Longitudinal changes in life-space mobility and autonomy in participation outdoors among Finnish community-dwelling older adults from pre-COVID-19 to through the pandemic
Lindeman, K., Karavirta, L., Koivunen, K., Keskinen, K. E., Eronen, J., Portegijs, E., & Rantanen, T. (2024). Longitudinal changes in life-space mobility and autonomy in participation outdoors among Finnish community-dwelling older adults from pre-COVID-19 to through the pandemic. Aging Clinical and Experimental Research, 36, Article 85. https://doi.org/10.1007/s40520-024-02734-6
Published in
Aging Clinical and Experimental ResearchAuthors
Date
2024Discipline
Hyvinvoinnin tutkimuksen yhteisöResurssiviisausyhteisöGerontologia ja kansanterveysSchool of WellbeingSchool of Resource WisdomGerontology and Public HealthCopyright
© The Author(s) 2024
Background
Among older people, community mobility was reduced at the beginning of the COVID-19 pandemic, but the longer-term changes are unclear.
Aims
To study lower extremity performance and car driving as predictors of changes in older adults’ life-space mobility, autonomy in participation outdoors, and the risk of developing restricted life-space mobility from 2017 to 2022.
Methods
Life-space mobility (scoring range 0-120) and autonomy in participation outdoors (scoring range 0–20) were assessed in community-dwelling individuals (n = 657) in 2017–2018 (baseline age 75, 80, or 85 years), during the first wave of COVID-19 in 2020, and in 2021–2022. Lower extremity performance was assessed using the Short Physical Performance Battery, and car driving was self-reported at baseline. Data were analysed using generalized estimating equations and Cox regression.
Results
During the first wave of COVID-19 in 2020, life-space mobility decreased on average by 10.3 (SD 21.6) points and partially recovered in 2021–2022 (+ 2.7, SD 21.8). The same pattern was observed for autonomy in participation outdoors. Non-drivers and those with impaired lower extremity performance had a 2.4-to-3.6-fold adjusted risk of developing restricted life-space mobility over the follow-up period compared to drivers with intact lower extremity performance.
Conclusions
For older people, the recovery of community mobility was incomplete after the restrictions stemming from the pandemic were lifted. Older adults with impaired lower extremity performance and who did not drive were particularly vulnerable to developing restricted life-space mobility, a situation that could lead to social isolation and reduced well-being.
...
Publisher
SpringerISSN Search the Publication Forum
1594-0667Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/207852719
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [3120]
Related funder(s)
Research Council of Finland; European Commission; Juho Vainio FoundationFunding program(s)
Research costs of Academy Research Fellow, AoF; ERC European Research Council, H2020; Academy Research Fellow, AoF; Academy Project, AoF; Foundation
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 funding
This work was supported by the European Research Council (grant number ERC AdvG 693045 to T.R.); the Academy of Finland (grant numbers 310526 to T.R., 339391 and 346462 to L.K.); the Finnish Ministry of Education and Culture (to T.R.); the Juho Vainio Foundation (to K.E.K.); the JYU.Well – School of Wellbeing of the University of Jyväskylä (to K.K.). The content of this manuscript does not represent the official opinion of the European Union. Responsibility for the information and views expressed in the manuscript lies entirely with the authors. Open Access funding provided by University of Jyväskylä (JYU). ...License
Related items
Showing items with similar title or keywords.
-
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 ... -
Reciprocal Associations Between Relative or Absolute Physical Activity, Walking Performance, and Autonomy in Outdoor Mobility Among Older Adults : A 4-Year Follow-Up
Lindeman, Katja; Koivunen, Kaisa; Rantalainen, Timo; Rantakokko, Merja; Portegijs, Erja; Rantanen, Taina; Karavirta, Laura (SAGE Publications, 2024)Objectives: To examine the reciprocal associations between walking performance, physical activity (PA), and perceived autonomy in outdoor mobility in 322 older adults. Methods: At baseline and four years later, a 6-min ... -
Perceived environmental barriers to outdoor mobility and changes in sense of autonomy in participation outdoors among older people: a prospective two-year cohort study
Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Kauppinen, Markku; Rantanen, Taina (Routledge, 2017)Objective: The aim was to study whether perceived environmental barriers to outdoor mobility affect changes in sense of autonomy in participation outdoors among community-dwelling older people over a two-year period. Methods: ... -
Physical disability in community-dwelling older people after hip fracture : randomized controlled trials with physical rehabilitation
Edgren, Johanna (University of Jyväskylä, 2013) -
Is frailty associated with life-space mobility and perceived autonomy in participation outdoors? : A longitudinal study
Portegijs, Erja; Rantakokko, Merja; Viljanen, Anne; Sipilä, Sarianna; Rantanen, Taina (Oxford University Press; British Geriatrics Society, 2016)Background: essential aspects of independence in community mobility among older people concern the control over where, when and how to participate (perceived autonomy), and actual mobility (life-space mobility; frequency, ...