Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions
Leppä, H., Karavirta, L., Rantalainen, T., Rantakokko, M., Siltanen, S., Portegijs, E., & Rantanen, T. (2021). Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions. Aging Clinical and Experimental Research, 33(10), 2909-2916. https://doi.org/10.1007/s40520-021-01956-2
Published inAging Clinical and Experimental Research
DisciplineGerontologia ja kansanterveysBiomekaniikkaGerontologian tutkimuskeskusGerontology and Public HealthBiomechanicsGerontology Research Center
© The Author(s) 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 according to self-reported walking. Methods Community-dwelling participants of AGNES study (2017–2018, initial age 75–85) responded to AGNES-COVID-19 postal survey in spring 2020 (N = 809). Life-space mobility, autonomy in participation outdoors, and self-reported physical activity were assessed at both time points and differences according to self-reported walking modifications and difficulty vs. intact walking at baseline were analyzed. Results Life-space mobility and autonomy in participation outdoors had declined (mean changes -11.4, SD 21.3; and 6.7, SD 5.3, respectively), whereas physical activity had increased (5.5 min/day, SD 25.1) at follow-up. Participants perceiving walking difficulty reported the poorest baseline outdoor mobility, a steeper decline in life-space mobility (p = 0.001), a smaller increase in physical activity (p < 0.001), and a smaller decline in autonomy in participation outdoors (p = 0.017) than those with intact walking. Those with walking modifications also reported lower baseline life-space mobility and physical activity, a steeper decline in life-space mobility and a smaller increase in physical activity those with intact walking (p < 0.001 for both). Discussion Participants reporting walking modifications remained the intermediate group in outdoor mobility over time, whereas those with walking difficulty showed the steepest decline in outdoor mobility and hence potential risk for accelerated further functional decline. Conclusion Interventions should target older people perceiving walking difficulty, as they may be at the risk for becoming homebound when environmental facilitators for outdoor mobility are removed. ...
PublisherSpringer Science and Business Media LLC
ISSN Search the Publication Forum1594-0667
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland; European Commission
Funding program(s)Academy Research Fellow, AoF; Research costs of Academy Research Fellow, AoF; Academy Project, AoF
The content of the publication reflects only the author’s view. The funder is not responsible for any use that may be made of the information it contains.
Additional information about fundingOpen access funding provided by University of Jyväskylä (JYU). This work was supported by the European Research Council (grant number 693045 to Ta.R), the Academy of Finland (grant numbers 310526 to Ta.R, 330,185 to MR, and 321,336 and 328,818 to Ti.R), the Finnish Ministry of Education and Culture (to MR, Ta.R and EP), and the University of Jyväskylä. The financial sponsors were not involved in the design, implementation, analyses or reporting of the results. In addition, the content of this manuscript does not reflect the official opinion of the European Union. Responsibility for the information and views expressed in the manuscript lies entirely with the authors. ...
Showing items with similar title or keywords.
Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People : A Two-Year Follow-Up Study Skantz, Heidi; Rantanen, Taina; Rantalainen, Timo; Keskinen, Kirsi E.; Palmberg, Lotta; Portegijs, Erja; Eronen, Johanna; Rantakokko, Merja (SAGE Publications, 2020)Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older ...
Older adults’ activity destinations before and during COVID-19 restrictions : From a variety of activities to mostly physical exercise close to home Portegijs, Erja; Keskinen, Kirsi E.; Tuomola, Essi-Mari; Hinrichs, Timo; Saajanaho, Milla; Rantanen, Taina (Elsevier BV, 2021)The aim was to study various types of older adult's activity destinations (counts, frequency of visitation, and distance from home) in the pre-COVID-19 era, and to study prospectively how COVID-19-related regulations ...
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 ...
Coronavirus-related health literacy and perceived restrictiveness of protective measures among community-dwelling older persons in Finland Eronen, Johanna; Paakkari, Leena; Portegijs, Erja; Rantanen, Taina (Springer Science and Business Media LLC, 2021)Background Older people with limited health literacy may encounter difficulties in finding relevant information on COVID-19, understanding its relevance, and complying with recommended protective measures. Complying with ...
Perceptions of community-dwelling older people on ProPA -home-based rehabilitation and physical activity Turakka, Sanna (2020)The purpose of this Master’s thesis study was to qualitatively explore the perceptions of the participants of ProPA -project on the home-based rehabilitation program and to investigate the barriers and facilitators of ...