Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions.
Aging
Compensation
Mobility
Participation
SARS-CoV-2
Social isolation
Journal
Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
18
05
2021
accepted:
04
08
2021
pubmed:
22
8
2021
medline:
26
10
2021
entrez:
21
8
2021
Statut:
ppublish
Résumé
Outdoor mobility enables participation in essential out-of-home activities in old age. To compare changes in different aspects of outdoor mobility during COVID-19 restrictions versus two years before according to self-reported walking. Community-dwelling participants of AGNES study (2017-2018, initial age 75-85) responded to AGNES-COVID-19 postal survey in spring 2020 (N = 809). Life-space mobility, autonomy in participation outdoors, and self-reported physical activity were assessed at both time points and differences according to self-reported walking modifications and difficulty vs. intact walking at baseline were analyzed. Life-space mobility and autonomy in participation outdoors had declined (mean changes -11.4, SD 21.3; and 6.7, SD 5.3, respectively), whereas physical activity had increased (5.5 min/day, SD 25.1) at follow-up. Participants perceiving walking difficulty reported the poorest baseline outdoor mobility, a steeper decline in life-space mobility (p = 0.001), a smaller increase in physical activity (p < 0.001), and a smaller decline in autonomy in participation outdoors (p = 0.017) than those with intact walking. Those with walking modifications also reported lower baseline life-space mobility and physical activity, a steeper decline in life-space mobility and a smaller increase in physical activity those with intact walking (p < 0.001 for both). Participants reporting walking modifications remained the intermediate group in outdoor mobility over time, whereas those with walking difficulty showed the steepest decline in outdoor mobility and hence potential risk for accelerated further functional decline. Interventions should target older people perceiving walking difficulty, as they may be at the risk for becoming homebound when environmental facilitators for outdoor mobility are removed.
Sections du résumé
BACKGROUND
BACKGROUND
Outdoor mobility enables participation in essential out-of-home activities in old age.
AIM
OBJECTIVE
To compare changes in different aspects of outdoor mobility during COVID-19 restrictions versus two years before according to self-reported walking.
METHODS
METHODS
Community-dwelling participants of AGNES study (2017-2018, initial age 75-85) responded to AGNES-COVID-19 postal survey in spring 2020 (N = 809). Life-space mobility, autonomy in participation outdoors, and self-reported physical activity were assessed at both time points and differences according to self-reported walking modifications and difficulty vs. intact walking at baseline were analyzed.
RESULTS
RESULTS
Life-space mobility and autonomy in participation outdoors had declined (mean changes -11.4, SD 21.3; and 6.7, SD 5.3, respectively), whereas physical activity had increased (5.5 min/day, SD 25.1) at follow-up. Participants perceiving walking difficulty reported the poorest baseline outdoor mobility, a steeper decline in life-space mobility (p = 0.001), a smaller increase in physical activity (p < 0.001), and a smaller decline in autonomy in participation outdoors (p = 0.017) than those with intact walking. Those with walking modifications also reported lower baseline life-space mobility and physical activity, a steeper decline in life-space mobility and a smaller increase in physical activity those with intact walking (p < 0.001 for both).
DISCUSSION
CONCLUSIONS
Participants reporting walking modifications remained the intermediate group in outdoor mobility over time, whereas those with walking difficulty showed the steepest decline in outdoor mobility and hence potential risk for accelerated further functional decline.
CONCLUSION
CONCLUSIONS
Interventions should target older people perceiving walking difficulty, as they may be at the risk for becoming homebound when environmental facilitators for outdoor mobility are removed.
Identifiants
pubmed: 34417731
doi: 10.1007/s40520-021-01956-2
pii: 10.1007/s40520-021-01956-2
pmc: PMC8378291
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2909-2916Subventions
Organisme : the Academy of Finland
ID : 310526
Organisme : the Academy of Finland
ID : 330185
Organisme : the Academy of Finland
ID : 321336
Organisme : the Academy of Finland
ID : 328818
Organisme : European Research Council
ID : 693045
Pays : International
Informations de copyright
© 2021. The Author(s).
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