Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 5/2016

01-05-2016

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

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

Gepubliceerd in: Quality of Life Research | Uitgave 5/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

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.

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Literatuur
1.
go back to reference The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551–558. CrossRef The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551–558. CrossRef
2.
go back to reference Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113–126. CrossRefPubMed Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113–126. CrossRefPubMed
3.
go back to reference Netuveli, G., Wiggins, R. D., Hildon, Z., Montgomery, S. M., & Blane, D. (2006). Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). Journal of Epidemiology and Community Health, 60(4), 357–363. CrossRefPubMedPubMedCentral Netuveli, G., Wiggins, R. D., Hildon, Z., Montgomery, S. M., & Blane, D. (2006). Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). Journal of Epidemiology and Community Health, 60(4), 357–363. CrossRefPubMedPubMedCentral
4.
go back to reference Blane, D., Netuveli, G., & Montgomery, S. M. (2008). Quality of life, health and physiological status and change at older ages. Social Science & Medicine (1982), 66(7), 1579–1587. CrossRef Blane, D., Netuveli, G., & Montgomery, S. M. (2008). Quality of life, health and physiological status and change at older ages. Social Science & Medicine (1982), 66(7), 1579–1587. CrossRef
5.
go back to reference Wilhelmson, K., Andersson, C., Waern, M., & Allebeck, P. (2005). Elderly people’s perspectives on quality of life. Ageing & Society, 25(4), 585–600. CrossRef Wilhelmson, K., Andersson, C., Waern, M., & Allebeck, P. (2005). Elderly people’s perspectives on quality of life. Ageing & Society, 25(4), 585–600. CrossRef
6.
go back to reference World Health Organization. (2002). ICF: International classification of functioning, disability and health. Geneva: World Health Organization. World Health Organization. (2002). ICF: International classification of functioning, disability and health. Geneva: World Health Organization.
7.
go back to reference World Health Organization (WHO). (2002). Active ageing: A policy framework. World Health Organization (WHO). (2002). Active ageing: A policy framework.
8.
go back to reference Theis, K. A., Murphy, L., Hootman, J. M., & Wilkie, R. (2013). Social participation restriction among US adults with arthritis: A population-based study using the International Classification of Functioning, Disability and Health. Arthritis Care & Research, 65(7), 1059–1069. CrossRef Theis, K. A., Murphy, L., Hootman, J. M., & Wilkie, R. (2013). Social participation restriction among US adults with arthritis: A population-based study using the International Classification of Functioning, Disability and Health. Arthritis Care & Research, 65(7), 1059–1069. CrossRef
9.
go back to reference Wilkie, R., Peat, G., Thomas, E., & Croft, P. (2006). The prevalence of person-perceived participation restriction in community-dwelling older adults. Quality of Life Research, 15(9), 1471–1479. CrossRefPubMed Wilkie, R., Peat, G., Thomas, E., & Croft, P. (2006). The prevalence of person-perceived participation restriction in community-dwelling older adults. Quality of Life Research, 15(9), 1471–1479. CrossRefPubMed
10.
go back to reference Olsson, A., Lampic, C., Skovdahl, K., & Engstrom, M. (2013). Persons with early-stage dementia reflect on being outdoors: A repeated interview study. Aging & Mental Health, 17(7), 793–800. CrossRef Olsson, A., Lampic, C., Skovdahl, K., & Engstrom, M. (2013). Persons with early-stage dementia reflect on being outdoors: A repeated interview study. Aging & Mental Health, 17(7), 793–800. CrossRef
11.
go back to reference Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. The journals of gerontology Series A, Biological Sciences and Medical Sciences, 56((Spec No 2)), 23–35. CrossRefPubMed Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. The journals of gerontology Series A, Biological Sciences and Medical Sciences, 56((Spec No 2)), 23–35. CrossRefPubMed
12.
go back to reference Ekstrom, H., Ivanoff, S. D., & Elmstahl, S. (2008). Restriction in social participation and lower life satisfaction among fractured in pain: Results from the population study “Good Aging in Skane”. Archives of Gerontology and Geriatrics, 46(3), 409–424. CrossRefPubMed Ekstrom, H., Ivanoff, S. D., & Elmstahl, S. (2008). Restriction in social participation and lower life satisfaction among fractured in pain: Results from the population study “Good Aging in Skane”. Archives of Gerontology and Geriatrics, 46(3), 409–424. CrossRefPubMed
13.
go back to reference Levasseur, M., Desrosiers, J., & St-Cyr Tribble, D. (2008). Do quality of life, participation and environment of older adults differ according to level of activity? Health and Quality of Life Outcomes, 6, 30. CrossRefPubMedPubMedCentral Levasseur, M., Desrosiers, J., & St-Cyr Tribble, D. (2008). Do quality of life, participation and environment of older adults differ according to level of activity? Health and Quality of Life Outcomes, 6, 30. CrossRefPubMedPubMedCentral
14.
go back to reference Baker, P. S., Bodner, E. V., & Allman, R. M. (2003). Measuring life-space mobility in community-dwelling older adults. Journal of the American Geriatrics Society, 51(11), 1610–1614. CrossRefPubMed Baker, P. S., Bodner, E. V., & Allman, R. M. (2003). Measuring life-space mobility in community-dwelling older adults. Journal of the American Geriatrics Society, 51(11), 1610–1614. CrossRefPubMed
15.
go back to reference Sawyer, P., & Allman, R. M. (2010). Resilience in mobility in the context of chronic disease and aging: Cross-sectional and prospective findings from the University of Alabama at Birmingham (UAB) Study of Aging. In P. S. Fry & C. L. M. Keyes (Eds.), Frontiers of resilient aging: Life-strengths and wellness in late life (pp. 310–339). New York: Cambridge University Press. CrossRef Sawyer, P., & Allman, R. M. (2010). Resilience in mobility in the context of chronic disease and aging: Cross-sectional and prospective findings from the University of Alabama at Birmingham (UAB) Study of Aging. In P. S. Fry & C. L. M. Keyes (Eds.), Frontiers of resilient aging: Life-strengths and wellness in late life (pp. 310–339). New York: Cambridge University Press. CrossRef
16.
go back to reference Portegijs, E., Rantakokko, M., Mikkola, T. M., Viljanen, A., & Rantanen, T. (2014). Association between physical performance and sense of autonomy in outdoor activities and life-space mobility in community-dwelling older people. Journal of the American Geriatrics Society, 62(4), 615–621. CrossRefPubMed Portegijs, E., Rantakokko, M., Mikkola, T. M., Viljanen, A., & Rantanen, T. (2014). Association between physical performance and sense of autonomy in outdoor activities and life-space mobility in community-dwelling older people. Journal of the American Geriatrics Society, 62(4), 615–621. CrossRefPubMed
17.
go back to reference Lo, A. X., Brown, C. J., Sawyer, P., Kennedy, R. E., & Allman, R. M. (2014). Life-space mobility declines associated with incident falls and fractures. Journal of the American Geriatrics Society, 62(5), 919–923. CrossRefPubMedPubMedCentral Lo, A. X., Brown, C. J., Sawyer, P., Kennedy, R. E., & Allman, R. M. (2014). Life-space mobility declines associated with incident falls and fractures. Journal of the American Geriatrics Society, 62(5), 919–923. CrossRefPubMedPubMedCentral
18.
go back to reference Xue, Q. L., Fried, L. P., Glass, T. A., Laffan, A., & Chaves, P. H. (2008). Life-space constriction, development of frailty, and the competing risk of mortality: The Women’s Health And Aging Study I. American Journal of Epidemiology, 167(2), 240–248. CrossRefPubMed Xue, Q. L., Fried, L. P., Glass, T. A., Laffan, A., & Chaves, P. H. (2008). Life-space constriction, development of frailty, and the competing risk of mortality: The Women’s Health And Aging Study I. American Journal of Epidemiology, 167(2), 240–248. CrossRefPubMed
19.
go back to reference Sheppard, K. D., Sawyer, P., Ritchie, C. S., Allman, R. M., & Brown, C. J. (2013). Life-space mobility predicts nursing home admission over 6 years. Journal of Aging and Health, 25(6), 907–920. CrossRefPubMedPubMedCentral Sheppard, K. D., Sawyer, P., Ritchie, C. S., Allman, R. M., & Brown, C. J. (2013). Life-space mobility predicts nursing home admission over 6 years. Journal of Aging and Health, 25(6), 907–920. CrossRefPubMedPubMedCentral
20.
go back to reference Mackey, D. C., Cauley, J. A., Barrett-Connor, E., Schousboe, J. T., Cawthon, P. M., Cummings, S. R., et al. (2014). Life-space mobility and mortality in older men: A prospective cohort study. Journal of the American Geriatrics Society, 62(7), 1288–1296. CrossRefPubMedPubMedCentral Mackey, D. C., Cauley, J. A., Barrett-Connor, E., Schousboe, J. T., Cawthon, P. M., Cummings, S. R., et al. (2014). Life-space mobility and mortality in older men: A prospective cohort study. Journal of the American Geriatrics Society, 62(7), 1288–1296. CrossRefPubMedPubMedCentral
21.
go back to reference Boyle, P. A., Buchman, A. S., Barnes, L. L., James, B. D., & Bennett, D. A. (2010). Association between life space and risk of mortality in advanced age. Journal of the American Geriatrics Society, 58(10), 1925–1930. CrossRefPubMedPubMedCentral Boyle, P. A., Buchman, A. S., Barnes, L. L., James, B. D., & Bennett, D. A. (2010). Association between life space and risk of mortality in advanced age. Journal of the American Geriatrics Society, 58(10), 1925–1930. CrossRefPubMedPubMedCentral
22.
go back to reference Rantakokko, M., Portegijs, E., Viljanen, A., Iwarsson, S., & Rantanen, T. (2013). Life-space mobility and quality of life among community-dwelling older people. Journal of the American Geriatrics Society, 61, 1830–1832. CrossRefPubMed Rantakokko, M., Portegijs, E., Viljanen, A., Iwarsson, S., & Rantanen, T. (2013). Life-space mobility and quality of life among community-dwelling older people. Journal of the American Geriatrics Society, 61, 1830–1832. CrossRefPubMed
23.
go back to reference Rantanen, T., Portegijs, E., Viljanen, A., Eronen, J., Saajanaho, M., Tsai, L. T., et al. (2012). Individual and environmental factors underlying life space of older people—study protocol and design of a cohort study on life-space mobility in old age (LISPE). BMC Public Health, 12, 1018-2458-12-1018. Rantanen, T., Portegijs, E., Viljanen, A., Eronen, J., Saajanaho, M., Tsai, L. T., et al. (2012). Individual and environmental factors underlying life space of older people—study protocol and design of a cohort study on life-space mobility in old age (LISPE). BMC Public Health, 12, 1018-2458-12-1018.
24.
go back to reference Portegijs, E., Iwarsson, S., Rantakokko, M., Viljanen, A., & Rantanen, T. (2014). Life-space mobility assessment in older people in Finland; Measurement properties in winter and spring. BMC Research Notes, 7(1), 323-0500-7-323. Portegijs, E., Iwarsson, S., Rantakokko, M., Viljanen, A., & Rantanen, T. (2014). Life-space mobility assessment in older people in Finland; Measurement properties in winter and spring. BMC Research Notes, 7(1), 323-0500-7-323.
25.
go back to reference Galobardes, B., Lynch, J., & Smith, G. D. (2007). Measuring socioeconomic position in health research. British Medical Bulletin, 81–82, 21–37. CrossRefPubMed Galobardes, B., Lynch, J., & Smith, G. D. (2007). Measuring socioeconomic position in health research. British Medical Bulletin, 81–82, 21–37. CrossRefPubMed
26.
go back to reference Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. CrossRefPubMed Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. CrossRefPubMed
27.
go back to reference Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., et al. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94. CrossRefPubMed Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., et al. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94. CrossRefPubMed
28.
go back to reference Kammerlind, A. S., Fristedt, S., Ernsth Bravell, M., & Fransson, E. I. (2014). Test-retest reliability of the Swedish version of the Life-Space Assessment Questionnaire among community-dwelling older adults. Clinical Rehabilitation, 28(8), 817–823. CrossRefPubMed Kammerlind, A. S., Fristedt, S., Ernsth Bravell, M., & Fransson, E. I. (2014). Test-retest reliability of the Swedish version of the Life-Space Assessment Questionnaire among community-dwelling older adults. Clinical Rehabilitation, 28(8), 817–823. CrossRefPubMed
29.
go back to reference Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13–22. Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13–22.
30.
go back to reference Azur, M. J., Stuart, E. A., Frangakis, C., & Leaf, P. J. (2011). Multiple imputation by chained equations: What is it and how does it work? International Journal of Methods in Psychiatric Research, 20(1), 40–49. CrossRefPubMedPubMedCentral Azur, M. J., Stuart, E. A., Frangakis, C., & Leaf, P. J. (2011). Multiple imputation by chained equations: What is it and how does it work? International Journal of Methods in Psychiatric Research, 20(1), 40–49. CrossRefPubMedPubMedCentral
31.
go back to reference Gilmour, H. (2012). Social participation and the health and well-being of Canadian seniors. Health reports/Statistics Canada, Canadian Centre for Health Information, 23(4), 23–32. Gilmour, H. (2012). Social participation and the health and well-being of Canadian seniors. Health reports/Statistics Canada, Canadian Centre for Health Information, 23(4), 23–32.
32.
go back to reference Ekwall, A. K., Sivberg, B., & Hallberg, I. R. (2005). Loneliness as a predictor of quality of life among older caregivers. Journal of Advanced Nursing, 49(1), 23–32. CrossRefPubMed Ekwall, A. K., Sivberg, B., & Hallberg, I. R. (2005). Loneliness as a predictor of quality of life among older caregivers. Journal of Advanced Nursing, 49(1), 23–32. CrossRefPubMed
33.
go back to reference Balboa-Castillo, T., Leon-Munoz, L. M., Graciani, A., Rodriguez-Artalejo, F., & Guallar-Castillon, P. (2011). Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health and Quality of Life Outcomes, 9, 47-7525-9-47. Balboa-Castillo, T., Leon-Munoz, L. M., Graciani, A., Rodriguez-Artalejo, F., & Guallar-Castillon, P. (2011). Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health and Quality of Life Outcomes, 9, 47-7525-9-47.
34.
go back to reference Korpela, K. M., Ylen, M., Tyrvainen, L., & Silvennoinen, H. (2010). Favorite green, waterside and urban environments, restorative experiences and perceived health in Finland. Health Promotion International, 25(2), 200–209. CrossRefPubMed Korpela, K. M., Ylen, M., Tyrvainen, L., & Silvennoinen, H. (2010). Favorite green, waterside and urban environments, restorative experiences and perceived health in Finland. Health Promotion International, 25(2), 200–209. CrossRefPubMed
35.
go back to reference Pasanen, T. P., Tyrvainen, L., & Korpela, K. M. (2014). The relationship between perceived health and physical activity indoors, outdoors in built environments, and outdoors in nature. Applied Psychology, Health and Well-Being, 6(3), 324–346. CrossRef Pasanen, T. P., Tyrvainen, L., & Korpela, K. M. (2014). The relationship between perceived health and physical activity indoors, outdoors in built environments, and outdoors in nature. Applied Psychology, Health and Well-Being, 6(3), 324–346. CrossRef
36.
go back to reference Bowler, D. E., Buyung-Ali, L. M., Knight, T. M., & Pullin, A. S. (2010). A systematic review of evidence for the added benefits to health of exposure to natural environments. BMC Public Health, 10, 456-2458-10-456. Bowler, D. E., Buyung-Ali, L. M., Knight, T. M., & Pullin, A. S. (2010). A systematic review of evidence for the added benefits to health of exposure to natural environments. BMC Public Health, 10, 456-2458-10-456.
37.
go back to reference Pynnonen, K., Tormakangas, T., Heikkinen, R. L., Rantanen, T., & Lyyra, T. M. (2012). Does social activity decrease risk for institutionalization and mortality in older people? The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 67(6), 765–774. CrossRefPubMed Pynnonen, K., Tormakangas, T., Heikkinen, R. L., Rantanen, T., & Lyyra, T. M. (2012). Does social activity decrease risk for institutionalization and mortality in older people? The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 67(6), 765–774. CrossRefPubMed
38.
go back to reference Alexandre Tda, S., Cordeiro, R. C., & Ramos, L. R. (2009). Factors associated to quality of life in active elderly. Revista de Saude Publica, 43(4), 613–621. CrossRefPubMed Alexandre Tda, S., Cordeiro, R. C., & Ramos, L. R. (2009). Factors associated to quality of life in active elderly. Revista de Saude Publica, 43(4), 613–621. CrossRefPubMed
39.
go back to reference Karakaya, M. G., Bilgin, S. C., Ekici, G., Kose, N., & Otman, A. S. (2009). Functional mobility, depressive symptoms, level of independence, and quality of life of the elderly living at home and in the nursing home. Journal of the American Medical Directors Association, 10(9), 662–666. CrossRefPubMed Karakaya, M. G., Bilgin, S. C., Ekici, G., Kose, N., & Otman, A. S. (2009). Functional mobility, depressive symptoms, level of independence, and quality of life of the elderly living at home and in the nursing home. Journal of the American Medical Directors Association, 10(9), 662–666. CrossRefPubMed
40.
go back to reference Rantanen, T., Ayravainen, I., Eronen, J., Lyyra, T., Tormakangas, T., Vaarama, M., et al. (2015). The effect of an outdoor activities’ intervention delivered by older volunteers on the quality of life of older people with severe mobility limitations: a randomized controlled trial. Aging Clinical and Experimental Research, 27(2), 161–169. CrossRefPubMed Rantanen, T., Ayravainen, I., Eronen, J., Lyyra, T., Tormakangas, T., Vaarama, M., et al. (2015). The effect of an outdoor activities’ intervention delivered by older volunteers on the quality of life of older people with severe mobility limitations: a randomized controlled trial. Aging Clinical and Experimental Research, 27(2), 161–169. CrossRefPubMed
41.
go back to reference Schwartz, C. E., & Sprangers, M. A. G. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548. CrossRefPubMed Schwartz, C. E., & Sprangers, M. A. G. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548. CrossRefPubMed
Metagegevens
Titel
Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study
Auteurs
Merja Rantakokko
Erja Portegijs
Anne Viljanen
Susanne Iwarsson
Markku Kauppinen
Taina Rantanen
Publicatiedatum
01-05-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1137-x