A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions (2021)


Leppä, 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. Aging Clinical and Experimental Research, 33(10), 2909-2916. https://doi.org/10.1007/s40520-021-01956-2


JYU-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajatLeppä, Heidi; Karavirta, Laura; Rantalainen, Timo; Rantakokko, Merja; Siltanen, Sini; Portegijs, Erja; Rantanen, Taina

Lehti tai sarjaAging Clinical and Experimental Research

ISSN1594-0667

eISSN1720-8319

Julkaisuvuosi2021

Ilmestymispäivä20.08.2021

Volyymi33

Lehden numero10

Artikkelin sivunumerot2909-2916

KustantajaSpringer Science and Business Media LLC

JulkaisumaaSaksa

Julkaisun kielienglanti

DOIhttps://doi.org/10.1007/s40520-021-01956-2

Julkaisun avoin saatavuusAvoimesti saatavilla

Julkaisukanavan avoin saatavuusOsittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX)https://jyx.jyu.fi/handle/123456789/77474


Tiivistelmä

Background
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.


YSO-asiasanatfyysinen aktiivisuusliikuntakävelyikääntyneetikääntyminenvanhuusvanhuksetosallistuminenaktiivisuusomatoimisuussosiaalinen eristäytyminenCOVID-19rajoitukset

Vapaat asiasanataging; compensation; mobility; participation; social isolation; SARS-CoV-2


Liittyvät organisaatiot


Hankkeet, joissa julkaisu on tehty


OKM-raportointiKyllä

Raportointivuosi2021

JUFO-taso1


Viimeisin päivitys 2024-03-04 klo 19:56