Show simple item record

dc.contributor.authorSiltanen, Sini
dc.contributor.authorPortegijs, Erja
dc.contributor.authorSaajanaho, Milla
dc.contributor.authorPoranen-Clark, Taina
dc.contributor.authorViljanen, Anne
dc.contributor.authorRantakokko, Merja
dc.contributor.authorRantanen, Taina
dc.date.accessioned2018-11-05T11:53:53Z
dc.date.available2019-05-09T21:35:31Z
dc.date.issued2018
dc.identifier.citationSiltanen, S., Portegijs, E., Saajanaho, M., Poranen-Clark, T., Viljanen, A., Rantakokko, M., & Rantanen, T. (2018). The combined effect of lower extremity function and cognitive performance on perceived walking ability among older people : a 2-year follow-up study. <i>Journals of Gerontology. Series A: Biological Sciences and Medical Sciences</i>, <i>73</i>(11), 1568-1573. <a href="https://doi.org/10.1093/gerona/gly103" target="_blank">https://doi.org/10.1093/gerona/gly103</a>
dc.identifier.otherCONVID_28044573
dc.identifier.otherTUTKAID_77596
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/60097
dc.description.abstractBackground: We studied the combined effects of cognitive performance and lower extremity function on self-reported walking modifications and walking difficulty, and on self-reported walking difficulty incidence over a two-year follow-up. Methods: A total of 848 community-dwelling older people aged 75–90 years participated at baseline, 816 at the one-year follow-up, and 761 at the two-year follow-up. Baseline lower extremity function was measured with the Short Physical Performance Battery (<10 vs. ≥10) and cognitive performance with the Mini Mental State Examination (<24 vs. ≥24). Difficulty in walking 2km was self-reported and categorized into no difficulties, no difficulties but walking modifications, and prevalent difficulties. Data were analyzed with multinomial and Cox regressions and a mediation analysis. Results: At baseline, 33% reported no walking difficulties, 25% walking modifications and 42% walking difficulty. Poorer lower extremity function and lower cognition increased the odds for walking difficulty. For those with both, the odds were almost eight-fold higher for walking difficulty and three-fold higher for walking modifications compared to having neither. Poorer lower extremity function mediated the association between low cognition and poorer perceived walking ability. Of those with no walking difficulty at baseline, 31% developed walking difficulty during the follow-up, the risk being almost two-fold higher among those with poorer lower extremity function at baseline (HR 1.82, 95%CI 1.28-2.59). Conclusion: Older people with poorer lower extremity function and cognitive performance are likely to have walking difficulties, rendering them especially vulnerable to further disability. Cognitive performance should be considered in interventions aimed at preventing mobility disability.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherOxford University Press
dc.relation.ispartofseriesJournals of Gerontology. Series A: Biological Sciences and Medical Sciences
dc.rightsIn Copyright
dc.subject.otherphysical function
dc.subject.otherphysical performance
dc.subject.othermobility limitation
dc.titleThe combined effect of lower extremity function and cognitive performance on perceived walking ability among older people : a 2-year follow-up study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201810094387
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2018-10-09T12:15:05Z
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1568-1573
dc.relation.issn1079-5006
dc.relation.numberinseries11
dc.relation.volume73
dc.type.versionacceptedVersion
dc.rights.copyright© The Author(s) 2018
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber285747
dc.relation.grantnumber693045
dc.relation.grantnumber693045
dc.relation.projectidinfo:eu-repo/grantAgreement/EC/H2020/693045/EU//AGNES
dc.subject.ysokognitio
dc.subject.ysofyysinen kunto
dc.subject.ysofyysinen toimintakyky
dc.subject.ysovanhukset
dc.subject.ysoliikuntakyky
dc.subject.ysokognitiiviset taidot
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p642
jyx.subject.urihttp://www.yso.fi/onto/yso/p7384
jyx.subject.urihttp://www.yso.fi/onto/yso/p27172
jyx.subject.urihttp://www.yso.fi/onto/yso/p2434
jyx.subject.urihttp://www.yso.fi/onto/yso/p22622
jyx.subject.urihttp://www.yso.fi/onto/yso/p24920
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1093/gerona/gly103
dc.relation.funderSuomen Akatemiafi
dc.relation.funderEuroopan komissiofi
dc.relation.funderAcademy of Finlanden
dc.relation.funderEuropean Commissionen
jyx.fundingprogramTutkijatohtori, SAfi
jyx.fundingprogramERC European Research Council, H2020fi
jyx.fundingprogramPostdoctoral Researcher, AoFen
jyx.fundingprogramERC European Research Council, H2020en
jyx.fundinginformationThis study was supported by the European Research Council (grant number 693045 to T.R.); the Academy of Finland (grant number 255403 to T.R. and 285747 to M.R.); and the Ministry of Education and Culture (to T.R. and M.R.). The financial sponsors were not involved in the design, implementation, analyses, or reporting of the results.


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

In Copyright
Except where otherwise noted, this item's license is described as In Copyright