The effect of body mass index, lower extremity performance, and use of a private car on incident life-space restriction : a two-year follow-up study
Tsuji, T., Rantakokko, M., Portegijs, E., Viljanen, A., & Rantanen, T. (2018). The effect of body mass index, lower extremity performance, and use of a private car on incident life-space restriction : a two-year follow-up study. BMC Geriatrics, 18, Article 271. https://doi.org/10.1186/s12877-018-0956-3
Published inBMC Geriatrics
© the Authors, 2018.
Background: The purpose of the study was to explore the single and combined contributions of body mass index (BMI) and lower extremity performance as modifiable physical factors, and the influence of use of a private car as an environmental factor on prevalent and incident life-space restriction in community-dwelling older people. Methods: Community-dwelling people aged 75–90 years (n = 823) participated in the Life-Space Mobility in Old Age (LISPE) two-year follow-up study. Participants who reported that the largest life-space area they had attained, without aid from any device or another person, was the neighborhood or less were considered to have life-space restriction. Incident life-space restriction was the endpoint of Cox’s proportional hazard model. BMI, lower extremity performance (Short Physical Performance Battery, SPPB), and use of a private car were predictors. Results: At baseline, people who had both obesity (BMI ≥30.0) and impaired lower extremity performance (SPPB 0–9) had a higher prevalence of life-space restriction (prevalence ratio 3.6, 95% confidence interval, CI, 2.0–6.3) compared to those with normal weight (BMI 23.0–24.9) and intact physical performance (SPPB 10–12). The 581 people without life-space restriction at the baseline contributed 1033 person-years during the twoyear follow-up. Incident life-space restrictions were reported by 28.3% participants. A higher hazard ratio (HR) for incident life-space restriction was observed in subjects having both obesity and impaired lower extremity performance (HR 3.6, 95% CI, 1.7–7.4), impaired lower extremity performance only (HR 1.9, 95% CI 0.9–4.1), and obesity only (HR 1.8, 95% CI, 0.9–3.5) compared to those with normal weight and intact performance. Private car passengers (HR 2.0, 95% CI, 1.3–3.0) compared to car drivers had a higher risk of life-space restriction. All models were adjusted for age, sex, chronic diseases, and education. Conclusions: Older people with impaired lower extremity performance have an increased risk of incident life-space restriction especially if combined with obesity. Also, not driving a car renders older people vulnerable to life-space restriction. ...
PublisherBioMed Central Ltd
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Showing items with similar title or keywords.
The combined effect of lower extremity function and cognitive performance on perceived walking ability among older people : a 2-year follow-up study Siltanen, Sini; Portegijs, Erja; Saajanaho, Milla; Poranen-Clark, Taina; Viljanen, Anne; Rantakokko, Merja; Rantanen, Taina (Oxford University Press, 2018)Background: 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 ...
Palmberg, Lotta; Portegijs, Erja; Rantanen, Taina; Aartolahti, Eeva; Viljanen, Anne; Hirvensalo, Mirja; Rantakokko, Merja (Human Kinetics, Inc., 2020)Background: Many older people report a willingness to increase outdoor physical activity (PA), but no opportunities for it, a situation termed as unmet PA need. The authors studied whether lower neighborhood mobility and ...
Juppi, Hanna‐Kaarina; Sipilä, Sarianna; Fachada, Vasco; Hyvärinen, Matti; Cronin, Neil; Aukee, Pauliina; Karppinen, Jari E.; Selänne, Harri; Kujala, Urho M.; Kovanen, Vuokko; Karvinen, Sira; Laakkonen, Eija K. (Wiley-Blackwell, 2022)For women, menopausal transition is a time of significant hormonal changes, which may contribute to altered body composition and regional adipose tissue accumulation. Excess adiposity, and especially adipose tissue ...
Body composition as a predictor of physical performance in older age : A ten-year follow-up of the Helsinki Birth Cohort Study Mikkola, Tuija M.; von Bonsdorff, Mikaela; Salonen, Minna K.; Simonen, Mika; Pohjolainen, Pertti; Osmond, Clive; Perälä, Mia-Maria; Rantanen, Taina; Kajantie, Eero; Eriksson, Johan G. (Elsevier Ireland Ltd., 2018)Background This study assessed how different measures of body composition predict physical performance ten years later among older adults. Methods The participants were 1076 men and women aged 57 to 70 years. Body ...
Physical function and lean body mass as predictors of bone loss after hip fracture : a prospective follow-up study Suominen, Tuuli H.; Edgren, Johanna; Salpakoski, Anu; Kallinen, Mauri; Cervinka, Tomas; Rantalainen, Timo; Törmäkangas, Timo; Heinonen, Ari; Sipilä, Sarianna (BioMed Central, 2020)Background Predictors of bone deterioration after hip fracture have not been well characterized. The aim of this study was to examine the associations of physical function and lean body mass (LBM) with loss of bone density ...