, harrastivat vähän liikuntaa vapaa-ajalla verrattuna aamutyyppeihin, ja iltatyypit myös istuivat paljon. Niin entisillä huippu-urheilijamiehillä kuin ei-urheilleilla verrokeilla havaittiin riittämättömän vapaa-ajan liikunnan ja lyhyen unen välillä merkitsevä yhdysvaikutus kuolleisuuteen, etenkin sydäntautikuolleisuuteen. Tämä tutkimus vahvistaa sen, että liikunta ja uni ovat tärkeitä elintapoja sydän- ja verisuoniterveydelle. Tutkimuksen tulokset osoittavat ennen kaikkea, että liikunta ja uni vaikuttavat yhdessä sydäntautiriskin syntyyn. Unen pituuden lisäksi myös unen laatu ja unen itsearvioitu riittävyys sekä henkilön kronotyyppi vaikuttavat liikunnan ja unen suhteeseen. Tämän tutkimuksen tulokset ovat yleistettävissä suomalaiseen aikuisväestöön, lukuun ottamatta kuolleisuustuloksia, jotka koskevat valikoituneempaa miesväestöä. Dålig sömn och mycket stillasittande har också visats vara anknytna till högre risk för hjärt- och kärlsjukdomar. I Finland har dödligheten i hjärt- och kärlsjukdomar minskat stadigt under de senaste 40 åren. Många vuxna i Finland uppnår ändå inte tillräckligt med fysisk aktivitet, sömnproblem förekommer ofta bland befolkningen i arbetsför ålder och stora delar av dagen spenderas stillasittande. Våra hälsobeteenden tenderar att hopa sig och epidemiologiska studier har också funnit ömsesidiga samband mellan fysisk aktivitet och sömnvanor. Epidemiologiska studier har ändå sällan studerat hur beteenden hopar sig på individnivå. Sambanden mellan fysisk aktivitet och sömn kan kompliceras av kvalitativa faktorer relaterade till fysisk aktivitet och sömn, samt sociodemografiska faktorer.

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