Physical Functioning Associated with Life-space Mobility in Later Life Among Men and Women

Overview

Journal BMC Geriatr

Publisher Biomed Central

Specialty Geriatrics

Date 2022 Apr 27

PMID 35473475

Authors

Sofi Fristedt

Ann-Sofi Kammerlind

Eleonor I Fransson

Marie Ernsth Bravell

Affiliations

Soon will be listed here.

Abstract

Background: Life-space mobility is defined as the ability to access different areas extending from the room where the person sleeps to places outside one's hometown. Life-space mobility is vital to support performance of daily life activities and autonomous participation in social life. However, there is a dearth of research that investigates a wider range of physical functions and functioning in relation to life-space mobility rather than just single aspects. Thus, the purpose of the present study was to identify and describe several measures of physical functioning associated with life-space mobility among older men and women.

Methods: Data used in this study was derived from the OCTO 2 study, a population-based study of health, functioning and mobility among older persons (n = 312) in Sweden. Associations between Life-Space Assessment (LSA) total score and age, sex, Short Physical Performance Battery (SPPB), dizziness, lung function i.e. Peak Expiratory Flow (PEF), grip strength, self-rated vision and hearing were analysed through bivariate and multivariate regression models.

Results: The bivariate models showed that life-space mobility was significantly associated with sex, but also age, SPPB, PEF and grip strength in the total group as well as among men and women. In addition, hearing was significantly associated with life-space mobility among women. Those factors that were statistically significant in the bivariate models were further analysed in multivariable models for the total group, and for men and women separately. In these models, sex, grip strength and SPPB remained significantly associated with life-space mobility in the total group, as well as SPPB among both men and women.

Conclusion: Sex, physical function in terms of physical performance measured by SPPB (balance, gait speed and chair stand), and grip strength are associated with life-space mobility. Consequently, these factors need to be considered in assessments and interventions aiming to maintain mobility in old age.

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References

Peel C, Baker P, Roth D, Brown C, Brodner E, Allman R . Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther. 2005; 85(10):1008-119. View

Kimura Y, Nishio N, Abe Y, Ogawa H, Taguchi R, Otobe Y . Relationship between physical activity levels during rehabilitation hospitalization and life-space mobility following discharge in stroke survivors: A multicenter prospective study. Top Stroke Rehabil. 2020; 28(7):481-487. DOI: 10.1080/10749357.2020.1834276. View

Portegijs E, Rantakokko M, Mikkola T, Viljanen A, Rantanen T . Association between physical performance and sense of autonomy in outdoor activities and life-space mobility in community-dwelling older people. J Am Geriatr Soc. 2014; 62(4):615-21. DOI: 10.1111/jgs.12763. View

Kammerlind A, Ernsth Bravell M, Fransson E . Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study. BMC Geriatr. 2016; 16:159. PMC: 5010717. DOI: 10.1186/s12877-016-0335-x. View

Denkinger M, Lukas A, Nikolaus T, Hauer K . Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: a systematic review. Am J Geriatr Psychiatry. 2014; 23(1):72-86. DOI: 10.1016/j.jagp.2014.03.002. View

Ernsth Bravell M, Finkel D, Dahl Aslan A, Reynolds C, Hallgren J, Pedersen N . Motor functioning differentially predicts mortality in men and women. Arch Gerontol Geriatr. 2017; 72:6-11. DOI: 10.1016/j.archger.2017.05.001. View

Dickerson A, Molnar L, Bedard M, Eby D, Berg-Weger M, Choi M . Transportation and Aging: An Updated Research Agenda to Advance Safe Mobility among Older Adults Transitioning From Driving to Non-driving. Gerontologist. 2017; 59(2):215-221. DOI: 10.1093/geront/gnx120. View

Ishihara K, Izawa K, Kitamura M, Ogawa M, Shimogai T, Kanejima Y . Gait speed, life-space mobility and mild cognitive impairment in patients with coronary artery disease. Heart Vessels. 2020; 36(2):147-154. DOI: 10.1007/s00380-020-01677-y. View

Huisingh C, Levitan E, Sawyer P, Kennedy R, Brown C, McGwin G . Impact of Driving Cessation on Trajectories of Life-Space Scores Among Community-Dwelling Older Adults. J Appl Gerontol. 2016; 36(12):1433-1452. DOI: 10.1177/0733464816630637. View

10.

De Dobbeleer L, Theou O, Beyer I, Jones G, Jakobi J, Bautmans I . Martin Vigorimeter assesses muscle fatigability in older adults better than the Jamar Dynamometer. Exp Gerontol. 2018; 111:65-70. DOI: 10.1016/j.exger.2018.07.004. View

11.

Honrubia V, Bell T, Harris M, Baloh R, Fisher L . Quantitative evaluation of dizziness characteristics and impact on quality of life. Am J Otol. 1996; 17(4):595-602. View

12.

Baker P, Bodner E, Allman R . Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc. 2003; 51(11):1610-4. DOI: 10.1046/j.1532-5415.2003.51512.x. View

13.

Zubala A, MacGillivray S, Frost H, Kroll T, Skelton D, Gavine A . Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews. PLoS One. 2017; 12(7):e0180902. PMC: 5507305. DOI: 10.1371/journal.pone.0180902. View

14.

Viljanen A, Mikkola T, Rantakokko M, Portegijs E, Rantanen T . The Association Between Transportation and Life-Space Mobility in Community-Dwelling Older People With or Without Walking Difficulties. J Aging Health. 2015; 28(6):1038-54. DOI: 10.1177/0898264315618919. View

15.

Guralnik J, Simonsick E, Ferrucci L, Glynn R, Berkman L, Blazer D . A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994; 49(2):M85-94. DOI: 10.1093/geronj/49.2.m85. View

16.

Rozzini R, Sleiman I, Maggi S, Noale M, Trabucchi M . Gender differences and health status in old and very old patients. J Am Med Dir Assoc. 2009; 10(8):554-8. DOI: 10.1016/j.jamda.2009.04.005. View

17.

Fristedt S, Kammerlind A, Ernsth Bravell M, Fransson E . Concurrent validity of the Swedish version of the life-space assessment questionnaire. BMC Geriatr. 2016; 16(1):181. PMC: 5100326. DOI: 10.1186/s12877-016-0357-4. View

18.

Kammerlind A, Ledin T, Odkvist L, Skargren E . Recovery after acute unilateral vestibular loss and predictors for remaining symptoms. Am J Otolaryngol. 2010; 32(5):366-75. DOI: 10.1016/j.amjoto.2010.07.008. View

19.

Portegijs E, Rantakokko M, Viljanen A, Sipila S, Rantanen T . Is frailty associated with life-space mobility and perceived autonomy in participation outdoors? A longitudinal study. Age Ageing. 2016; 45(4):550-3. DOI: 10.1093/ageing/afw072. View

20.

Suri A, Rosso A, VanSwearingen J, Coffman L, Redfern M, Brach J . Mobility of Older Adults: Gait Quality Measures Are Associated With Life-Space Assessment Scores. J Gerontol A Biol Sci Med Sci. 2021; 76(10):e299-e306. PMC: 8436978. DOI: 10.1093/gerona/glab151. View