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Centre for Policy on Ageing | |
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Is frailty associated with life-space mobility and pereceived autonomy in participation outdoors?
— a longitudinal study | | Author(s) | Erja Portegijs, Merja Rantakokko, Anne Viljanen |
| Journal title | Age and Ageing, vol 45, no 4, July 2016 |
| Publisher | Oxford University Press, July 2016 |
| Pages | pp 550-553 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Ill health ; Physical capacity ; Independence ; Mobility ; Outdoor life ; Participation ; Longitudinal surveys. |
| Annotation | Essential aspects of independence in community mobility among older people concern the control over where, when and how to participate (perceived autonomy), and actual mobility (life-space mobility, frequency, distance and need of assistance). This study looked at relationships between frailty and life-space mobility and perceived autonomy in participation outdoors among community-dwelling older people aged between 75 and 90 years. The study used longitudinal analyses of the `Life-space mobility in old age' cohort study. Life-space mobility (Life-Space Assessment, range 0_120) and perceived autonomy in participation outdoors (Impact on Participation and Autonomy subscale `autonomy outdoors', range 0_20) were assessed at baseline and two years later. Baseline frailty indicators were unintentional weight loss (self-report), weakness (5 times chair rise), exhaustion (self-report), slowness (2.44 m walk) and low physical activity (self-report). in total, 53% had no frailty, 43% pre-frailty (1-2 frailty indicators) and 4% frailty (3 indicators or more). Generalised estimation equation models showed that life-space mobility was lower among those with frailty and pre-frailty compared with those without frailty and, in addition, declined at a faster pace. Perceived autonomy in participation outdoors was more restricted among those with frailty and pre-frailty compared with those without frailty, but the rate of decline did not differ. Frailty was associated with more restricted life-space mobility and poorer perceived autonomy in the decision-making concerning community mobility. Over the follow-up, frailty predicted a steeper decline in life-space mobility but not in perceived autonomy. Further study is warranted to determine whether compensation strategies or changes in the valuation of activities underlie this discrepancy. (JL). |
| Accession Number | CPA-160805225 A |
| Classmark | CH: BI: C3: C4: HS: TMB: 3J |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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