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Tonkonogi, Michail
Publications (10 of 41) Show all publications
Tonkonogi, M., Arkkukangas, M., Strömqvist Bååthe, K. & Ekholm, A. (2022). High challenge exercise and learning safe landing strategies among community dwelling older adults: a randomized controlled trial. International Journal of Environmental Research and Public Health, 19(12), Article ID 7370.
Open this publication in new window or tab >>High challenge exercise and learning safe landing strategies among community dwelling older adults: a randomized controlled trial
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 12, article id 7370Article in journal (Refereed) Published
Abstract [en]

There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program (n = 100) or control group (n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6-9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p < 0.001) and learning falling techniques (p < 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries. 

Keywords
exercise; judo; martial arts; motor skill; older adults; physical activity
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-41603 (URN)10.3390/ijerph19127370 (DOI)000815884800001 ()35742618 (PubMedID)2-s2.0-85131869847 (Scopus ID)
Available from: 2022-06-14 Created: 2022-06-14 Last updated: 2023-03-17Bibliographically approved
Tonkonogi, M. (2022). Hälsorisk eller hälsoboost? Så påverkas kroppen av ett lågt kaloriintag. Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, Article ID 2022-05-24.
Open this publication in new window or tab >>Hälsorisk eller hälsoboost? Så påverkas kroppen av ett lågt kaloriintag
2022 (Swedish)In: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, article id 2022-05-24Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-41602 (URN)
Available from: 2022-06-14 Created: 2022-06-14 Last updated: 2023-03-17Bibliographically approved
Arkkukangas, M., Strömqvist Bååthe, K., Ekholm, A. & Tonkonogi, M. (2022). Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study. International Journal of Environmental Research and Public Health, 19(22), Article ID 15140.
Open this publication in new window or tab >>Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 22, article id 15140Article in journal (Refereed) Published
Abstract [en]

This study investigated whether strength, balance, body mass index, falls self-efficacy, activity levels, self-rated health, and participation in a multicomponent exercise intervention could predict physical activity levels after 5 months of self-quarantine due to the COVID-19 pandemic. This study included baseline data of 200 community-dwelling older adults (79% women, 21% men) with a mean age of 72 years who participated in a randomized controlled trial investigating a multicomponent exercise program, with 7-month follow-up survey data of their physical activity levels. The results showed significant associations with the activity levels at the 7-month follow-up. The activity levels (odds ratio (OR): 2.83, 95% CI: 1.20-6.71), the self-rated health score (2.80, 1.42-5.53), and being allocated to a specific multicomponent group-based exercise program (2.04, 1.04-4.00) showed a significant association with the activity habits at the 7-month follow-up. As this study suggests, besides the physical activity levels and the self-rated health score, participation in a high challenge multicomponent exercise program was significantly associated with physical activity levels at the 7-month follow-up. This study indicates that a relatively short multicomponent group exercise program (6-9 weeks) can motivate individuals to sustain their own training and activity levels even several months after the program has been paused or terminated. Identifying older adults' physical activity levels and self-rated health scores and prescribing multicomponent group-based exercise programs to promote sustained physical activity habits may be a successful alternative to provide for older adults in the future.

Keywords
falls, health and well-being, sedentary behavior, training
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-43638 (URN)10.3390/ijerph192215140 (DOI)000887308400001 ()36429859 (PubMedID)2-s2.0-85142543983 (Scopus ID)
Available from: 2022-11-28 Created: 2022-11-28 Last updated: 2023-03-17Bibliographically approved
Arkkukangas, M., Strömqvist Bååthe, K., Ekholm, A. & Tonkonogi, M. (2021). A 10-week judo-based exercise programme improves physical functions such as balance, strength and falling techniques in working age adults. BMC Public Health, 21(1), Article ID 744.
Open this publication in new window or tab >>A 10-week judo-based exercise programme improves physical functions such as balance, strength and falling techniques in working age adults
2021 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 744Article in journal (Refereed) Published
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:du-36467 (URN)10.1186/s12889-021-10775-z (DOI)000641449800003 ()33865349 (PubMedID)2-s2.0-85104507578 (Scopus ID)
Available from: 2021-04-19 Created: 2021-04-19 Last updated: 2023-08-28Bibliographically approved
Högman, M., Wedholm, L., Carlsson, T., Carlsson, M. & Tonkonogi, M. (2021). Differences in nitric oxide airway diffusion after maximum oxygen uptake test in asthmatic and nonasthmatic elite junior cross-country skiers. ERJ Open Research, 7(1), Article ID 00378-2020.
Open this publication in new window or tab >>Differences in nitric oxide airway diffusion after maximum oxygen uptake test in asthmatic and nonasthmatic elite junior cross-country skiers
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2021 (English)In: ERJ Open Research, E-ISSN 2312-0541, Vol. 7, no 1, article id 00378-2020Article in journal (Refereed) Published
Abstract [en]

Asthma is common in cross-country skiers and is often treated with ß2-agonists and inhaled corticosteroids (ICS). Exhaled nitric oxide is often used to guide ICS treatment in asthma. This study investigated the change in the pulmonary NO dynamics before and after a maximum oxygen uptake (V̇O2-max) test.An extended NO analysis was performed among Swedish elite junior cross-country skiers (n=25), with and without declared asthma, before and after a V̇O2-max test using roller skis. Asthma was declared by six boys and two girls among whom five occasionally used ICS.There were no differences in the baseline NO parameters between those with and without declared asthma. The diffusion capacity over airway wall (DawNO) was 21 (17,25) mL·s−1 (median, quartiles), which is much increased for this age group. After the V̇O2-max test, there were statistically significant differences from the baseline fraction of exhaled nitric oxide (FENO50), NO-flux from airways, DawNO and alveolar NO values; but not in the NO content in airway wall (CawNO) for all subjects together as one group. However, in the asthma group, differences were only seen in the FENO50 and in CawNO.Interestingly, a majority of the subjects had an increase in the DawNO. An increase in DawNO has been found with allergic asthma together with elevated CawNO. The skiers did not have elevated CawNO, which indicates an absence of inflammation in the airway wall. Modelling of lung NO production clearly shows that the asthma among our skiers is distinct from the allergic asthma in non-athletes.

National Category
Respiratory Medicine and Allergy Sport and Fitness Sciences
Identifiers
urn:nbn:se:du-36254 (URN)10.1183/23120541.00378-2020 (DOI)000642370600010 ()33748263 (PubMedID)2-s2.0-85111734332 (Scopus ID)
Available from: 2021-03-02 Created: 2021-03-02 Last updated: 2023-04-14Bibliographically approved
Arkkukangas, M. & Tonkonogi, M. (2021). Fall, fallrisk och fallprevention: genom träning. Lund: Studentlitteratur AB
Open this publication in new window or tab >>Fall, fallrisk och fallprevention: genom träning
2021 (Swedish)Book (Other academic)
Abstract [sv]

Är fallolyckor en naturlig följd av åldrandet? Vilka möjligheter finns det för trygg rörelse och aktivitet även i hög ålder? Går det att förebygga fall och fallskador genom specifik och målinriktad träning?

Denna bok har som ambition att täcka såväl teoretiska som praktiska aspekter på de specifika fallrisker som följer med åldrandet. Författarna beskriver det aktuella kunskapsläget kring förekomst, konsekvenser, riskanalys och prevention av fallolyckor. Dessutom presenteras tydligt, i såväl bild som text, praktiska träningsprogram och övningar inriktade på att förebygga fall och fallskador.

Fall, fallrisk och fallprevention vänder sig till studerande inom fysioterapi, arbetsterapi, omvårdnad, medicin och omsorg samt till kliniskt verksamma som arbetar med äldre personer. Boken kan även vara intressant för äldre personer som vill stärka sin hälsa och sitt välbefinnande samt minska risken för en fallolycka.

Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021. p. 151
National Category
Health Sciences
Identifiers
urn:nbn:se:du-43254 (URN)9789144142524 (ISBN)
Available from: 2022-11-18 Created: 2022-11-18 Last updated: 2023-03-17Bibliographically approved
Tonkonogi, M. (2021). Går det att undvika "håll" vid löpning?. Forskning & Framsteg (2), 62-62
Open this publication in new window or tab >>Går det att undvika "håll" vid löpning?
2021 (Swedish)In: Forskning & Framsteg, ISSN 0015-7937, no 2, p. 62-62Article in journal (Other academic) Published
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:du-36326 (URN)
Available from: 2021-03-14 Created: 2021-03-14 Last updated: 2023-04-14Bibliographically approved
Högman, M., Wedholm, L., Carlsson, T., Carlsson, M. & Tonkonogi, M. (2021). Längdskidåkare med eller utan astmadiagnos har ökad diffusion för NO från luftrören. In: : . Paper presented at Svenska Lungkongressen, 4-6 maj 2021, Umeå, virtuell konferens.
Open this publication in new window or tab >>Längdskidåkare med eller utan astmadiagnos har ökad diffusion för NO från luftrören
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2021 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:du-42852 (URN)
Conference
Svenska Lungkongressen, 4-6 maj 2021, Umeå, virtuell konferens
Available from: 2022-10-17 Created: 2022-10-17 Last updated: 2023-03-17Bibliographically approved
Arkkukangas, M., Cederbom, S., Tonkonogi, M. & Umb Carlsson, Õ. (2021). Older adults’ experiences with mHealth for fall prevention exercise: usability and promotion of behavior change strategies. Physiotherapy Theory and Practice, 37(12), 1346-1352
Open this publication in new window or tab >>Older adults’ experiences with mHealth for fall prevention exercise: usability and promotion of behavior change strategies
2021 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 37, no 12, p. 1346-1352Article in journal (Refereed) Published
Abstract [en]

Background: With the rapidly growing aging population, older adults need to stay healthy and active for a longer time. Mobile health (mHealth) solutions could help support, prevent, or delay functional decline and falls in old age.Purpose: The aim was to explore older persons? experiences of a mobile application for fall prevention exercise, and to identify what possible behavior change techniques to include in the further development of the application.Methods: Two focus groups were conducted with 12 older adults (seven women and five men) 70 to 83 years of age. A qualitative content analysis was performed.Results: Two main results emerged: 1) external facilitators for using the application; and 2) internal facilitators for using the application and perceived gains, in addition 10 behavior change techniques were identified.Conclusion: With support, an application could be adapted for older adults to manage, motivate, and adhere to fall prevention exercise. To achieve long-term adherence to health behavior changes, behavior change strategies and techniques are recommended to be included in further development of the fallprevention application.

National Category
Health Sciences
Identifiers
urn:nbn:se:du-31603 (URN)10.1080/09593985.2020.1712753 (DOI)000506119700001 ()31910707 (PubMedID)2-s2.0-85077985390 (Scopus ID)
Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2022-11-17Bibliographically approved
Arkkukangas, M., Strömqvist Bååthe, K., Hamilton, J., Ekholm, A. & Tonkonogi, M. (2021). Pilotstudie av genomförbarheten av Judo4Balance - ett fallförebyggande träningsprogram för äldre personer i eget boende.. Äldre i Centrum Vetenskapligt Supplement, 1(1), 27-37
Open this publication in new window or tab >>Pilotstudie av genomförbarheten av Judo4Balance - ett fallförebyggande träningsprogram för äldre personer i eget boende.
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2021 (Swedish)In: Äldre i Centrum Vetenskapligt Supplement, ISSN 2003-9069, Vol. 1, no 1, p. 27-37Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Stockholm: , 2021
National Category
Health Sciences
Identifiers
urn:nbn:se:du-36273 (URN)10.52585/icvs.v1i1.7 (DOI)
Available from: 2021-03-05 Created: 2021-03-05 Last updated: 2023-04-14Bibliographically approved
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