Executive function and life-space mobility in old age
Poranen-Clark, T., von Bonsdorff, M., Rantakokko, M., Portegijs, E., Eronen, J., Kauppinen, M., Eriksson, J. G., Rantanen, T., & Viljanen, A. (2018). Executive function and life-space mobility in old age. Aging Clinical and Experimental Research, 30(2), 145-151. https://doi.org/10.1007/s40520-017-0762-3
Published in
Aging Clinical and Experimental ResearchAuthors
Date
2018Discipline
Gerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöGerontology and Public HealthGerontology Research CenterSchool of WellbeingCopyright
© Springer International Publishing, 2017. This is a final draft version of an article whose final and definitive form has been published by Springer International Publishing. Published in this repository with the kind permission of the publisher.
Life-space assessment incorporates all movements in terms of the distance from home, the frequency of movement and the need of assistance for movement. Executive function (EF) is an important higher order cognitive ability that controls and guides people’s goal-directed actions. We examined the cross-sectional and longitudinal associations between EF and life-space mobility, and investigated if perceived walking difficulties, lower extremity performance, and transportation difficulties explain the association.
Methods
157 community-dwelling persons aged 76–91 years participated in the study at the baseline, and 103 of them in 2-year follow-up study. Based on the distribution on the Trail Making Test participants were categorized into tertiles of EF. Life-space mobility was assessed using the Life-Space Assessment (range 0–120). Perceived walking difficulties and transportation difficulties were self-reported, and lower extremity performance was assessed with the short physical performance battery (SPPB). Adjustments were made for gender, age, number of chronic conditions, and years of education.
Results
Average age of participants at the baseline was 82.6 (SD 4.2) years and 61% were women. Individuals with poor EF had lower life-space mobility compared to those with good EF. SPPB and transportation difficulties explained the association. Over the 2-year follow-up, those with poor EF at the baseline showed steeper decline but the difference did not quite reach statistical significance (p = 0.068).
Conclusions
People with better executive function had higher life-space mobility. This was explained by better lower extremity performance and absence of transportation difficulties. Cognitive decline may hinder access to community amenities, which in turn may further accelerate cognitive decline.
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Springer International PublishingISSN Search the Publication Forum
1594-0667Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/26972529
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Related funder(s)
Research Council of FinlandFunding program(s)
Postdoctoral Researcher, AoFAdditional information about funding
This study was supported by the Academy of Finland: the Future of Living and Housing Program ASU-LIVE; Grant number 255403 to [TR], number 263729 to [AV]; number 285747 to [MR]; numbers 129369, 129907, 135072, 129255 and 126775 to [JGE] and number 257239 to [MBvB]; Finnish Ministry of Education and Culture to [TR], [MR] and [EP]. TP-C was supported by Yrjö Jahnsson Foundation and Juho Vainio Foundation. ...Related items
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