Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study
Rantakokko, M., Portegijs, E., Viljanen, A., Iwarsson, S., & Rantanen, T. (2016). Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study. PLoS ONE, 11(4), Article e0154396. https://doi.org/10.1371/journal.pone.0154396
Published inPLoS ONE
© 2016 Rantakokko et al. This is an open access article distributed under the terms of the Creative Commons Attribution License.
Background Environmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through mobility modification. We studied whether perceived environmental mobility barriers outdoors correlate with mobility modification and mobility difficulty, predict development of mobility difficulty over a two-year follow-up, and whether mobility modification alleviates the risk for difficulty. Methods At baseline, 848 people aged 75–90 were interviewed face-to-face. Telephone follow-up interviews were conducted one (n = 816) and two years (n = 761) later. Environmental barriers to mobility were self-reported using a15-item structured questionnaire at baseline, summed and divided into tertiles (0, 1 and 2 or more barriers). Mobility difficulty was assessed as self-reported ability to walk 2 km at all assessment points and categorized into ‘no difficulty’, ‘no difficulty but mobility modifications’ (reducing frequency, stopping walking, using an aid, slowing down or resting during the performance) and ‘difficulty’. Results At baseline, 212 participants reported mobility modifications and 356 mobility difficulties. Those reporting one or multiple environmental barriers had twice the odds for mobility modifications and up to five times the odds for mobility difficulty compared to those reporting no environmental barriers. After multiple adjustments for health and functioning, reporting multiple environmental barriers outdoors continued to predict the development of incident mobility difficulty over the two-year follow-up. Mobility modifications attenuated the association. Conclusion For older people who successfully modify their performance, environmental influence on incident mobility difficulty can be diminished. Older people use mobility modification to alleviate environmental press on mobility. ...
PublisherPublic Library of Science
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland
Funding program(s)Postdoctoral Researcher, AoF
Additional information about fundingThis work was supported by Academy of Finland (grant number 285747 to [MR]); the Academy of Finland Future of Living and Housing Program (ASU-LIVE) (grant number 255403 to [TR]); the Finnish Ministry of Education and Culture to [TR and EP]; and the Ribbingska Foundation in Lund, Sweden to [SI]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. ...
Except where otherwise noted, this item's license is described as © 2016 Rantakokko et al. This is an open access article distributed under the terms of the Creative Commons Attribution License.
Showing items with similar title or keywords.
Self-reported hearing difficulties and changes in life-space mobility among community-dwelling older adults: a Two-year follow-Up study Polku, Hannele; Mikkola, Tuija; Rantakokko, Merja; Portegijs, Erja; Törmäkangas, Timo; Rantanen, Taina; Viljanen, Anne (BioMed Central Ltd., 2015)Background Life-space mobility reflects individuals’ actual mobility and engagement with society. Difficulty in hearing is common among older adults and can complicate participation in everyday activities, thus restricting ...
Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People : A Two-Year Follow-Up Study Skantz, Heidi; Rantanen, Taina; Rantalainen, Timo; Keskinen, Kirsi E.; Palmberg, Lotta; Portegijs, Erja; Eronen, Johanna; Rantakokko, Merja (SAGE Publications, 2020)Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older ...
Task Modifications in Walking Postpone Decline in Life-Space Mobility Among Community-Dwelling Older People: A 2-year Follow-up Study Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Rantanen, Taina (Gerontological Society of America; Oxford University Press, 2017)Background Task modification refers to performing a task differently than before. While task modification in walking may be a sign of looming walking difficulty, it may also be adaptive in and postpone the decline in ...
Associations Between Environmental Characteristics and Life-Space Mobility in Community-Dwelling Older People Rantakokko, Merja; Iwarsson, Susanne; Portegijs, Erja; Viljanen, Anne; Rantanen, Taina (Sage Publications, Inc., 2015)Objective: To examine the association between perceived environmental barriers to and facilitators for outdoor mobility with life-space among older people. Methods: Community-dwelling, 75- to 90-year-old people (n = 848) ...
Perceived environmental barriers to outdoor mobility and changes in sense of autonomy in participation outdoors among older people: a prospective two-year cohort study Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Kauppinen, Markku; Rantanen, Taina (Routledge, 2017)Objective: The aim was to study whether perceived environmental barriers to outdoor mobility affect changes in sense of autonomy in participation outdoors among community-dwelling older people over a two-year period. Methods: ...