Objectives:
This cross-sectional study sought to examine gender dissimilarities in factors and
structures associated with life-space mobility (LSM) in community-dwelling older
people.
Methods:
This study included a total of 294 older people living in Okawa, Fukuoka Prefecture,
Japan. The subjects’ body mass index (BMI) and skeletal muscle mass index (SMI) were
evaluated. Furthermore, the age, gender, and LSM of the participants were assessed. LSM
was assessed using a framework based on social isolation, fall self-efficacy, mobility,
cognitive function, and lower limb muscle strength. Path analysis was performed to
assess LSM-associated factors and their respective effect sizes (ESs), and male and
female LSM models were established.
Results:
Path analysis identified SMI and social isolation as direct factors and cognitive
function as an indirect factor associated with LSM in both men and women. In the male
LSM model, the direct factors in descending order of ES were BMI, social isolation, SMI,
and lower limb muscle strength. In the female model, the direct factors in descending
order of ES were age, fall self-efficacy, mobility, social isolation, and SMI; age was
noted as having an indirect effect on the remaining associated factors.
Conclusions:
This study clarified the gender differences in factors influencing LSM and the
underlying structure of LSM mediation by these factors. Therefore, gender differences
should be considered when planning interventions aimed at improving the LSM and general
well-being of older people, particularly for community-dwelling individuals.