Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study

Perracini, Mônica Rodrigues; Amorim, Juleimar Soares Coelho de; Lima, Camila Astolphi; Silva, Alexandre da; Trombini-Souza, Francis; Pereira, Daniele Sirineu; Pelicioni, Paulo Henrique Silva; Duim, Etiene; Batista, Patrícia Parreira; Santos, Aurélio Dias; Lima, Maria do Carmo Correia de

doi:10.3389/fpubh.2021.643640

Cited by 41 publications

(41 citation statements)

References 54 publications

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“…These results can be, at least partly, explained by the fact that even before the COVID-19 pandemic, compared to older men, older women had a smaller life-space and were more likely to do cleaning activities ( Rosso, Grubesic, Auchincloss, Tabb, & Michael, 2013Rosso et al, 2013 ). Additionally, the results are in accordance with previous findings that the life-threatening COVID-19 pandemic situation has not alarmed older men as much as older women ( Perracini et al, 2021 ). These findings suggest that gender-related behaviors may be implicated in COVID-19 vulnerability; thus, it is important to leverage sociocultural norms pertaining to gender roles to design effective interventions for the entire population in response to the pandemic.…”

Section: Discussionsupporting

confidence: 92%

Driving, Social Distancing, Protective, and Coping Behaviors of Older Adults Before and During COVID-19

Roe¹,

Bayat

Hicks

et al. 2022

J Appl Gerontol

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A thorough understanding of individual characteristics of older adults during the COVID-19 pandemic is critical for managing the ongoing pandemic course and planning for the future pandemics. Here, we explore the impact of the COVID-19 pandemic on driving, social distancing, protective, and coping behaviors of older adults. This study reports data on participants aged above 65 whose driving behaviors are being monitored using Global Positioning System (GPS) devices. Participants completed a COVID-19 survey in May 2020. We found that older adults decreased their number of days driving, number of trips per day, as well as average driving speed, and had fewer speeding incidents following COVID-19 onset. We also show that female and African American older adults engaged in more positive coping and cleaning behaviors, and had greater decreases in the number of days driving during the pandemic. The findings highlight the importance of considering older adults’ individual characteristics for an equitable response to the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 92%

Driving, Social Distancing, Protective, and Coping Behaviors of Older Adults Before and During COVID-19

Roe¹,

Bayat

Hicks

et al. 2022

J Appl Gerontol

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“… 28 , 29 , 30 It is also possible that public health recommendations for quarantine and self-isolation for individuals who have test results positive for COVID-19 restricted physical activity and may have exacerbated the mobility and physical function decline. 31 , 32 …”

Section: Discussionmentioning

confidence: 99%

Assessment of Functional Mobility After COVID-19 in Adults Aged 50 Years or Older in the Canadian Longitudinal Study on Aging

et al. 2022

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IMPORTANCEThe association of COVID-19 not requiring hospitalization with functional mobility in community-dwelling adults above and beyond the impact of the pandemic control measures implemented in 2020 remains to be elucidated. OBJECTIVETo evaluate the association between a COVID-19 diagnosis and change in mobility and physical function of adults in Canada aged 50 years or older during the initial pandemic lockdown. DESIGN, SETTING, AND PARTICIPANTS This population-based cohort study used data from the Canadian Longitudinal Study on Aging (CLSA) COVID-19 study. This study was launched on April 15, 2020, and the exit questionnaires were completed between September and December 2020. Prepandemic data from the first CLSA follow-up (2015-2018) were also used. Respondents included middle-aged and older community-dwelling participants residing in Canadian provinces. Data were analyzed from February to May 2021. EXPOSURES The assessment for self-reported COVID-19 status was adapted from the Public Health Agency of Canada and the Centers for Disease Control and Prevention case definition available at the time of data collection; cases were classified as confirmed or probable, suspected, or non-COVID-19. MAIN OUTCOMES AND MEASURES Changes in mobility since the start of the COVID-19 pandemic were assessed using global rating of change in mobility scales at the COVID-19 exit questionnaire.Participant-reported new onset of difficulty in 3 physical function tasks was also examined. RESULTS Among 51 338 participants at baseline, 21 491 participants (41.9%) were 65 years or older and 26 155 participants (51.0%) were women and 25 183 (49.1%) were men. Of 2748 individuals with confirmed or probable or suspected 113 (94.2%) were not hospitalized. Individuals with confirmed or probable COVID-19 had higher odds of worsening mobility in terms of ability to engage in household activity (odds ratio [OR], 1.89; 95% CI, 1.11-3.22), physical activity (OR, 1.91; 95% CI, 1.32-2.76), and standing up after sitting in a chair (OR, 2.33; 95% CI, 1.06-5.11) compared with adults without COVID-19 during the same pandemic time period. Similar results were found for suspected COVID-19 status (eg, household activity: OR, 2.09; 95% CI, 1.82-2.41). CONCLUSIONS AND RELEVANCEThis cohort study among older adults in Canada found that receiving a COVID-19 diagnosis was significantly associated with worse mobility and functioning outcomes even in the absence of hospitalization. These findings suggest that interventions may be needed for individuals with mild to moderate COVID-19 who do not require hospitalization.

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“…Previous studies have demonstrated an association between declining life-space and an increased risk of frailty, [ 23 ] reduced physical activity, [ 24 ] and poor mental health [ 25 ]. A few studies have reported a significant reduction in LSM among older people during the COVID-19 pandemic [ 26 , 27 ]. Studies conducted in Brazil and Finland demonstrated that restrictions in life-space during the COVID-19 pandemic had a negative impact on the quality of life of older people [ 15 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia and its association with objectively measured life-space mobility and moderate-to-vigorous physical activity in the oldest-old amid the COVID-19 pandemic when a physical distancing policy is in force

et al. 2022

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Introduction The oldest-old are highly vulnerable to sarcopenia. Physical distancing remains a common and effective infection-control policy to minimize the risk of COVID-19 transmission during the pandemic. Sarcopenia is known to be associated with impaired immunity. Moderate-to-vigorous physical activity (MVPA) and life-space mobility (LSM) are potential strategies for minimizing the risk of sarcopenia. However, a physical distancing policy might jeopardize the practice of MVPA and LSM. The purposes of this study were to identify the prevalence of sarcopenia and examine the association between MVPA and LSM with sarcopenia in the community-dwelling oldest-old during the COVID-19 pandemic. Methods This study employed a cross-sectional and observational design. The study was conducted in 10 community centres for older people in Hong Kong during the period of the COVID-19 pandemic (September to December 2020). Eligible participants were the oldest-old people aged ≥85 years, who were community-dwelling and had no overt symptoms of cognitive impairment or depression. Key variables included sarcopenia as measured by SARC-F, LSM as measured by a GPS built into smartphones, and MVPA as measured by a wrist-worn ActiGraph GT3X+. Variables were described by mean and frequency. A multiple linear regression was employed to test the hypotheses. The dependent variable was sarcopenia and the independent variables included LSM and MVPA. Results This study recruited 151 eligible participants. Their mean age was 89.8 years and the majority of them were female (n = 93/151, 61.6%). The prevalence of sarcopenia was 24.5% (n = 37/151) with a margin of error of 6.86%. MVPA was negatively associated with sarcopenia in older people (β = − 0.002, SE = 0.001, p = 0.029). However, LSM was not associated with sarcopenia. Conclusion The prevalence of sarcopenia in the community-dwelling oldest-old population is high. MVPA is negatively associated with sarcopenia. LSM is unrelated to sarcopenia. Sarcopenia should be recognized and the oldest-old with sarcopenia should be accorded priority treatment during the COVID-19 pandemic.

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Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study

Cited by 41 publications

References 54 publications

Driving, Social Distancing, Protective, and Coping Behaviors of Older Adults Before and During COVID-19

Driving, Social Distancing, Protective, and Coping Behaviors of Older Adults Before and During COVID-19

Assessment of Functional Mobility After COVID-19 in Adults Aged 50 Years or Older in the Canadian Longitudinal Study on Aging

Sarcopenia and its association with objectively measured life-space mobility and moderate-to-vigorous physical activity in the oldest-old amid the COVID-19 pandemic when a physical distancing policy is in force

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