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Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study

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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 in
Quality of Life Research
Authors
Rantakokko, Merja |
Portegijs, Erja |
Viljanen, Anne |
Iwarsson, Susanne |
Kauppinen, Markku |
Rantanen, Taina
Date
2016
Discipline
Gerontologia ja kansanterveysGerontology and Public Health
Copyright
© 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. ...
Publisher
Springer Netherlands; International Society for Quality of Life Studies
ISSN Search the Publication Forum
0962-9343
Keywords
aging outdoor activity life-space osallistuminen hyvinvointi
DOI
https://doi.org/10.1007/s11136-015-1137-x
URI

http://urn.fi/URN:NBN:fi:jyu-201604292371

Publication in research information system

https://converis.jyu.fi/converis/portal/detail/Publication/24901630

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  • Liikuntatieteiden tiedekunta [2059]

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