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
Julkaistu sarjassa
PLoS ONEPäivämäärä
2016Oppiaine
Gerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöGerontology and Public HealthGerontology Research CenterSchool of WellbeingTekijänoikeudet
© 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.
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1932-6203Asiasanat
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https://converis.jyu.fi/converis/portal/detail/Publication/25670394
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This 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. ...Lisenssi
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