Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study
Rantakokko, M., Portegijs, E., Viljanen, A., Iwarsson, S., Kauppinen, M., & Rantanen, T. (2016). Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study. Quality of Life Research, 25(5), 1189-1197. https://doi.org/10.1007/s11136-015-1137-x
Published inQuality of Life Research
© Springer International Publishing Switzerland 2015. This is a final draft version of an article whose final and definitive form has been published by Springer. Published in this repository with the kind permission of the publisher.
Purpose Life-space mobility refers to the spatial area in which a person moves in daily life, taking into account distance, frequency and assistance needed. The aim was to examine how changes in life-space mobility are associated with changes in quality of life (QOL) over a 2-year period. Methods Community-dwelling people aged 75–90 years (n = 848) were interviewed face-to-face in their homes and followed up annually for 2 years. QOL was assessed with the short version of the World Health Organization QOL assessment (range 0–130, higher scores indicate better QOL). Life-space mobility was assessed with the Life-Space Assessment (range 0–120, higher scores indicate better life-space mobility). Lower extremity performance was objectively measured with the Short Physical Performance Battery (SPPB). Cognitive impairment was assessed using the Mini-Mental State Examination. Chronic conditions and years of education were self-reported. Data were analyzed with generalized estimation equation models. Results The mean life-space score at baseline was 63.9 ± SD 20.6 and mean QOL score 100.3 ± 11.8. Over the follow-up, the QOL score decreased to 95.0 ± 13.8 across the total study sample. The decrease in QOL score was somewhat higher among those whose life-space mobility score declined >10 points during the follow-up compared to those whose life-space remained stable or improved, even after adjustment for age, gender, number of chronic conditions, cognitive impairment, SPPB and education. Conclusions Decline in life-space mobility is associated with decline in QOL. The results highlight the importance of ensuring continuous possibilities for out-of-home mobility in maintaining QOL among older people. ...
PublisherSpringer Netherlands; International Society for Quality of Life Studies
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Showing items with similar title or keywords.
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 ...
Association between physical performance and sense of autonomy in outdoor activities and life-space mobility in community-dwelling older people Portegijs, Erja; Rantakokko, Merja; Mikkola, Tuija; Viljanen, Anne; Rantanen, Taina (Wiley-Blackwell; American Geriatrics Society, 2014)Objectives. To study the relationship between physical performance and sense of autonomy in outdoor activities with life-space mobility—the spatial area a person purposefully moves through in daily life—in community-dwelling ...
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 ...
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 ...
Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Rantanen, Taina (American Geriatrics Society, 2013)