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dc.contributor.authorPortegijs, Erja
dc.contributor.authorRantakokko, Merja
dc.contributor.authorViljanen, Anne
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorRantanen, Taina
dc.date.accessioned2016-12-01T07:24:43Z
dc.date.available2017-03-23T22:45:09Z
dc.date.issued2016
dc.identifier.citationPortegijs, 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. <i>Age and Ageing</i>, <i>45</i>(5), 550-553. <a href="https://doi.org/10.1093/ageing/afw072" target="_blank">https://doi.org/10.1093/ageing/afw072</a>
dc.identifier.otherCONVID_25694109
dc.identifier.otherTUTKAID_69968
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/52107
dc.description.abstractBackground: 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.
dc.language.isoeng
dc.publisherOxford University Press; British Geriatrics Society
dc.relation.ispartofseriesAge and Ageing
dc.subject.othermobility limitation
dc.subject.otherfrailty
dc.titleIs frailty associated with life-space mobility and perceived autonomy in participation outdoors? : A longitudinal study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201611284813
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2016-11-28T16:15:55Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange550-553
dc.relation.issn0002-0729
dc.relation.numberinseries5
dc.relation.volume45
dc.type.versionacceptedVersion
dc.rights.copyright© 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.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber285747
dc.subject.ysoikääntyminen
dc.subject.ysoosallistuminen
dc.subject.ysovammaisuus
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p10727
jyx.subject.urihttp://www.yso.fi/onto/yso/p6418
dc.relation.doi10.1093/ageing/afw072
dc.relation.funderSuomen Akatemiafi
dc.relation.funderAcademy of Finlanden
jyx.fundingprogramTutkijatohtori, SAfi
jyx.fundingprogramPostdoctoral Researcher, AoFen
jyx.fundinginformationThis 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.


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