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dc.contributor.authorvon Bonsdorff, Mikaela
dc.contributor.authorRantanen, Taina
dc.contributor.authorLaukkanen, Pia
dc.contributor.authorSuutama, Timo
dc.contributor.authorHeikkinen, Eino
dc.date.accessioned2012-07-10T08:37:51Z
dc.date.available2012-07-10T08:37:51Z
dc.date.issued2006
dc.identifier.citationvon 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.. <i>Gerontology</i>, <i>52</i>, 359-365. <a href="https://doi.org/10.1159/000094985" target="_blank">https://doi.org/10.1159/000094985</a>
dc.identifier.otherCONVID_16594065
dc.identifier.otherTUTKAID_24415
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/38174
dc.description.abstractPurpose: 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.isoeng
dc.publisherKarger
dc.relation.ispartofseriesGerontology
dc.subject.otherliikkumisrajoitteet
dc.subject.otherkognitiiviset häiriöt
dc.subject.othermobility limitations
dc.subject.othercognitive deficits
dc.subject.otherinstitutionalization
dc.titleMobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people.
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201207102035
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiainePsychologyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2012-07-10T03:30:15Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange359-365
dc.relation.issn0304-324X
dc.relation.volume52
dc.type.versionacceptedVersion
dc.rights.copyright© 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.rights.accesslevelopenAccessfi
dc.subject.ysolaitoshoito
jyx.subject.urihttp://www.yso.fi/onto/yso/p1308
dc.relation.doi10.1159/000094985
dc.type.okmA1


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