Kari Tokola

ORCID: 0000-0002-6466-4100
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About
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Research Areas
  • Physical Activity and Health
  • Obesity, Physical Activity, Diet
  • Musculoskeletal pain and rehabilitation
  • Cardiovascular and exercise physiology
  • Balance, Gait, and Falls Prevention
  • Behavioral Health and Interventions
  • Sports injuries and prevention
  • Research in Social Sciences
  • Health and Lifestyle Studies
  • Workplace Health and Well-being
  • Injury Epidemiology and Prevention
  • Cerebral Palsy and Movement Disorders
  • Occupational Health and Performance
  • Mobile Health and mHealth Applications
  • Health, Environment, Cognitive Aging
  • Bone health and osteoporosis research
  • Nutrition and Health in Aging
  • Occupational health in dentistry
  • Chronic Obstructive Pulmonary Disease (COPD) Research
  • Mindfulness and Compassion Interventions
  • Electromagnetic Fields and Biological Effects
  • Children's Physical and Motor Development
  • Lower Extremity Biomechanics and Pathologies
  • Fibromyalgia and Chronic Fatigue Syndrome Research
  • Psychological Well-being and Life Satisfaction

Urho Kaleva Kekkonen Institute
2016-2025

National Institute for Health Research
2019-2021

Tampere University
2006-2018

Oslo Sports Trauma Research Center
2015

Ministry of Education and Culture
2015

Tampere University Hospital
2015

University of Jyväskylä
2015

Ministry of Education
2015

Norwegian School of Sport Sciences
2015

Finnish Institute for Health and Welfare
2013

While vitamin D supplementation and exercise are recommended for prevention of falls older people, results regarding these 2 factors contradictory.To determine the effectiveness targeted training in reducing injurious among women.A 2-year randomized, double-blind, placebo-controlled open trial conducted between April 2010 March 2013 Tampere, Finland. Participants were 409 home-dwelling women 70 to 80 years old. The main inclusion criteria at least 1 fall during previous year, no use...

10.1001/jamainternmed.2015.0225 article EN JAMA Internal Medicine 2015-03-23

Registered healthcare workers worldwide have a high prevalence of work-related musculoskeletal disorders, particularly the back. Multidisciplinary interventions among these improved fear avoidance beliefs, but not low back pain (LBP) and related sickness absences, cost-effectiveness studies are scarce. Our purpose was to investigate effectiveness three intervention-arms (combined neuromuscular exercise care counselling or either alone) compared with non-treatment.We randomly assigned female...

10.1186/s12889-018-6293-9 article EN cc-by BMC Public Health 2018-12-01

Summary Background The 6‐min walk test (6 MWT ) is cost‐effective and well‐documented field for assessing functional exercise capacity response to medical interventions in diverse patient groups, predicting cardiorespiratory fitness among healthy people. Objective Assessments of terms maximal aerobic power ( VO 2 max) have great potential public health monitoring predict future health, early retirement ability independent living. This study aimed develop a prediction model max based on 6...

10.1111/cpf.12525 article EN Clinical Physiology and Functional Imaging 2018-05-31

Regular physical activity (PA) confers many positive effects on health and well-being. Sedentary behavior (SB), in turn, is a risk factor for health, regardless of the level moderate to vigorous PA. The present study describes levels objectively measured SB, breaks standing still PA among Finnish adults.This cross-sectional analysis based sub-sample population-based Health 2011 Study adults. population consisted 18-to-85-year old men women who wore waist-worn triaxial accelerometer (Hookie...

10.1186/s12889-016-3591-y article EN cc-by BMC Public Health 2016-09-01

We evaluated the association of accelerometer-based sedentary behaviour and physical activity with risk cardiovascular disease. The design this study used a population-based, cross-sectional sample. A subsample participants in Health 2011 Study Finland tri-axial accelerometer (≥4 days, >10 h/day, n = 1398). Sedentary (sitting, lying) standing still six-second epochs were recognised from raw acceleration data based on intensity device orientation. was calculated as one-minute moving averages...

10.1177/2047487317711048 article EN European Journal of Preventive Cardiology 2017-05-22

Objectives We conducted a randomized trial among overweight long-distance drivers to study the effects of structured lifestyle counseling on body weight and cardiometabolic risk factors. Methods Men with waist circumference >100 cm were into (LIFE, N=55) reference (REF, N=58) group. The LIFE group participated in monthly nutrition, physical activity, sleep for 12 months aiming at 10% loss. After months, REF 3-month counseling. Assessments took place 0, 12, 24 months. Between-group...

10.5271/sjweh.3463 article EN cc-by Scandinavian Journal of Work Environment & Health 2014-10-13

Objectives To investigate the effects of multimodal supervised exercise on physical functioning, falls, and related injuries in older women. Design Two‐year randomized controlled trial. Setting Tampere, Finland. Participants Women aged 70 to 80 who had fallen previous year (n = 409). Intervention were randomly assigned an or control group ( ClinicalTrial.gov NCT00986466). Exercisers participated classes twice a week for 12 months once subsequent home exercises. Controls maintained their...

10.1111/jgs.13489 article EN Journal of the American Geriatrics Society 2015-06-26

The Finnish recommendations for health-enhancing physical activity (PA) adults (≥18 years) recommend: (i) ≥150 minutes of moderate-to-vigorous-intensity (MVPA) and (ii) activities that develop muscle strength balance ≥2 days/week. However, adherence to these among the is currently unknown. This study reports on self-reported PA associations with sociodemographic factors adults. Data were used from "Regional Health Well-being Study." In 2013-2014, postal questionnaires sent 132,560 persons,...

10.1111/sms.12863 article EN Scandinavian Journal of Medicine and Science in Sports 2017-02-23

Low back pain (LBP) is common among healthcare workers, whose work physically strenuous and thus demands certain levels of physical fitness spinal control. Exercise the most frequently recommended treatment for LBP. However, exercise interventions targeted at sub-acute or recurrent patients are scarce compared to those chronic LBP patients. Our objective was examine effects 6 months neuromuscular on pain, lumbar movement control, fitness, work-related factors 6- 12-months' follow-up female...

10.1186/s12891-019-2678-x article EN cc-by BMC Musculoskeletal Disorders 2019-07-13

Background : Studies measuring physical activity (PA) and sedentary behavior on a 24/7 basis are scarce. The present study assessed the feasibility of using an accelerometer at hip while awake wrist sleeping to describe patterns in working-aged adults by age, sex, fitness. Methods was based FinFit 2017 where 20- 69-year-old Finns triaxial (UKKRM42; UKK Terveyspalvelut Oy, Tampere, Finland). During waking hours, kept right and, during time bed, nondominant wrist. PA variables were 1-min...

10.1123/jmpb.2020-0056 article EN Journal for the Measurement of Physical Behaviour 2021-05-06

ABSTRACT Objective Insufficient physical activity (PA) is a well‐known risk factor for many non‐communicable diseases. This study aimed to develop screening tool, the Helsinki Physical Activity Questionnaire (HPAQ), identify physically inactive people at population level and help social health care professionals promote PA among risk. Methods Eighty‐five healthy adults wore hip‐worn accelerometer 7 days, after which they completed several questionnaires. These included some novel validated...

10.1002/puh2.70037 article EN cc-by Public Health Challenges 2025-02-27

Background We report the incidence, type, mechanism and severity of ice hockey injuries in women's international championships. Methods All International Ice Hockey Federation World Women's Championship, under-18 Championship Olympic Winter Games tournaments were analysed over an 8-year period using a strict injury definition, standardised reporting team physician diagnosis. Results 168 recorded 637 games resulting rate (IR) 6.4 per 1000 player-games 22.0/1000 player-game hours. The IRs...

10.1136/bjsports-2015-094647 article EN British Journal of Sports Medicine 2015-07-07

The aim was to evaluate the effect of a 12-month individualized health coaching intervention by telephony on clinical outcomes. An open-label cluster-randomized parallel groups trial. Pre- and post-intervention anthropometric blood pressure measurements trained nurses, laboratory measures from electronic medical records (EMR). A total 2594 patients filling inclusion criteria (age 45 years or older, with type 2 diabetes, coronary artery disease congestive heart failure, unmet treatment goals)...

10.1186/1472-6963-12-147 article EN cc-by BMC Health Services Research 2012-06-10

Regular physical activity (PA) promotes and excessive sedentary behavior (SB) deteriorates health. Yet the Finnish working-aged population spends most of day sitting. A 1-year Moving To Business (MTB) -intervention supported small medium-size workplaces to combat sedentariness. This paper reports changes in employees' PA SB from before MTB (baseline) 1 year after baseline (follow-up).Twelve with a total 396 employees participated. Each workplace nominated team promote reduce at...

10.1186/s12889-017-4229-4 article EN cc-by BMC Public Health 2017-04-16

Both exercise and vitamin D are recommended means to prevent falls among older adults, but their combined effects on fall-induced injuries scarcely studied. A 2-year follow-up of a previous randomized controlled trial with (Ex) 409 home-dwelling women using factorial 2 × design (D−Ex−, D+Ex−, D−Ex+, D+Ex+). Besides monthly fall diaries, femoral neck bone mineral density (fn-BMD), physical functioning were assessed at 1 years after the intervention. After intervention, S-25OHD concentrations...

10.1093/gerona/glx044 article EN cc-by-nc The Journals of Gerontology Series A 2017-03-21

Low physical activity and high sedentary behaviour are unquestionably relevant for public health while also increasing direct indirect costs.The authors examined the costs attributable to low in Finland 2017. Costs related major non-communicable diseases drawn from Finnish registries covered (outpatient visits, days of inpatient care, medication institutional eldercare) (sickness-related absences, disability pensions, unemployment benefits, all-cause mortality losses income tax revenue)....

10.1136/jech-2021-217998 article EN cc-by-nc Journal of Epidemiology & Community Health 2022-04-26

The purpose of this study was to measure physical activity (PA), sedentary behavior (SB), and hour-by-hour PA patterns with an accelerometer in a population-based sample Finnish children adolescents.A total 3274 participants (3rd, 5th, 7th, 9th graders) from 176 schools wore hip-worn triaxial for seven days during waking hours. Mean amplitude deviation the acceleration data used assess intensity that converted metabolic equivalents categorized into light, moderate, vigorous PA. Angle posture...

10.3390/ijerph19116950 article EN International Journal of Environmental Research and Public Health 2022-06-06

This study evaluates the agreement between different methods to assess moderate vigorous physical activity (MVPA) in a large sample of Finnish adults. Methods were classified and examined pairwise (accelerometer vs diary; questionnaire interview). Proportion participants meeting aerobic health‐enhancing (HEPA) recommendation was compared all four methods. The present 1916 adults aged 18‐75 years (mean age 50 years, 57% women) is sub‐sample population‐based Health 2011 Study conducted by...

10.1111/sms.13244 article EN Scandinavian Journal of Medicine and Science in Sports 2018-06-20

The aim of the study was to investigate prevalence and risk factors low back pain (LBP) in young female male basketball floorball players.Cross-sectional study.Nine teams 9 from Tampere city district, Finland.Four hundred one players (mean age: 15.8 ± 1.9 years).Age, gender, sport, family history musculoskeletal disorders were assessed as for LBP. Adjustment made on team level avoid random effects associated with a team.Information players' background LBP episodes collected by structured...

10.1097/jsm.0000000000000263 article EN Clinical Journal of Sport Medicine 2015-10-29

We investigated differences in objectively measured sedentary behaviour (SB) and physical activity (PA) levels subjects with cardiovascular disease (CVD) diagnosis or high CVD risk compared healthy controls.The present study includes a subsample (n=1398, Health 2011 Study) of participants, who attended health examinations wore triaxial accelerometer (≥4 days). Patients were identified was calculated for others using Framingham Risk Score (FRS). Participants categorised into groups: FRS<10%;...

10.1136/bmjsem-2018-000363 article EN cc-by-nc BMJ Open Sport & Exercise Medicine 2018-04-01

Abstract Background Exercise is recommended for the treatment and management of low back pain (LBP) prevention chronicity. adherence has been only modest in intervention studies among people with musculoskeletal pain. Fear-avoidance beliefs (FABs) are known to affect exercise adherence. The purpose was twofold: examine which bio-psycho-social factors contributed during a 6-month neuromuscular female healthcare workers recurrent LBP, investigate how exercising affects FABs at 6 12 months’...

10.1186/s13102-020-00177-w article EN cc-by BMC Sports Science Medicine and Rehabilitation 2020-05-04

Abstract Background The aerobic part of the recently updated physical activity (PA) guidelines for adults recommends at least 150 min moderate or 75 vigorous-intensity PA an equivalent combination both. can be accumulated any bout duration. On absolute scale, moderate-intensity threshold is 3 metabolic equivalents (METs) and vigorous 6 METs. a scale relative to individual’s personal capacity, 40% 60% oxygen uptake reserve. In this study, adherence new was evaluated using both thresholds....

10.1093/eurpub/ckac078 article EN cc-by European Journal of Public Health 2022-08-26

ABSTRACT BACKGROUND We studied school‐level differences in academic achievement and well‐being from 2002 to 2010 the Helsinki Metropolitan Area, as well connection between achievement, well‐being, socioeconomic composition. METHODS The School Health Promotion Study covered 109 schools 78% of schoolchildren (N = 100,413; aged 14 16 years). Depression was measured with modified Beck Scale grade‐point average. Trajectory analysis identified groups that were heterogeneous over time possible....

10.1111/josh.12691 article EN cc-by Journal of School Health 2018-10-09
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