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dc.contributor.authorLeppä, Heidi
dc.contributor.authorKaravirta, Laura
dc.contributor.authorRantalainen, Timo
dc.contributor.authorRantakokko, Merja
dc.contributor.authorSiltanen, Sini
dc.contributor.authorPortegijs, Erja
dc.contributor.authorRantanen, Taina
dc.date.accessioned2021-08-24T08:18:57Z
dc.date.available2021-08-24T08:18:57Z
dc.date.issued2021
dc.identifier.citationLeppä, 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. <i>Aging Clinical and Experimental Research</i>, <i>33</i>(10), 2909-2916. <a href="https://doi.org/10.1007/s40520-021-01956-2" target="_blank">https://doi.org/10.1007/s40520-021-01956-2</a>
dc.identifier.otherCONVID_100256543
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/77474
dc.description.abstractBackground 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.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofseriesAging Clinical and Experimental Research
dc.rightsCC BY 4.0
dc.subject.otheraging
dc.subject.othercompensation
dc.subject.othermobility
dc.subject.otherparticipation
dc.subject.othersocial isolation
dc.subject.otherSARS-CoV-2
dc.titleUse of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202108244639
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineBiomekaniikkafi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineBiomechanicsen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange2909-2916
dc.relation.issn1594-0667
dc.relation.numberinseries10
dc.relation.volume33
dc.type.versionpublishedVersion
dc.rights.copyright© The Author(s) 2021
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber693045
dc.relation.grantnumber693045
dc.relation.grantnumber310526
dc.relation.grantnumber321336
dc.relation.grantnumber328818
dc.relation.projectidinfo:eu-repo/grantAgreement/EC/H2020/693045/EU//AGNES
dc.subject.ysokävely
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysorajoitukset
dc.subject.ysoomatoimisuus
dc.subject.ysoaktiivisuus
dc.subject.ysoikääntyminen
dc.subject.ysoCOVID-19
dc.subject.ysososiaalinen eristäytyminen
dc.subject.ysoikääntyneet
dc.subject.ysovanhuus
dc.subject.ysoosallistuminen
dc.subject.ysovanhukset
dc.subject.ysoliikunta
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p3706
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p740
jyx.subject.urihttp://www.yso.fi/onto/yso/p15870
jyx.subject.urihttp://www.yso.fi/onto/yso/p15704
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p38829
jyx.subject.urihttp://www.yso.fi/onto/yso/p38370
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p6490
jyx.subject.urihttp://www.yso.fi/onto/yso/p10727
jyx.subject.urihttp://www.yso.fi/onto/yso/p2434
jyx.subject.urihttp://www.yso.fi/onto/yso/p916
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s40520-021-01956-2
dc.relation.funderEuropean Commissionen
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderEuroopan komissiofi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
jyx.fundingprogramERC European Research Council, H2020en
jyx.fundingprogramAcademy Project, AoFen
jyx.fundingprogramAcademy Research Fellow, AoFen
jyx.fundingprogramResearch costs of Academy Research Fellow, AoFen
jyx.fundingprogramERC European Research Council, H2020fi
jyx.fundingprogramAkatemiahanke, SAfi
jyx.fundingprogramAkatemiatutkija, SAfi
jyx.fundingprogramAkatemiatutkijan tutkimuskulut, SAfi
jyx.fundinginformationOpen 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.
dc.type.okmA1


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