Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people.

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dc.contributor.author von Bonsdorff, Mikaela
dc.contributor.author Rantanen, Taina
dc.contributor.author Laukkanen, Pia
dc.contributor.author Suutama, Timo
dc.contributor.author Heikkinen, Eino
dc.date.accessioned 2012-07-10T08:37:51Z
dc.date.available 2012-07-10T08:37:51Z
dc.date.issued 2006
dc.identifier.citation von Bonsdorff, M., Rantanen, T., Laukkanen, P., Suutama, T., & Heikkinen, E. (2006). Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people. Gerontology, 52, 359-365. fi
dc.identifier.issn 0304-324X
dc.identifier.other TUTKAID_24415
dc.identifier.uri http://hdl.handle.net/123456789/38174
dc.description.abstract Purpose: Mobility limitations and cognitive disorders have often been observed as risks for institutionalization. However, their combined effects on risk of institutionalization among initially community-dwelling older people have been less well reported. Design: A prospective cohort study with 10-year surveillance on institutionalization. Subjects: Study population (n = 476) consisted of 75- and 80-year-old people who were community-dwelling, had not been diagnosed with dementia, and participated in tests on walking speed and cognitive capacity at a research centre. Measures: Cognitive capacity was measured with three validated psychometric tests that were from the Wechsler Adult Intelligence Scale, Wechsler Memory Scale and Schaie- Thurstone Adult Mental Abilities Test. Mobility was measured with walking speed over a 10-m distance. Exclusive distribution based study groups were formed with cut-offs at the lowest third as follows: no limitation, solely mobility limitation, solely cognitive deficits, and combined mobility limitation and cognitive deficits. Cox proportional hazards model was used to determine the relative risks of institutionalization for the study groups. Results: Eleven percent of the participants were institutionalized during the 10-year surveillance. The risk for institutionalization was 4.9 times greater (95% confidence interval: 2.1–11.2) for those who had co-existing mobility limitations and cognitive deficits than for those with no limitations. Conclusions: The findings show that the accumulation of limitations in physical and cognitive performance substantially decreases the possibility for a person remaining at home. This might be due to a decreased reserve capacity and ineffective compensatory strategies. Therefore, interventions targeted to improve even one limitation, or prevent accumulation of these risk factors, could significantly reduce the risk of institutionalization. fi
dc.language.iso eng
dc.publisher Karger
dc.relation.ispartof Gerontology
dc.rights © 2006 S. Karger AG, Basel. This is an author's final draft version of an article whose final and definitive form has been published in the journal Gerontology by Karger.
dc.subject.other liikkumisrajoitteet fi
dc.subject.other kognitiiviset häiriöt fi
dc.subject.other laitoshoito fi
dc.subject.other mobility limitations en
dc.subject.other cognitive deficits en
dc.subject.other institutionalization en
dc.title Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people.
dc.type Article en
dc.identifier.urn URN:NBN:fi:jyu-201207102035
dc.contributor.laitos Psykologian laitos
dc.contributor.laitos Terveystieteiden laitos fi
dc.contributor.laitos Department of Health Sciences en
dc.contributor.oppiaine psykologia fi
dc.contributor.oppiaine gerontologia ja kansanterveys fi
jyx.tutka.volyme 52
jyx.tutka.pagetopage 359-365
dc.type.uri http://purl.org/eprint/type/SubmittedJournalArticle
dc.identifier.doi DOI:10.1159/000094985
dc.date.updated 2012-07-10T03:30:15Z
dc.description.version Author's Final draft
eprint.status http://purl.org/eprint/type/status/PeerReviewed

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