Skip header and navigation

Refine By

22 records – page 1 of 3.

Active aging - resilience and external support as modifiers of the disablement outcome: AGNES cohort study protocol.

https://arctichealth.org/en/permalink/ahliterature299192
Source
BMC Public Health. 2018 05 02; 18(1):565
Publication Type
Journal Article
Date
05-02-2018
Author
Taina Rantanen
Milla Saajanaho
Laura Karavirta
Sini Siltanen
Merja Rantakokko
Anne Viljanen
Timo Rantalainen
Katja Pynnönen
Anu Karvonen
Inna Lisko
Lotta Palmberg
Johanna Eronen
Eeva-Maija Palonen
Timo Hinrichs
Markku Kauppinen
Katja Kokko
Erja Portegijs
Author Affiliation
Gerontology Research Center, Faculty of Sport and Health Sciences, Univerisity of Jyvaskyla, P.O. Box 35 (viv 149), 40014, Jyväskylä, Finland. taina.rantanen@jyu.fi.
Source
BMC Public Health. 2018 05 02; 18(1):565
Date
05-02-2018
Language
English
Publication Type
Journal Article
Keywords
Aged
Aged, 80 and over
Aging - psychology
Cohort Studies
Disabled persons - statistics & numerical data
Exercise
Female
Finland
Health Behavior
Health Literacy
Humans
Male
Resilience, Psychological
Social Support
Abstract
Population aging increases the need for knowledge on positive aspects of aging, and contributions of older people to their own wellbeing and that of others. We defined active aging as an individual's striving for elements of wellbeing with activities as per their goals, abilities and opportunities. This study examines associations of health, health behaviors, health literacy and functional abilities, environmental and social support with active aging and wellbeing. We will develop and validate assessment methods for physical activity and physical resilience suitable for research on older people, and examine their associations with active aging and wellbeing. We will examine cohort effects on functional phenotypes underlying active aging and disability.
For this population-based study, we plan to recruit 1000 participants aged 75, 80 or 85 years living in central Finland, by drawing personal details from the population register. Participants are interviewed on active aging, wellbeing, disability, environmental and social support, mobility, health behavior and health literacy. Physical activity and heart rate are monitored for 7 days with wearable sensors. Functional tests include hearing, vision, muscle strength, reaction time, exercise tolerance, mobility, and cognitive performance. Clinical examination by a nurse and physician includes an electrocardiogram, tests of blood pressure, orthostatic regulation, arterial stiffness, and lung function, as well as a review of chronic and acute conditions and prescribed medications. C-reactive protein, small blood count, cholesterol and vitamin D are analyzed from blood samples. Associations of factors potentially underlying active aging and wellbeing will be studied using multivariate methods. Cohort effects will be studied by comparing test results of physical and cognitive functioning with results of a cohort examined in 1989-90.
The current study will renew research on positive gerontology through the novel approach to active aging and by suggesting new biomarkers of resilience and active aging. Therefore, high interdisciplinary impact is expected. This cross-sectional study will not provide knowledge on temporal order of events or causality, but an innovative cross-sectional dataset provides opportunities for emergence of novel creative hypotheses and theories.
PubMed ID
29716566 View in PubMed
Less detail

Associations Between Reasons to Go Outdoors and Objectively-Measured Walking Activity in Various Life-Space Areas Among Older People.

https://arctichealth.org/en/permalink/ahliterature277247
Source
J Aging Phys Act. 2016 Jan;24(1):85-91
Publication Type
Article
Date
Jan-2016
Author
Li-Tang Tsai
Merja Rantakokko
Anne Viljanen
Milla Saajanaho
Johanna Eronen
Taina Rantanen
Erja Portegijs
Source
J Aging Phys Act. 2016 Jan;24(1):85-91
Date
Jan-2016
Language
English
Publication Type
Article
Keywords
Accelerometry
Activities of Daily Living
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Finland
Humans
Male
Residence Characteristics
Walking - physiology
Abstract
This cross-sectional study investigated associations between reasons to go outdoors and objectively-measured walking activity in various life-space areas among older people. During the study, 174 community-dwelling older people aged 75-90 from central Finland wore an accelerometer over seven days and recorded their reasons to go outdoors in an activity diary. The most common reasons for going outdoors were shopping, walking for exercise, social visits, and running errands. Activities done in multiple life-space areas contributed more to daily step counts than those done in the neighborhood or town and beyond. Those who went shopping or walked for exercise accumulated higher daily step counts than those who did not go outdoors for these reasons. These results show that shopping and walking for exercise are common reasons to go outdoors for community-dwelling older people and may facilitate walking activity in older age. Future studies on how individual trips contribute to the accumulation of steps are warranted.
PubMed ID
25951008 View in PubMed
Less detail

Barriers to outdoor physical activity and unmet physical activity need in older adults.

https://arctichealth.org/en/permalink/ahliterature266937
Source
Prev Med. 2014 Oct;67:106-11
Publication Type
Article
Date
Oct-2014
Author
Johanna Eronen
Mikaela B von Bonsdorff
Timo Törmäkangas
Merja Rantakokko
Erja Portegijs
Anne Viljanen
Taina Rantanen
Source
Prev Med. 2014 Oct;67:106-11
Date
Oct-2014
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aging
Cohort Studies
Cross-Sectional Studies
Environment
Environment Design
Exercise
Female
Finland
Geriatric Assessment
Health status
Humans
Male
Mobility Limitation
Questionnaires
Walking
Abstract
To profile participants based on reported outdoor physical activity barriers using a data-driven approach, describe the profiles and study their association with unmet physical activity need.
Cross-sectional analyses of 848 community-dwelling men and women aged 75-90 living in Central Finland in 2012. Barriers to outdoor physical activity and unmet physical activity need were enquired with a questionnaire. The latent profiles were identified by profiling participants into latent groups using a mixture modeling technique on the multivariate set of indicators of outdoor physical activity barriers. A path model was used to study the associations of the profiles with unmet physical activity need.
Five barrier profiles were identified. Profile A was characterized with minor barriers, profile B with weather barriers, profile C with health and weather barriers, profile D with barriers concerning insecurity, health and weather; and profile E with mobility and health barriers. The participants in the profiles differed in the proportion of individual and environmental barriers. The risk for unmet physical activity need was highest among people whose severe mobility difficulties restricted their outdoor physical activity.
Outdoor physical activity barriers reflect the imbalance in person-environment fit among older people, manifested as unmet physical activity need.
PubMed ID
25045839 View in PubMed
Less detail

Do Associations Between Perceived Environmental and Individual Characteristics and Walking Limitations Depend on Lower Extremity Performance Level?

https://arctichealth.org/en/permalink/ahliterature291084
Source
J Aging Health. 2017 Jun; 29(4):640-656
Publication Type
Comparative Study
Journal Article
Date
Jun-2017
Author
Ritva Sakari
Merja Rantakokko
Erja Portegijs
Susanne Iwarsson
Sarianna Sipilä
Anne Viljanen
Taina Rantanen
Author Affiliation
1 University of Jyvaskyla, Finland.
Source
J Aging Health. 2017 Jun; 29(4):640-656
Date
Jun-2017
Language
English
Publication Type
Comparative Study
Journal Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Cross-Sectional Studies
Disability Evaluation
Environment
Female
Geriatric Assessment - methods
Humans
Independent living
Interviews as Topic
Lower Extremity - physiopathology
Male
Mobility Limitation
Perception
Physical Fitness - physiology
Sweden
Task Performance and Analysis
Walking - physiology
Abstract
The aim of this study was to analyze whether the associations between perceived environmental and individual characteristics and perceived walking limitations in older people differ between those with intact and those with poorer lower extremity performance.
Persons aged 75 to 90 ( N = 834) participated in interviews and performance tests in their homes. Standard questionnaires were used to obtain walking difficulties; environmental barriers to and, facilitators of, mobility; and perceived individual hindrances to outdoor mobility. Lower extremity performance was tested using Short Physical Performance Battery (SPPB).
Among those with poorer lower extremity performance, the likelihood for advanced walking limitations was, in particular, related to perceived poor safety in the environment, and among those with intact performance to perceived social issues, such as lack of company, as well as to long distances.
The environmental correlates of walking limitations seem to depend on the level of lower extremity performance.
PubMed ID
27056910 View in PubMed
Less detail

Environmental barriers, person-environment fit and mortality among community-dwelling very old people.

https://arctichealth.org/en/permalink/ahliterature265500
Source
BMC Public Health. 2013;13:783
Publication Type
Article
Date
2013
Author
Merja Rantakokko
Timo Törmäkangas
Taina Rantanen
Maria Haak
Susanne Iwarsson
Source
BMC Public Health. 2013;13:783
Date
2013
Language
English
Publication Type
Article
Keywords
Aged, 80 and over
Architectural Accessibility
Environment
Female
Frail Elderly
Housing for the Elderly
Humans
Male
Mobility Limitation
Mortality - trends
Proportional Hazards Models
Sweden - epidemiology
Abstract
Environmental barriers are associated with disability-related outcomes in older people but little is known of the effect of environmental barriers on mortality. The aim of this study was to examine whether objectively measured barriers in the outdoor, entrance and indoor environments are associated with mortality among community-dwelling 80- to 89-year-old single-living people.
This longitudinal study is based on a sample of 397 people who were single-living in ordinary housing in Sweden. Participants were interviewed during 2002-2003, and 393 were followed up for mortality until May 15, 2012.Environmental barriers and functional limitations were assessed with the Housing Enabler instrument, which is intended for objective assessments of Person-Environment (P-E) fit problems in housing and the immediate outdoor environment. Mortality data were gathered from the public national register. Cox regression models were used for the analyses.
A total of 264 (67%) participants died during follow-up. Functional limitations increased mortality risk. Among the specific environmental barriers that generate the most P-E fit problems, lack of handrails in stairs at entrances was associated with the highest mortality risk (adjusted RR 1.55, 95% CI 1.14-2.10), whereas the total number of environmental barriers at entrances and outdoors was not associated with mortality. A higher number of environmental barriers indoors showed a slight protective effect against mortality even after adjustment for functional limitations (RR 0.98, 95% CI 0.96-1.00).
Specific environmental problems may increase mortality risk among very-old single-living people. However, the association may be confounded by individuals' health status which is difficult to fully control for. Further studies are called for.
Notes
Cites: Am Heart J. 2011 May;161(5):950-521570528
Cites: J Psychiatr Res. 1975 Nov;12(3):189-981202204
Cites: Arch Gerontol Geriatr. 2012 Jan-Feb;54(1):3-821621282
Cites: Age Ageing. 2012 Jan;41(1):118-2122086965
Cites: Arch Phys Med Rehabil. 2012 Sep;93(9):1609-1622484216
Cites: Age Ageing. 2003 Nov;32(6):619-2514600003
Cites: Aging Clin Exp Res. 2013 Dec;25(6):667-7524136449
Cites: J Psychiatr Res. 1982-1983;17(1):37-497183759
Cites: J Epidemiol Community Health. 1993 Aug;47(4):298-3028228766
Cites: BMJ. 1998 Sep 19;317(7161):802-89740574
Cites: Lancet. 2005 Nov 26;366(9500):1885-9316310556
Cites: Scand J Occup Ther. 2005 Mar;12(1):29-3916389996
Cites: J Epidemiol. 2006 Nov;16(6):261-7017085876
Cites: Gerontologist. 2007 Feb;47(1):78-8417327543
Cites: Gerontologist. 2007 Feb;47(1):96-10717327545
Cites: Arch Gerontol Geriatr. 2007 Nov-Dec;45(3):233-4217296237
Cites: Aust J Rural Health. 2008 Feb;16(1):5-1118186716
Cites: Prev Med. 2000 Jul;31(1):15-2210896840
Cites: Am J Epidemiol. 2002 Mar 15;155(6):507-1511882524
Cites: J Epidemiol Community Health. 2002 Dec;56(12):913-812461111
Cites: Aging Clin Exp Res. 2003 Apr;15(2):174-8312889850
Cites: Am J Epidemiol. 2008 Jan 15;167(2):240-817906296
Cites: Gerontologist. 2009 Jun;49(3):355-6719420315
Cites: J Aging Phys Act. 2006 Apr;14(2):203-1119462550
Cites: Clin Rehabil. 2009 Jun;23(6):558-6719403554
Cites: Soc Sci Med. 2009 Sep;69(5):754-6019604611
Cites: Soc Sci Med. 2009 Sep;69(6):964-7019643522
Cites: Int J Public Health. 2010 Feb;55(1):59-6919768384
Cites: J Am Geriatr Soc. 2010 Oct;58(10):1925-3020831722
Cites: J Am Geriatr Soc. 2010 Dec;58(12):2358-6221087220
Cites: J Urban Health. 2011 Feb;88(1):154-6721274644
Cites: Int J Sports Med. 2011 Mar;32(3):216-2221165808
Cites: J Aging Phys Act. 2011 Apr;19(2):117-3621558567
Cites: Arch Gerontol Geriatr. 2012 Jan-Feb;54(1):55-6021420181
PubMed ID
23981906 View in PubMed
Less detail

Fear of falling and coexisting sensory difficulties as predictors of mobility decline in older women.

https://arctichealth.org/en/permalink/ahliterature124797
Source
J Gerontol A Biol Sci Med Sci. 2012 Nov;67(11):1230-7
Publication Type
Article
Date
Nov-2012
Author
Anne Viljanen
Jenni Kulmala
Merja Rantakokko
Markku Koskenvuo
Jaakko Kaprio
Taina Rantanen
Author Affiliation
Department of Health Sciences, Gerontology Research Centre, University of Jyväskylä, P.O. Box 35 (Viveca), Jyväskylä, FIN-40014, Finland. anne.viljanen@jyu.fi
Source
J Gerontol A Biol Sci Med Sci. 2012 Nov;67(11):1230-7
Date
Nov-2012
Language
English
Publication Type
Article
Keywords
Accidental Falls - statistics & numerical data
Activities of Daily Living
Age Factors
Aged
Aging - physiology
Cohort Studies
Confidence Intervals
Cross-Sectional Studies
Fear
Female
Finland
Geriatric Assessment - methods
Humans
Logistic Models
Middle Aged
Mobility Limitation
Odds Ratio
Postural Balance
Predictive value of tests
Prognosis
Questionnaires
Risk assessment
Sensation Disorders - diagnosis - epidemiology
Abstract
Mobility decline, the coexistence of several sensory difficulties and fear of falling (FOF) are all common concerns in older people; however, knowledge about the combined effect of FOF and coexisting sensory difficulties on mobility is lacking.
Data on self-reported FOF, difficulties in hearing, vision, balance, and walking 2 km were gathered with a structured questionnaire among 434 women aged 63-76 years at baseline and after a 3-year follow-up. Logistic regression models were used for analyses.
Every third participant reported difficulties in walking 2 km at baseline. In cross-sectional analysis, the odds ratio for difficulties in walking 2 km was higher among persons who reported FOF compared with persons without FOF and the odds increased with the increasing number of sensory difficulties. Persons who reported FOF and who had three sensory difficulties had almost fivefold odds (odds ratio = 4.7, 95% confidence interval = 1.9-11.7) for walking difficulties compared with those who reported no FOF and no sensory difficulties. Among the 290 women without walking difficulties at baseline, 54 participants developed difficulty in walking 2 km during the 3-year follow-up. Odds ratio for incident walking difficulty was 3.5 (95% confidence interval = 1.6-7.8) in participants with FOF and with 2-3 sensory difficulties compared with persons without FOF and with at most one sensory difficulty at baseline.
Older women who have several coexisting sensory difficulties combined with FOF are particularly vulnerable to mobility decline. Avoidance of walking as a result of FOF is likely to be reinforced when multiple sensory difficulties hinder reception of accurate information about the environment, resulting in accelerated decline in walking ability.
PubMed ID
22546957 View in PubMed
Less detail

Fear of moving outdoors and development of outdoor walking difficulty in older people.

https://arctichealth.org/en/permalink/ahliterature151341
Source
J Am Geriatr Soc. 2009 Apr;57(4):634-40
Publication Type
Article
Date
Apr-2009
Author
Merja Rantakokko
Minna Mänty
Susanne Iwarsson
Timo Törmäkangas
Raija Leinonen
Eino Heikkinen
Taina Rantanen
Author Affiliation
Department of Health Sciences, Finnish Centre for Interdisciplinary Gerontology, University of Jyväskylä, Jyväskylä, Finland. merja.rantakokko@sport.jyu.fi
Source
J Am Geriatr Soc. 2009 Apr;57(4):634-40
Date
Apr-2009
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Chi-Square Distribution
Cross-Sectional Studies
Environment
Fear
Female
Finland
Geriatric Assessment
Humans
Interviews as Topic
Logistic Models
Male
Mobility Limitation
Musculoskeletal Diseases - complications
Prospective Studies
Residence Characteristics
Risk factors
Socioeconomic Factors
Abstract
To study which individual characteristics and environmental factors correlate with fear of moving outdoors and whether fear of moving outdoors predicts development of mobility limitation.
Observational prospective cohort study and cross-sectional analyses.
Community and research center.
Seven hundred twenty-seven community-living people aged 75 to 81 were interviewed at baseline, of whom 314 took part in a 3.5-year follow-up.
Fear of moving outdoors and its potential individual and environmental correlates were assessed at baseline. Perceived difficulties in walking 0.5 km and 2 km were assessed twice a year over a 3.5-year period.
At baseline, 65% of the women and 29% of the men reported fear of moving outdoors. Poor socioeconomic status; musculoskeletal diseases; slow walking speed; and the presence of poor street conditions, hills in the nearby environment, and noisy traffic correlated with fear of moving outdoors. At the first 6-month follow-up, participants with fear of moving outdoors had more than four times the adjusted risk (odds ratio (OR)=4.6, 95% confidence interval (CI)=1.92-11.00) of developing difficulties in walking 0.5 km and a three times greater adjusted risk (OR=3.10, 95% CI=1.49-6.46) for developing difficulty in walking 2 km compared with those without fear. The difference in the prevalence of walking difficulties remained statistically significant over the 3.5-year follow-up (P=.02 and P=.009, respectively).
Fear of moving outdoors is common in older adults and increases the risk of developing self-reported difficulties in walking 0.5 km and 2 km. Knowledge about individual and environmental factors underlying fear of moving outdoors and finding ways to alleviate fear of moving outdoors are important for community planning and prevention of disability.
PubMed ID
19392955 View in PubMed
Less detail

Individual and environmental factors underlying life space of older people - study protocol and design of a cohort study on life-space mobility in old age (LISPE).

https://arctichealth.org/en/permalink/ahliterature118779
Source
BMC Public Health. 2012;12:1018
Publication Type
Article
Date
2012
Author
Taina Rantanen
Erja Portegijs
Anne Viljanen
Johanna Eronen
Milla Saajanaho
Li-Tang Tsai
Markku Kauppinen
Eeva-Maija Palonen
Sarianna Sipilä
Susanne Iwarsson
Merja Rantakokko
Author Affiliation
Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, P,O,Box 35, Jyväskylä, FI-40014, Finland. taina.rantanen@jyu.fi
Source
BMC Public Health. 2012;12:1018
Date
2012
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Aging
Cohort Studies
Female
Finland
Humans
Male
Quality of Life
Walking
Abstract
A crucial issue for the sustainability of societies is how to maintain health and functioning in older people. With increasing age, losses in vision, hearing, balance, mobility and cognitive capacity render older people particularly exposed to environmental barriers. A central building block of human functioning is walking. Walking difficulties may start to develop in midlife and become increasingly prevalent with age. Life-space mobility reflects actual mobility performance by taking into account the balance between older adults internal physiologic capacity and the external challenges they encounter in daily life. The aim of the Life-Space Mobility in Old Age (LISPE) project is to examine how home and neighborhood characteristics influence people's health, functioning, disability, quality of life and life-space mobility in the context of aging. In addition, examine whether a person's health and function influence life-space mobility.
This paper describes the study protocol of the LISPE project, which is a 2-year prospective cohort study of community-dwelling older people aged 75 to 90 (n?=?848). The data consists of a baseline survey including face-to-face interviews, objective observation of the home environment and a physical performance test in the participant's home. All the baseline participants will be interviewed over the phone one and two years after baseline to collect data on life-space mobility, disability and participation restriction. Additional home interviews and environmental evaluations will be conducted for those who relocate during the study period. Data on mortality and health service use will be collected from national registers. In a substudy on walking activity and life space, 358 participants kept a 7-day diary and, in addition, 176 participants also wore an accelerometer.
Our study, which includes extensive data collection with a large sample, provides a unique opportunity to study topics of importance for aging societies. A novel approach is employed which enables us to study the interactions of environmental features and individual characteristics underlying the life-space of older people. Potentially, the results of this study will contribute to improvements in strategies to postpone or prevent progression to disability and loss of independence.
Notes
Cites: Arch Phys Med Rehabil. 2001 Feb;82(2):210-611239312
Cites: J Psychiatr Res. 1975 Nov;12(3):189-981202204
Cites: Am J Epidemiol. 2002 Mar 15;155(6):507-1511882524
Cites: Psychol Aging. 2002 Dec;17(4):539-4712507352
Cites: J Am Geriatr Soc. 2003 Mar;51(3):393-812588584
Cites: J Am Geriatr Soc. 2003 Nov;51(11):1610-414687391
Cites: Gerontologist. 1969 Autumn;9(3):179-865349366
Cites: Age Ageing. 2009 Mar;38(2):162-719008307
Cites: J Gerontol A Biol Sci Med Sci. 2009 Feb;64(2):312-719182227
Cites: J Am Geriatr Soc. 2009 Apr;57(4):634-4019392955
Cites: J Am Geriatr Soc. 2009 Apr;57(4):722-919220562
Cites: Gerontologist. 2009 Jun;49(3):355-6719420315
Cites: Maturitas. 2009 Sep 20;64(1):14-919695800
Cites: Age Ageing. 2009 Nov;38(6):757-6119779051
Cites: J Am Geriatr Soc. 2009 Dec;57(12):2282-619874410
Cites: J Am Geriatr Soc. 2010 Apr;58(4):707-1220398151
Cites: Milbank Mem Fund Q Health Soc. 1976 Fall;54(4):439-67137366
Cites: Int J Aging Hum Dev. 1983;16(3):209-196852966
Cites: Acta Med Scand Suppl. 1986;711:233-73535411
Cites: J Am Geriatr Soc. 1990 Dec;38(12):1311-52254569
Cites: J Gerontol. 1994 Mar;49(2):M85-948126356
Cites: Soc Sci Med. 1994 Jan;38(1):1-148146699
Cites: Psychol Med. 1997 Jan;27(1):231-59122304
Cites: Scand J Soc Med Suppl. 1997;52:1-659241696
Cites: Psychol Med. 1998 May;28(3):551-89626712
Cites: JAMA. 1963 Sep 21;185:914-914044222
Cites: Phys Ther. 2005 Oct;85(10):1008-11916180950
Cites: Aging Ment Health. 2005 Nov;9(6):526-3416214700
Cites: Int J Audiol. 2005 Sep;44(9):500-816238180
Cites: Ophthalmology. 2005 Dec;112(12):2227-3716325714
Cites: J Aging Phys Act. 2007 Jan;15(1):90-10217387231
Cites: Scand J Med Sci Sports. 2007 Apr;17(2):156-6417394477
Cites: Eur J Appl Physiol. 2007 Jul;100(5):581-917063361
Cites: Arch Phys Med Rehabil. 2007 Sep;88(9):1108-1317826454
Cites: Lancet. 2007 Oct 20;370(9596):1453-718064739
Cites: Arch Phys Med Rehabil. 2010 May;91(5):765-7320434615
Cites: Bull World Health Organ. 2010 Feb;88(2):131-820428370
Cites: J Gerontol A Biol Sci Med Sci. 2008 Jan;63(1):67-7518245763
Cites: Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):e133-820932457
Cites: Arch Gerontol Geriatr. 2012 Jan-Feb;54(1):55-6021420181
Cites: Age Ageing. 2012 Jan;41(1):118-2122086965
Cites: Am J Public Health. 2012 Aug;102(8):1508-1522698013
Cites: J Gerontol A Biol Sci Med Sci. 2012 Nov;67(11):1230-722546957
Cites: J Gerontol B Psychol Sci Soc Sci. 2012 Nov;67(6):765-7422929396
Cites: Can J Aging. 2011 Mar;30(1):7-1921401978
Cites: Age Ageing. 2001 Nov;30(6):489-9411742778
PubMed ID
23170987 View in PubMed
Less detail

Is frailty associated with life-space mobility and perceived autonomy in participation outdoors? A longitudinal study.

https://arctichealth.org/en/permalink/ahliterature287407
Source
Age Ageing. 2016 Jul;45(4):550-3
Publication Type
Article
Date
Jul-2016
Author
Erja Portegijs
Merja Rantakokko
Anne Viljanen
Sarianna Sipilä
Taina Rantanen
Source
Age Ageing. 2016 Jul;45(4):550-3
Date
Jul-2016
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Aged, 80 and over
Aging - psychology
Exercise
Fatigue - physiopathology - psychology
Female
Finland
Frail Elderly - psychology
Frailty - diagnosis - physiopathology - psychology
Geriatric Assessment
Humans
Longitudinal Studies
Male
Mobility Limitation
Muscle Weakness - physiopathology - psychology
Personal Autonomy
Risk factors
Social Participation - psychology
Weight Loss
Abstract
essential aspects of independence in community mobility among older people concern the control over where, when and how to participate (perceived autonomy), and actual mobility (life-space mobility; frequency, distance and need of assistance). We studied relationships between frailty and life-space mobility and perceived autonomy in participation outdoors among community-dwelling 75-90 years old people.
longitudinal analyses of the 'Life-space mobility in old age' cohort study (n = 753). Life-space mobility (Life-Space Assessment, range 0-120) and perceived autonomy in participation outdoors (Impact on Participation and Autonomy subscale 'autonomy outdoors', range 0-20) were assessed at baseline and 2 years later. Baseline frailty indicators were unintentional weight loss (self-report), weakness (5 times chair rise), exhaustion (self-report), slowness (2.44 m walk) and low physical activity (self-report).
in total, 53% had no frailty, 43% pre-frailty (1-2 frailty indicators) and 4% frailty (=3 indicators). Generalised estimation equation models showed that life-space mobility was lower among those with frailty and pre-frailty compared with those without frailty and, in addition, declined at a faster pace. Perceived autonomy in participation outdoors was more restricted among those with frailty and pre-frailty compared with those without frailty, but the rate of decline did not differ.
frailty was associated with more restricted life-space mobility and poorer perceived autonomy in the decision-making concerning community mobility. Over the follow-up, frailty predicted a steeper decline in life-space mobility but not in perceived autonomy. Further study is warranted to determine whether compensation strategies or changes in the valuation of activities underlie this discrepancy.
PubMed ID
27126330 View in PubMed
Less detail

22 records – page 1 of 3.