Is frailty associated with life-space mobility and perceived autonomy in participation outdoors? : A longitudinal study
Portegijs, E., Rantakokko, M., Viljanen, A., Sipilä, S., & Rantanen, T. (2016). Is frailty associated with life-space mobility and perceived autonomy in participation outdoors? : A longitudinal study. Age and Ageing, 45(5), 550-553. https://doi.org/10.1093/ageing/afw072
Published inAge and Ageing
DisciplineGerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöGerontology and Public HealthGerontology Research CenterSchool of Wellbeing
© The Author 2016. This is a final draft version of an article whose final and definitive form has been published by Oxford University Press on behalf of the British Geriatrics Society. Published in this repository with the kind permission of the publisher.
Background: essential aspects of independence in community mobility among older people concern the control over where, when and how to participate (perceived autonomy), and actual mobility (life-space mobility; frequency, distance and need of assistance). We studied relationships between frailty and life-space mobility and perceived autonomy in participation outdoors among community-dwelling 75–90 years old people. Methods: longitudinal analyses of the ‘Life-space mobility in old age’ cohort study (n = 753). Life-space mobility (Life-Space Assessment, range 0–120) and perceived autonomy in participation outdoors (Impact on Participation and Autonomy subscale ‘autonomy outdoors’, range 0–20) were assessed at baseline and 2 years later. Baseline frailty indicators were unintentional weight loss (self-report), weakness (5 times chair rise), exhaustion (self-report), slowness (2.44 m walk) and low physical activity (self-report). Results: in total, 53% had no frailty, 43% pre-frailty (1–2 frailty indicators) and 4% frailty (≥3 indicators). Generalised estimation equation models showed that life-space mobility was lower among those with frailty and pre-frailty compared with those without frailty and, in addition, declined at a faster pace. Perceived autonomy in participation outdoors was more restricted among those with frailty and pre-frailty compared with those without frailty, but the rate of decline did not differ. Conclusion: frailty was associated with more restricted life-space mobility and poorer perceived autonomy in the decision-making concerning community mobility. Over the follow-up, frailty predicted a steeper decline in life-space mobility but not in perceived autonomy. Further study is warranted to determine whether compensation strategies or changes in the valuation of activities underlie this discrepancy. ...
PublisherOxford University Press; British Geriatrics Society
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 the Academy of Finland (grant numbers 255403 to [T.R.], 285747 to [M.R.]) and the Finnish Ministry of Education and Culture to [T.R.] and [E.P.]. The financial sponsors played no role in the design, execution, analysis and interpretation of data, or writing of the study.
Showing items with similar title or keywords.
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: ...
Identification of Older People at Risk of ADL Disability Using the Life-Space Assessment : A Longitudinal Cohort Study Portegijs, Erja; Rantakokko, Merja; Viljanen, Anne; Sipilä, Sarianna; Rantanen, Taina (Elsevier Inc.; American Medical Directors Association, 2016)Objectives Life-space mobility, assessed with the Life-Space Assessment (LSA), reflects an individual's mobility in terms of the spatial area, frequency, and need for assistance. The aims were to study associations ...
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 ...
Association of Self-Reported Hearing Difficulty to Objective and Perceived Participation Outside the Home in Older Community-Dwelling Adults Mikkola, Tuija; Portegijs, Erja; Rantakokko, Merja; Gagné, Jean-Pierre; Rantanen, Taina; Viljanen, Anne (Sage Publications, Inc., 2015)Objective: To investigate whether hearing difficulty is associated with objective and perceived participation in social and leisure activities outside the home in older adults. Method: Self-reported hearing difficulty, ...
Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions Leppä, Heidi; Karavirta, Laura; Rantalainen, Timo; Rantakokko, Merja; Siltanen, Sini; Portegijs, Erja; Rantanen, Taina (Springer Science and Business Media LLC, 2021)Background Outdoor mobility enables participation in essential out-of-home activities in old age. Aim To compare changes in different aspects of outdoor mobility during COVID-19 restrictions versus two years before ...