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

Rantakokko, Merja, Portegijs, Erja, Viljanen, Anne, Iwarsson, Susanne, Kauppinen, Markku and Rantanen, Taina (2015) Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study. Quality of Life Research, . doi:10.1007/s11136-015-1137-x


Author Rantakokko, Merja
Portegijs, Erja
Viljanen, Anne
Iwarsson, Susanne
Kauppinen, Markku
Rantanen, Taina
Title Changes in life-space mobility and quality of life among community-dwelling older people: a 2-year follow-up study
Journal name Quality of Life Research   Check publisher's open access policy
ISSN 0962-9343
1573-2649
Publication date 2015-09-25
Year available 2015
Sub-type Article (original research)
DOI 10.1007/s11136-015-1137-x
Open Access Status Not Open Access
Total pages 9
Place of publication Dordrecht, The Netherlands
Publisher Springer
Collection year 2016
Language eng
Formatted 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.
Keyword Participation
Aging
Outdoor activity
Life space
Wellbeing
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Thu, 01 Oct 2015, 09:17:45 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work