Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study

Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Kauppinen, Markku; Rantanen, Taina

doi:10.1007/s11136-015-1137-x

Cited by 138 publications

(115 citation statements)

References 44 publications

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“…This may have important health benefits, as leaving the home is the single most important factor for increasing physical activity among older people [27]. In particular, goals related to being active, exercising, and maintaining functioning may benefit the quality of life of older people by enabling them to maintain a wider life-space [9,10]. On the contrary, lack of interest in moving outside the home may result in some older people spending time mainly at home [4], inevitably leading to sedentary behavior [27].…”

Section: Resultsmentioning

confidence: 99%

“…Higher life-space mobility has been associated with sense of autonomy [8], extraverted personality, social activity, and orienting more toward the future instead of only the present day [4]. Higher lifespace mobility correlates with better quality of life [9,10], and may even decrease the risk of frailty and mortality [11]. Consequently, finding ways to maintain or increase life-space mobility could contribute to well-being in old age.…”

Section: Introductionmentioning

confidence: 99%

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Personal goals and changes in life-space mobility among older people

Saajanaho

Rantakokko

Portegijs

et al. 2015

Preventive Medicine

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Mobility in Old Age study (LISPE), which was conducted between 2012 and 2014, the participants responded to the Life-Space Assessment and Personal Project Analysis in addition to questions on socio-demographics and health. Data were analyzed using generalized estimation equation models. The results showed that goals indicating a desire to be active in daily life, to stay mentally alert, and to exercise were associated with higher lifespace mobility, and that the associations remained over the follow-up years. Goals related to maintaining functioning predicted higher life-space mobility at the two-year follow-up. In contrast, goals reflecting improvement of poor physical functioning predicted lower lifespace mobility. The results remained significant even when adjusted for indicators of health and functioning. This study indicates that supporting older people in striving for relevant personal goals in their lives might contribute to a larger life-space and thus also to improved quality of life in old age.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Personal goals and changes in life-space mobility among older people

Saajanaho

Rantakokko

Portegijs

et al. 2015

Preventive Medicine

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“…The study design and methods have been published previously. 20,21 Briefly, a random sample of 2550 was drawn from the population register. These persons were informed about the study by a letter and interviewed over the phone to determine interest and eligibility for participation (living independently, able to communicate, residing in recruitment area and willing to participate).…”

Section: Methodsmentioning

confidence: 99%

Identification of Older People at Risk of ADL Disability Using the Life-Space Assessment: A Longitudinal Cohort Study

Portegijs

Rantakokko

Viljanen

et al. 2016

Journal of the American Medical Directors Association

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Running headline: LSA to identify risk for ADL disability 2 Identification of older people at risk of ADL disability using the Life-Space Assessmenta longitudinal cohort study Objectives. Life-space mobility, assessed with the Life-Space Assessment (LSA), reflects an individual's mobility in terms of the spatial area, frequency, and need for assistance. The aims were to study associations between life-space mobility and disability status in activities of daily living (ADL), and to define cut-off scores for baseline LSA and LSA change over time identifying individuals who developed ADL inability during two years of follow-up. Robustness of the cut-off scores was tested accounting for potential confounders.Design. Longitudinal analyses of the "Life-space mobility in old age" cohort study.Setting. Home-based interviews at baseline and phone interviews two years later.Participants. Seven-hundred-fifty-five community-dwelling 75-90-years-old people living in Central Finland.Measurements. LSA score (range 0-120) and ADL disability status (no difficulty, difficulty in ≥1 tasks, or inability in ≥1 tasks) were determined based on self-reports.Results. Participants who developed difficulty or inability in ADL over time presented lower LSA scores at baseline and larger declines compared to those who remained without task difficulty or inability during the follow-up, respectively. Sensitivity and specificity analyses showed that baseline LSA ≤52.3 (0.86 and 0.74, respectively) and LSA decline of >11.7 (0.76 and 0.71, respectively) identified participants who developed ADL inability over the follow-up. Multinomial regression showed that, after adjustment for potential confounders, these cut-off scores increased the odds to develop new difficulty in ADL tasks, and the odds to develop ADL inability among those with baseline difficulty. Conclusion.Our results suggest that restrictions and declines in life-space mobility may be early signs of increasing vulnerability to disability in old age. These longitudinally-defined cut-off points may help to find clinical applications for the LSA.

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“…The study design, methods and non-response analyses have been reported in detail previously (9,17). Briefly, a random sample of 2550 community-dwelling-75-to 90-year-old residents of the municipalities of Jyväskylä and Muurame was drawn from the national population register.…”

Section: Study Design and Participantsmentioning

confidence: 99%

“…Decline in life-space mobility is associated with adverse health events, such as increased use of health services (6), nursing home admissions (7) and even mortality (8). Such decline is also associated with decline in quality of life in the community-dwelling general population (9). While decline in life-space mobility is common with increasing age, some people are able to maintain their life-space mobility despite chronic diseases or age-related changes in physical functioning (5).…”

Section: Introductionmentioning

confidence: 99%