Association Between Physical Performance and Sense of Autonomy in Outdoor Activities and Life‐Space Mobility in Community‐Dwelling Older People

Portegijs, Erja; Rantakokko, Merja; Mikkola, Tuija M.; Viljanen, Anne; Rantanen, Taina

doi:10.1111/jgs.12763

Cited by 106 publications

(115 citation statements)

References 27 publications

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“…Life-space mobility is strongly associated with functional ability [6,8], but it also reflects interest in moving around and participating in social networks [4]. As goals may indicate an orientation toward the future, the current results are in line with those of a previous study indicating that older people who orient more to the future have larger lifespace than those who focus mostly on the present day [4].…”

Section: Discussionsupporting

confidence: 82%

“…Number of chronic diseases was calculated based on physician-diagnosed conditions, self-reported from a list of 22 chronic conditions, including e.g., coronary artery disease, arthritis, diabetes, cancer, Parkinson's disease, Alzheimer's disease or other dementia, depression, visual impairment, and hearing loss. Diagnoses not included in the list were prompted with an additional open question [8].…”

Section: Measurementsmentioning

confidence: 99%

“…Also, female sex, lower education and income, depressive symptoms, cognitive decline, and transportation problems are associated with life-space restriction [4][5][6][7]. Higher life-space mobility has been associated with sense of autonomy [8], extraverted personality, social activity, and orienting more toward the future instead of only the present day [4]. Higher lifespace mobility correlates with better quality of life [9,10], and may even decrease the risk of frailty and mortality [11].…”

Section: Introductionmentioning

confidence: 99%

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Personal goals and changes in life-space mobility among older people

Saajanaho

Rantakokko

Portegijs

et al. 2015

Preventive Medicine

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Mobility in Old Age study (LISPE), which was conducted between 2012 and 2014, the participants responded to the Life-Space Assessment and Personal Project Analysis in addition to questions on socio-demographics and health. Data were analyzed using generalized estimation equation models. The results showed that goals indicating a desire to be active in daily life, to stay mentally alert, and to exercise were associated with higher lifespace mobility, and that the associations remained over the follow-up years. Goals related to maintaining functioning predicted higher life-space mobility at the two-year follow-up. In contrast, goals reflecting improvement of poor physical functioning predicted lower lifespace mobility. The results remained significant even when adjusted for indicators of health and functioning. This study indicates that supporting older people in striving for relevant personal goals in their lives might contribute to a larger life-space and thus also to improved quality of life in old age.

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Section: Discussionsupporting

confidence: 82%

Section: Measurementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Personal goals and changes in life-space mobility among older people

Saajanaho

Rantakokko

Portegijs

et al. 2015

Preventive Medicine

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“…Lifespace mobility then reflects the decreasing number of journeys which may be due to an increasing number of mobility difficulties (Allman, Sawyer & Roseman 2006). Restricted life-space can be a sign of reduced resources, as shown in a study which demonstrated its association with poor physical performance and a limited sense of autonomy (Portegijs et al 2014b). Small life-space is associated with a higher risk for nursing home admission and frailty (Sheppard et al 2013).…”

Section: Life-space Mobilitymentioning

confidence: 99%

“…Lower SPPB scores have been associated with lower SES (Coppin et al 2006), and good balance and walking speed with higher SES (Welmer et al 2013). In addition, an association between low SPPB scores and lower life-space mobility has been established (Peel et al 2005, Portegijs et al 2014b. A relationship between SES and cognitive functioning has also been confirmed in that higher education protected from mild cognitive impairment and Alzheimer's disease (Sattler et al 2012) whereas low SES was associated with increased risk for cognitive impairment and Alzheimer's disease (Atti et al 2010, Karp et al 2004).…”

Section: Life-space Mobilitymentioning

confidence: 99%

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

Eronen

Bonsdorff

Törmäkangas

et al. 2014

Preventive Medicine

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Physical activity is a basic need, also in old age. However, many older people cannot fulfil this need, often due to walking limitations causing imbalance in person-environment fit. Decreased physical activity can lead to unmet physical activity need and restriction on life-space mobility. The opportunities to remain physically active depend on various factors, not all of which are equally achievable for all older adults. The aim was to investigate disparities in physical activity among older community-dwelling people, with a focus on functioning, environmental barriers and facilitators, and socioeconomic status (SES).The data were drawn from two studies conducted in Central Finland: Screening and Counseling for Physical Activity and Mobility (632 participants, 75% women, mean age 77.6) and Life-Space Mobility in Old Age (848 participants, 62% women, mean age 80.1). Walking limitations, SES, social support, environmental facilitators for outdoor walking and barriers to outdoor physical activity were self-reported. The outcome measures were unmet physical activity need, walking limitation and life-space mobility.Five outdoor physical activity barrier profiles were identified, in which people differed in health and functioning and vulnerability to the challenges of the environment. A higher number of environmental facilitators decreased the risk for walking limitation. The risk for unmet physical activity need increased along with the number of individual and environmental outdoor physical activity barriers, but was highest among people whose poor health and functioning hindered them from going outdoors. Low SES was associated with more restricted life-space mobility and unmet physical activity need, especially among persons with walking limitations.Disparities in physical activity can be traced back to various individual, social and environmental factors. The importance of the environment for physical activity is considerable especially among older people with walking limitations. Keywords ACKNOWLEDGEMENTSThis study was carried out at the Gerontology Research Center, Department of Health Sciences, University of Jyväskylä, Finland. My deepest gratitude goes to the supervisors of this thesis, Professor Taina Rantanen and Mikaela von Bonsdorff, PhD. Taina, I can't stop wondering how you always have solutions to the most complex problems and answers to even the trickiest questions. I highly value your knowledge and experience in the field of gerontology and feel proud that I have been able to conduct my PhD thesis under your supervision. Mikaela, thank you for always having time for me and my questions, especially during the first year of my PhD studies. I admire your enthusiasm towards research and appreciate the guidance and advice that you have given me. I feel that we have become friends during these years. I sincerely thank Professor Teppo Kröger for his interest and supportive comments on this work. I also want to thank Research Director Katja Kokko at the Gerontology Research Center, and Director of t...

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Association between Active Mobility Index and sarcopenia among Japanese community‐dwelling older adults

Kurita

Doi

Tsutsumimoto

et al. 2022

J cachexia sarcopenia muscle

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Background A physically active lifestyle, including physical and social activities, is needed to maintain muscle mass, strength, and physical performance. A large life space characterizes an active lifestyle, but the association between life space with physical and social activities and sarcopenia is unclear. This study aimed to examine the association between life space with physical and social activities, assessed using the Active Mobility Index (AMI), and sarcopenia in community-dwelling Japanese older adults. Methods This study used a large, cross-sectional cohort dataset from the National Center for Geriatrics and Gerontology-Study of Geriatric Syndromes (NCGG-SGS). Between 2013 and 2018, community-dwelling Japanese adults aged ≥60 years participated in the NCGG-SGS. Sarcopenia was identified by measuring muscle mass and strength based on the clinical definition. The secondary outcomes were sarcopenia indices, including lower muscle mass, lower muscle strength, and lower gait speed. AMI assessed life space with physical and social activities in each life space (distance from the respondent's home: <1, 1-10, or >10 km) during the past month by noting the frequency, primary purpose, type of transportation, interaction with others, and physical activity. The associations between quartile groups of AMI total, physical, and social scores and sarcopenia were examined using a logistic regression model. Results From all participants, 21 644 participants (age 73.5 ± 5.8 years, 54.7% female) were included in the analysis. The prevalence of sarcopenia was 4.1% (n = 894). For the AMI total score, referred to Q1 group, Q3 and Q4 groups were significantly associated with a reduced odds ratio (OR) of sarcopenia after adjusting for all covariates [adjusted OR (aOR) (95% confidence interval), Q3: 0.71 (0.57-0.89), Q4: 0.69 (0.55-0.87)]. Q3 and Q4 of the AMI physical score groups were also significantly associated with reduced OR of sarcopenia [Q3: 0.71 (0.57-0.89), Q4: 0.67 (0.54-0.84)]. For the AMI social score, only the Q4 group showed reduced OR for sarcopenia [0.79 (0.62-1.01)]. Q3 and Q4 of the AMI total score and physical score were associated with reduced OR of all sarcopenia indices (aOR 0.55-0.82, all P < 0.05), whereas Q4 of AMI social score was associated with all indices (aOR 0.85-0.81, all P < 0.05). Conclusions The extent of life space with physical activity was associated with sarcopenia in community-dwelling older adults. A longitudinal study is needed to examine whether life space with physical and social activities affect the development of sarcopenia.

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Association Between Physical Performance and Sense of Autonomy in Outdoor Activities and Life‐Space Mobility in Community‐Dwelling Older People

Cited by 106 publications

References 27 publications

Personal goals and changes in life-space mobility among older people

Personal goals and changes in life-space mobility among older people

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

Association between Active Mobility Index and sarcopenia among Japanese community‐dwelling older adults

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