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

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

Purpose Life-space mobility refers to the spatial area in which a person moves in daily life, taking into account distance, frequency and assistance needed. The aim was to examine how changes in life-space mobility are associated with changes in quality of life (QOL) over a 2-year period. Methods Co...

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Veröffentlicht in:Quality of Life Research. - Springer Science + Business Media. - 25(2016), 5, Seite 1189-1197
1. Verfasser: Rantakokko, Merja (VerfasserIn)
Weitere Verfasser: Portegijs, Erja, Viljanen, Anne, Iwarsson, Susanne, Kauppinen, Markku, Rantanen, Taina
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2016
Zugriff auf das übergeordnete Werk:Quality of Life Research
Schlagworte:Social sciences Health sciences Biological sciences Behavioral sciences Arts
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100 1 |a Rantakokko, Merja  |e verfasserin  |4 aut 
245 1 0 |a Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study 
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520 |a Purpose Life-space mobility refers to the spatial area in which a person moves in daily life, taking into account distance, frequency and assistance needed. The aim was to examine how changes in life-space mobility are associated with changes in quality of life (QOL) over a 2-year period. Methods Community-dwelling people aged 75-90 years (n = 848) were interviewed face-to-face in their homes and followed up annually for 2 years. QOL was assessed with the short version of the World Health Organization QOL assessment (range 0-130, higher scores indicate better QOL). Life-space mobility was assessed with the Life-Space Assessment (range 0-120, higher scores indicate better life-space mobility). Lower extremity performance was objectively measured with the Short Physical Performance Battery (SPPB). Cognitive impairment was assessed using the Mini-Mental State Examination. Chronic conditions and years of education were self-reported. Data were analyzed with generalized estimation equation models. Results The mean life-space score at baseline was 63.9 ± SD 20.6 and mean QOL score 100.3 ± 11.8. Over the follow-up, the QOL score decreased to 95.0 ± 13.8 across the total study sample. The decrease in QOL score was somewhat higher among those whose life-space mobility score declined >10 points during the follow-up compared to those whose life-space remained stable or improved, even after adjustment for age, gender, number of chronic conditions, cognitive impairment, SPPB and education. Conclusions Decline in life-space mobility is associated with decline in QOL. The results highlight the importance of ensuring continuous possibilities for out-of-home mobility in maintaining QOL among older people. 
540 |a © Springer International Publishing 2016 
650 4 |a Social sciences  |x Population studies  |x Human populations  |x Persons  |x Adults  |x Older adults 
650 4 |a Health sciences  |x Health and wellness  |x Health status  |x Quality of life 
650 4 |a Biological sciences  |x Biology  |x Anatomy  |x Extremities  |x Lower extremity 
650 4 |a Health sciences  |x Medical conditions  |x Diseases  |x Chronic diseases 
650 4 |a Biological sciences  |x Biology  |x Genetics  |x Phenotypes  |x Human physical characteristics  |x Age 
650 4 |a Health sciences  |x Medical specialties  |x Geriatrics 
650 4 |a Behavioral sciences  |x Sociology  |x Applied sociology  |x Gerontology 
650 4 |a Behavioral sciences  |x Psychology  |x Cognitive psychology  |x Cognitive processes  |x Cognition 
650 4 |a Health sciences  |x Health and wellness  |x Physical health  |x Exercise 
650 4 |a Arts  |x Applied arts  |x Design  |x Design engineering  |x Design analysis  |x CLINICAL AND POLICY APPLICATIONS 
655 4 |a research-article 
700 1 |a Portegijs, Erja  |e verfasserin  |4 aut 
700 1 |a Viljanen, Anne  |e verfasserin  |4 aut 
700 1 |a Iwarsson, Susanne  |e verfasserin  |4 aut 
700 1 |a Kauppinen, Markku  |e verfasserin  |4 aut 
700 1 |a Rantanen, Taina  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Quality of Life Research  |d Springer Science + Business Media  |g 25(2016), 5, Seite 1189-1197  |w (DE-627)320474399  |w (DE-600)2008960-0  |x 15732649  |7 nnns 
773 1 8 |g volume:25  |g year:2016  |g number:5  |g pages:1189-1197 
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