Reciprocal Associations Between Relative or Absolute Physical Activity, Walking Performance, and Autonomy in Outdoor Mobility Among Older Adults : A 4-Year Follow-Up
Lindeman, K., Koivunen, K., Rantalainen, T., Rantakokko, M., Portegijs, E., Rantanen, T., & Karavirta, L. (2024). Reciprocal Associations Between Relative or Absolute Physical Activity, Walking Performance, and Autonomy in Outdoor Mobility Among Older Adults : A 4-Year Follow-Up. Journal of Aging and Health, Early online. https://doi.org/10.1177/08982643241282918
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Journal of Aging and HealthAuthors
Date
2024Copyright
© The Author(s) 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 walk test assessed walking performance. A thigh-mounted accelerometer monitored relative PA (acceleration exceeding the individual’s preferred walking intensity on the walk test) and absolute MVPA (acceleration exceeding 3 METs) in free-living. Autonomy in outdoor mobility was self-reported using the IPA subscale. Cross-lagged panel model was used for analyses. Results: Higher relative PA at baseline predicted better walking performance four years later and vice versa (p < .05). Baseline MVPA did not predict subsequent walking performance, but better initial walking performance predicted higher subsequent MVPA (p < .001). In both models, only walking performance predicted perceived autonomy at follow-up (p < .05). Discussion: Accumulating enough PA of a sufficient relative intensity can maintain good walking performance, which in turn helps to maintain perceived autonomy in mobility.
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SAGE PublicationsISSN Search the Publication Forum
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https://converis.jyu.fi/converis/portal/detail/Publication/243033664
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Related funder(s)
Research Council of Finland; Ministry of Education and Culture; European CommissionFunding program(s)
Research costs of Academy Research Fellow, AoF; Others; Academy Research Fellow, AoF; Academy Project, AoF; ERC European Research Council, H2020
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
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the European Research Council (grant number ERC AdvG 693045 to T.R.); the Research Council of Finland (grant number 310526 to T.R.; grant numbers 339391 and 346462 to L.K.; grant number 330185 to M.R.; grant numbers 321336, 328818, and 352653 to Ti.R.); the Finnish Ministry of Education and Culture (grant numbers OKM/25/626/2021, OKM/88/626/2021, OKM/73/626/2022 to T.R); the JYU.Well – Community of wellbeing researchers at the University of Jyväskylä and Juho Vainio Foundation (to K.K.). ...License
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