27 results on '"Portegijs, Erja"'
Search Results
2. The effect of individualized, theory-based counselling intervention on active aging and quality of life among older people (the AGNES intervention study)
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Rantanen, Taina, Hassandra, Mary, Pynnönen, Katja, Siltanen, Sini, Kokko, Katja, Karavirta, Laura, Kauppinen, Markku, Sipilä, Sarianna, Saajanaho, Milla, and Portegijs, Erja
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- 2020
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3. Association of tenacious goal pursuit and flexible goal adjustment with out-of-home mobility among community-dwelling older people
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Siltanen, Sini, Rantanen, Taina, Portegijs, Erja, Tourunen, Anu, Poranen-Clark, Taina, Eronen, Johanna, and Saajanaho, Milla
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- 2019
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4. Perception of parks and trails as mobility facilitators and transportation walking in older adults: a study using digital geographical maps
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Hinrichs, Timo, Keskinen, Kirsi E., Pavelka, Béla, Eronen, Johanna, Schmidt-Trucksäss, Arno, Rantanen, Taina, and Portegijs, Erja
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- 2019
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5. Map-based assessment of older adults’ life space: validity and reliability
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Hinrichs, Timo, Zanda, Adriana, Fillekes, Michelle P., Bereuter, Pia, Portegijs, Erja, Rantanen, Taina, Schmidt-Trucksäss, Arno, Zeller, Andreas W., and Weibel, Robert
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- 2020
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6. Individualized counselling for active aging: protocol of a single-blinded, randomized controlled trial among older people (the AGNES intervention study)
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Rantanen, Taina, Pynnönen, Katja, Saajanaho, Milla, Siltanen, Sini, Karavirta, Laura, Kokko, Katja, Karvonen, Anu, Kauppinen, Markku, Rantalainen, Timo, Rantakokko, Merja, Portegijs, Erja, and Hassandra, Mary
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- 2019
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7. Associations Between Accelerometer-Based Free-Living Walking and Self-Reported Walking Capability Among Community-Dwelling Older People.
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Skantz, Heidi, Rantalainen, Timo, Karavirta, Laura, Rantakokko, Merja, Palmberg, Lotta, Portegijs, Erja, and Rantanen, Taina
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SELF-evaluation ,ACCELEROMETERS ,INDEPENDENT living ,WALKING ,PHYSICAL mobility ,EXERCISE intensity ,RECEIVER operating characteristic curves - Abstract
The authors examined whether accelerometer-based free-living walking differs between those reporting walking modifications or perceiving walking difficulty versus those with no difficulty. Community-dwelling 75-, 80-, or 85-year-old people (N = 479) wore accelerometers continuously for 3–7 days, and reported whether they perceived no difficulties, used walking modifications, or perceived difficulties walking 2 km. Daily walking minutes, walking bouts, walking bout intensity and duration, and activity fragmentation were calculated from accelerometer recordings, and cut points for increased risk for perceiving walking difficulties were calculated using receiver operating characteristic analysis. The authors' analyses showed that accumulating ≤83.1 daily walking minutes and walking bouts duration ≤47.8 s increased the likelihood of reporting walking modifications and difficulties. Accumulating walking bouts ≤99.4 per day, having walking bouts ≤0.119 g intensity, and ≥0.257 active to sedentary transition probability fragmented activity pattern were associated only with perceiving walking difficulties. The findings suggest that older people's accelerometer-based free-living walking reflects their self-reported walking capability. [ABSTRACT FROM AUTHOR]
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- 2021
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8. Neighborhood Resources Associated With Active Travel in Older Adults—A Cohort Study in Six European Countries.
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Portegijs, Erja, Timmermans, Erik J., Castell, Maria V., Dennison, Elaine M., Herbolsheimer, Florian, Limongi, Federica, van der Pas, Suzan, Schaap, Laura A., van Schoor, Natasja, and Deeg, Dorly J.H.
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CONFIDENCE intervals ,ENVIRONMENTAL health ,LONGITUDINAL method ,TRAVEL ,DESCRIPTIVE statistics - Abstract
Objectives: To study associations between perceived neighborhood resources and time spent by older adults in active travel. Methods: Respondents in six European countries, aged 65–85 years, reported on the perceived presence of neighborhood resources (parks, places to sit, public transportation, and facilities) with response options "a lot," "some," and "not at all." Daily active travel time (total minutes of transport-related walking and cycling) was self-reported at the baseline (n = 2,695) and 12–18 months later (n = 2,189). Results: Reporting a lot of any of the separate resources (range B's = 0.19–0.29) and some or a lot for all four resources (B = 0.22, 95% confidence interval [0.09, 0.35]) was associated with longer active travel time than reporting none or fewer resources. Associations remained over the follow-up, but the changes in travel time were similar, regardless of the neighborhood resources. Discussion: Perceiving multiple neighborhood resources may support older adults' active travel. Potential interventions, for example, the provision of new resources or increasing awareness of existing resources, require further study. [ABSTRACT FROM AUTHOR]
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- 2020
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9. Active aging – resilience and external support as modifiers of the disablement outcome: AGNES cohort study protocol
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Rantanen, Taina, Saajanaho, Milla, Karavirta, Laura, Siltanen, Sini, Rantakokko, Merja, Viljanen, Anne, Rantalainen, Timo, Pynnönen, Katja, Karvonen, Anu, Lisko, Inna, Palmberg, Lotta, Eronen, Johanna, Palonen, Eeva-Maija, Hinrichs, Timo, Kauppinen, Markku, Kokko, Katja, and Portegijs, Erja
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- 2018
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10. Self-reported hearing is associated with time spent out-of-home and withdrawal from leisure activities in older community-dwelling adults
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Mikkola, Tuija M., Polku, Hannele, Portegijs, Erja, Rantakokko, Merja, Tsai, Li-Tang, Rantanen, Taina, and Viljanen, Anne
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- 2016
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11. Clustering of reported activity destinations and use of active transport among older adults
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Keskinen, Kirsi E., Tuomola, Essi-Mari, Rantanen, Taina, and Portegijs, Erja
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walking ,liikkuvuus ,rakennettu ympäristö ,kaupunkiympäristö ,liikunta ,GIS ,urban ,built environment ,mobility ,ikääntyneet ,kävely - Abstract
Background Conducting everyday activities out-of-home may accumulate a large share of older adults' daily physical, especially if active transportation is used. Environmental features in home neighborhood may motivate for higher physical activity, but the role of features around destinations is less known. Our goal was to study 1) clustering of older adults' reported activity destinations, and 2) whether transport mode to a destination was associated with characteristics of destination clusters. Methods Data comprise AGNES study participants (901 community-dwelling people aged 75-85 years living in city of Jyväskylä, Finland; 57% women) combined with geospatial data. Using digital mapping, participants located frequently used destinations for shopping, services, and social and spiritual activities on a map, and reported transport mode (active/passive) for each. Geographic information system was used to define distance from home to each destination, to identify spatially clustered destination areas, and to assess destination areas' characteristics (urban location, intersection density, nature versatility, and the proportion of reported social/spiritual destinations of all destinations in the area). Based on their characteristics, destination areas were hierarchically categorized to area types. In mixed model, active transportation (vs. passive) was regressed for area type and adjusted for distance, car use possibility, walking difficulty in 2km, age, sex, and MMSE score. Results Of reported destinations within 2km from home (1278 destinations for 642 participants), 81% clustered spatially in 23 destination areas and 19% remained separate. Hierarchical clustering resulted three area types: 1) city centre (versatile activities and nature), 2) less serviced areas (versatile activities and less nature), 3) shopping areas (shopping/service activities and less nature). The proportion of destinations visited using active transportation was 63% in city centre, 68% in less serviced areas, 69% in shopping areas, and 56% for separate destinations outside the areas. Based on mixed model results, the odds for active transport use were higher when destinations located in city centre (OR = 4.8, 95%CI 1.3-17.0) or in shopping areas (OR = 11.9, 95%CI 2.6-55.6) compared to visiting locations outside spatially clustered destination areas. Conclusion Majority of older adults' activity destinations locate as spatially clustered. Varied destinations close to one another may promote active transport. nonPeerReviewed
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- 2022
12. Socioeconomic Status and Life-Space Mobility in Old Age.
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Eronen, Johanna, von Bonsdorff, Mikaela, Rantakokko, Merja, Portegijs, Erja, Viljanen, Anne, and Rantanen, Taina
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CHI-squared test ,COGNITION ,CONFIDENCE intervals ,HEALTH services accessibility ,HEALTH status indicators ,OCCUPATIONS ,PSYCHOLOGICAL tests ,QUESTIONNAIRES ,REGRESSION analysis ,RESEARCH funding ,ACTIVITIES of daily living ,SOCIOECONOMIC factors ,EDUCATIONAL attainment ,BODY movement ,BODY mass index ,CROSS-sectional method ,DATA analysis software ,KRUSKAL-Wallis Test - Abstract
Life-space mobility describes the extent of community mobility of older persons. The aim of this cross-sectional study was to examine the relationship between socioeconomic status (SES) and life-space mobility and to investigate whether associations might be explained by SES-related disparities in health and functioning. The participants (n = 848) were community-dwelling adults aged 75–90. Education and occupation were used to indicate SES. Life-space assessment (range 0–120) was used to indicate distance and frequency of moving and assistance needed in moving. People with low education had lower life-space mobility scores than those with intermediate or high education: marginal means 63.5, 64.8, and 70.0 (p = .003), respectively. SES-related health disparities, i.e., higher body mass index, poorer cognitive capacity, and poorer physical performance explained the association, rendering it nonsignificant (marginal means 65.2, 65.3, and 67.5, p = .390). Low SES and restricted life-space mobility often coexist with overweight, reduced cognition, and poorer physical performance. [ABSTRACT FROM AUTHOR]
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- 2016
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13. Associations Between Reasons to Go Outdoors and Objectively-Measured Walking Activity in Various Life-Space Areas Among Older People.
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Li-Tang Tsai, Rantakokko, Merja, Viljanen, Anne, Saajanaho, Milla, Eronen, Johanna, Rantanen, Taina, and Portegijs, Erja
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RECREATION ,ACCELEROMETERS ,MOTIVATION (Psychology) ,RESEARCH funding ,WALKING ,CROSS-sectional method ,DATA analysis software ,DIARY (Literary form) ,DESCRIPTIVE statistics ,OLD age ,PSYCHOLOGY - Abstract
This cross-sectional study investigated associations between reasons to go outdoors and objectively-measured walking activity in various life-space areas among older people. During the study, 174 community-dwelling older people aged 75–90 from central Finland wore an accelerometer over seven days and recorded their reasons to go outdoors in an activity diary. The most common reasons for going outdoors were shopping, walking for exercise, social visits, and running errands. Activities done in multiple life-space areas contributed more to daily step counts than those done in the neighborhood or town and beyond. Those who went shopping or walked for exercise accumulated higher daily step counts than those who did not go outdoors for these reasons. These results show that shopping and walking for exercise are common reasons to go outdoors for community-dwelling older people and may facilitate walking activity in older age. Future studies on how individual trips contribute to the accumulation of steps are warranted. [ABSTRACT FROM AUTHOR]
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- 2016
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14. Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions.
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Leppä, Heidi, Karavirta, Laura, Rantalainen, Timo, Rantakokko, Merja, Siltanen, Sini, Portegijs, Erja, and Rantanen, Taina
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Background: Outdoor mobility enables participation in essential out-of-home activities in old age. Aim: To compare changes in different aspects of outdoor mobility during COVID-19 restrictions versus two years before according to self-reported walking. 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: 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: 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: 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. [ABSTRACT FROM AUTHOR]
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- 2021
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15. 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)
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Rantanen Taina, Portegijs Erja, Viljanen Anne, Eronen Johanna, Saajanaho Milla, Tsai Li-Tang, Kauppinen Markku, Palonen Eeva-Maija, Sipilä Sarianna, Iwarsson Susanne, and Rantakokko Merja
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Life-space ,Mobility ,Quality of life ,Environment ,Participation ,Physical activity ,Walking ,Aging ,Cohort studies ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background A crucial issue for the sustainability of societies is how to maintain health and functioning in older people. With increasing age, losses in vision, hearing, balance, mobility and cognitive capacity render older people particularly exposed to environmental barriers. A central building block of human functioning is walking. Walking difficulties may start to develop in midlife and become increasingly prevalent with age. Life-space mobility reflects actual mobility performance by taking into account the balance between older adults internal physiologic capacity and the external challenges they encounter in daily life. The aim of the Life-Space Mobility in Old Age (LISPE) project is to examine how home and neighborhood characteristics influence people’s health, functioning, disability, quality of life and life-space mobility in the context of aging. In addition, examine whether a person’s health and function influence life-space mobility. Design This paper describes the study protocol of the LISPE project, which is a 2-year prospective cohort study of community-dwelling older people aged 75 to 90 (n = 848). The data consists of a baseline survey including face-to-face interviews, objective observation of the home environment and a physical performance test in the participant’s home. All the baseline participants will be interviewed over the phone one and two years after baseline to collect data on life-space mobility, disability and participation restriction. Additional home interviews and environmental evaluations will be conducted for those who relocate during the study period. Data on mortality and health service use will be collected from national registers. In a substudy on walking activity and life space, 358 participants kept a 7-day diary and, in addition, 176 participants also wore an accelerometer. Discussion Our study, which includes extensive data collection with a large sample, provides a unique opportunity to study topics of importance for aging societies. A novel approach is employed which enables us to study the interactions of environmental features and individual characteristics underlying the life-space of older people. Potentially, the results of this study will contribute to improvements in strategies to postpone or prevent progression to disability and loss of independence.
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- 2012
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16. Sense of Coherence: Effect on Adherence and Response to Resistance Training in Older People With Hip Fracture History.
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Portegijs, Erja, Read, Sanna, Pakkala, Inka, Kaliinen, Mauri, Heinonen, Ari, Rantanen, Taina, Alen, Markku, Kiviranta, llkka, Sihvonen, Sanna, and Sipilä, Sarianna
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WALKING ,EXERCISE ,ANALYSIS of variance ,CHI-squared test ,STATISTICAL correlation ,BONE fractures ,HIP joint injuries ,MUSCLE strength ,PATIENT compliance ,PROBABILITY theory ,RESEARCH funding ,STATISTICS ,T-test (Statistics) ,DATA analysis ,SECONDARY analysis ,RANDOMIZED controlled trials ,PRE-tests & post-tests ,REPEATED measures design ,DATA analysis software ,DESCRIPTIVE statistics ,OLD age - Abstract
Our aim was to study the effects of sense of coherence (SOC) on training adherence and interindividual changes in muscle strength, mobility, and balance after resistance training in older people with hip fracture history. These are secondary analyses of a 12-week randomized controlled trial of progressive resistance training in 60- to 85-year-old community-dwelling people 0.5-7 years after hip fracture (n = 45; ISRCTN34271567). Pre- and posttrial assessments included SOC, knee extension strength, walking speed, timed up-and-go (TUG), and Berg Balance Scale (BBS). Group-by-SOC interaction effects (repeated-measures ANOVA) were statistically significant for TUG (p = .005) and BBS (p = .040), but not for knee extension strength or walking speed. Weaker SOC was associated with poorer training adherence (mixed model; p = .009). Thus, more complicated physical tasks did not improve in those with weaker SOC, independently of training adherence. Older people with weaker SOC may need additional psychosocial support in physical rehabilitation programs to optimize training response. [ABSTRACT FROM AUTHOR]
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- 2014
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17. Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People: A Two-Year Follow-Up Study.
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Skantz, Heidi, Rantanen, Taina, Rantalainen, Timo, Keskinen, Kirsi E., Palmberg, Lotta, Portegijs, Erja, Eronen, Johanna, and Rantakokko, Merja
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PHYSIOLOGICAL adaptation ,HEALTH status indicators ,LONGITUDINAL method ,NATURE ,WALKING ,BODY movement ,INDEPENDENT living ,OLD age - Abstract
Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older people. Methods: Community-dwelling 75-90 -year-old persons (N = 848) reported environmental outdoor mobility facilitators and barriers at baseline. Modifications in walking 2 km (adaptive, maladaptive, or no) were assessed at baseline and one and two years later. Results: Outdoor mobility facilitators were more often reported by those not using modifications or using adaptive versus maladaptive walking modifications. Differences in health and physical capacity explained most of the associations between outdoor mobility barriers and walking modifications. Perceived outdoor environment did not systematically predict future adaptive or maladaptive walking modifications. Discussion: Facilitators may compensate the declined physical capacity and alleviate the strain of walking longer distances by enabling the use of adaptive walking modifications, while lack of such facilitators fuels avoidance of walking longer distances. [ABSTRACT FROM AUTHOR]
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- 2020
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18. Task Modifications in Walking Postpone Decline in Life-Space Mobility Among Community-Dwelling Older People: A 2-year Follow-up Study.
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Rantakokko, Merja, Portegijs, Erja, Viljanen, Anne, Iwarsson, Susanne, and Rantanen, Taina
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MOVEMENT disorders in old age , *PHYSIOLOGICAL aspects of walking , *COGNITION disorders , *FOLLOW-up studies (Medicine) , *HEALTH of older people , *GERIATRIC assessment , *FUNCTIONAL assessment , *QUALITY of life , *WALKING , *ACTIVITIES of daily living , *SYMPTOMS , *TASK performance , *INDEPENDENT living - Abstract
Background: Task modification refers to performing a task differently than before. While task modification in walking may be a sign of looming walking difficulty, it may also be adaptive in and postpone the decline in life-space mobility. However, this has not been studied. This study examined whether changes in life-space mobility over a 2-year period differ between people who at baseline report no walking difficulty and no task modification, those who report no walking difficulty but task modification, and those who report walking difficulty.Methods: Community-dwelling people aged 75-90 years were interviewed face-to-face at baseline (N = 848), and over phone one (n = 816) and two (n = 761) years later. Life-space mobility was assessed annually with the Life-Space Assessment (range 0-120, higher scores indicate better life-space mobility). Self-reported ability to walk 2 km was assessed at baseline and categorized into "no difficulty," "no difficulty but task modifications" (reduced frequency, given up walking, walking slower or resting during walking) and "difficulty." The analyses were adjusted for age, gender, number of chronic conditions, cognitive impairment, lower extremity performance and education.Results: The life-space mobility score was highest and remained stable over 2-years among those with no walking difficulties at baseline and lowest and showing a steady decline among those with walking difficulties. Those with task modifications formed the middle group. They showed no marked changes in life-space mobility during the first year, but significant decline during the second year.Conclusion: Task modifications in walking may help community-dwelling older people to postpone life-space mobility decline. [ABSTRACT FROM AUTHOR]- Published
- 2017
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19. Perceived environmental barriers to outdoor mobility and changes in sense of autonomy in participation outdoors among older people: a prospective two-year cohort study.
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Rantakokko, Merja, Portegijs, Erja, Viljanen, Anne, Iwarsson, Susanne, Kauppinen, Markku, and Rantanen, Taina
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AGING ,AUTONOMY (Psychology) ,INTERVIEWING ,LONGITUDINAL method ,NATURE ,SENSORY perception ,QUESTIONNAIRES ,SOCIAL participation ,BODY movement ,DESCRIPTIVE statistics - Abstract
Objective:The aim was to study whether perceived environmental barriers to outdoor mobility affect changes in sense of autonomy in participation outdoors among community-dwelling older people over a two-year period. Methods:Community-dwelling people aged 75–90 years (n= 848) in central Finland were interviewed on two occasions, face-to-face at baseline and over the telephone two years later. Perceived environmental barriers to outdoor mobility were assessed using a 15-item structured questionnaire, and the sum scores categorized into tertiles (0, 1 and 2 or more barriers). Autonomy in participation outdoors was assessed with the ‘Impact on Participation and Autonomy’ (IPA) questionnaire using the autonomy outdoors subscale (score range 0–20, higher scores indicating more restricted autonomy). Results:Scores for autonomy in participation outdoors were available for 848 participants at baseline (mean 6.2, SD = 3.8) and for 748 participants at the two-year follow-up (mean 6.7, SD = 3.9). At baseline, those reporting multiple environmental barriers had the most restricted autonomy, while those reporting no environmental barriers had the least restricted autonomy (p< .001). Over the follow-up, autonomy in participation outdoors declined more among those reporting multiple environmental barriers compared to those reporting none (age- and sex-adjusted group time β = .629, s.e. = .277,p= .023). Adjustment for cognitive functioning, education, number of chronic conditions and change in walking difficulty did not influence the association. Conclusion:Perceived environmental barriers to outdoor mobility accelerate the decline in autonomy in participation outdoors among older community-dwelling people. Understanding factors affecting autonomy can help in finding ways to support the sense of autonomy as people age. [ABSTRACT FROM AUTHOR]
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- 2017
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20. Do Associations Between Perceived Environmental and Individual Characteristics and Walking Limitations Depend on Lower Extremity Performance Level?
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Sakari, Ritva, Rantakokko, Merja, Portegijs, Erja, Iwarsson, Susanne, Sipilä, Sarianna, Viljanen, Anne, and Rantanen, Taina
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WALKING ,INTERVIEWING ,LEG ,SENSORY perception ,QUESTIONNAIRES ,RESEARCH ,SAFETY ,MATHEMATICAL variables ,RESIDENTIAL patterns ,SOCIAL support ,BODY movement ,OLD age - Abstract
Objective: The aim of this study was to analyze whether the associations between perceived environmental and individual characteristics and perceived walking limitations in older people differ between those with intact and those with poorer lower extremity performance. Method: Persons aged 75 to 90 (N = 834) participated in interviews and performance tests in their homes. Standard questionnaires were used to obtain walking difficulties; environmental barriers to and, facilitators of, mobility; and perceived individual hindrances to outdoor mobility. Lower extremity performance was tested using Short Physical Performance Battery (SPPB). Results: Among those with poorer lower extremity performance, the likelihood for advanced walking limitations was, in particular, related to perceived poor safety in the environment, and among those with intact performance to perceived social issues, such as lack of company, as well as to long distances. Discussion: The environmental correlates of walking limitations seem to depend on the level of lower extremity performance. [ABSTRACT FROM AUTHOR]
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- 2017
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21. The Association Between Transportation and Life-Space Mobility in Community-Dwelling Older People With or Without Walking Difficulties.
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Viljanen, Anne, Mikkola, Tuija M., Rantakokko, Merja, Portegijs, Erja, and Rantanen, Taina
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AUTOMOBILE driving ,GAIT disorders ,LIFE skills ,LONGITUDINAL method ,NEUROLOGICAL disorders ,QUALITY of life ,TRANSPORTATION ,TRAVEL ,WALKING ,BODY movement ,INDEPENDENT living - Abstract
Objective: The aim of this study is to examine whether a persons’ most frequently used mode of transportation is associated with life-space mobility and whether the association differs between persons with or without walking difficulties. Method: Life-space mobility was measured with the Life-Space Assessment in 848 community-dwelling men and women aged 75 to 90 years. Six separate mobility groups were formed according to the most frequently used mode of transportation (car driver, car passenger, public transportation) combined with the presence or absence of difficulties walking 2 km. Results: Car drivers without walking difficulties had the highest life-space mobility scores, and car passengers with walking difficulties had the lowest scores. Mode of transportation influenced the odds for restricted life space differently depending on whether or not the person had walking difficulties. Discussion: To support community mobility among older persons, it would be important to improve different transportation options to meet older persons’ individual wishes, needs, and resources. [ABSTRACT FROM AUTHOR]
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- 2016
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22. Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women.
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Mikkola, Tuija M., Polku, Hannele, Portegijs, Erja, Rantakokko, Merja, Rantanen, Taina, and Viljanen, Anne
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LEG ,HEARING ,CONFIDENCE intervals ,INTERVIEWING ,LONGITUDINAL method ,REGRESSION analysis ,RESEARCH funding ,SELF-evaluation ,ACTIVITIES of daily living ,BODY movement ,CROSS-sectional method ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio ,OLD age - Abstract
Objectives To explore the associations between self-reported hearing problems and physical performance and self-reported difficulties in mobility and activities of daily living ( ADLs) in community-dwelling older adults. Design Cross-sectional cohort study. Setting Community. Participants Men and women aged 75 to 90 (N = 848). Measurements Structured face-to-face interviews to assess perceived hearing problems in the presence of noise, mobility difficulties (moving indoors, stair-climbing, 0.5-km walk, 2-km walk), and difficulties in ADLs and instrumental ADLs. The Short Physical Performance Battery ( SPPB) was administered. Age; years of education; cognitive functioning; and self-reported cardiac, circulatory, and locomotor diseases were used as covariates. Results Persons who reported major hearing problems had a lower SPPB total score than those who reported good hearing (mean 9.8 vs 10.9, P = .009), indicating poorer performance, and more difficulties in ADLs (mean 1.8 vs 1.4, P = .002) and IADLs (mean 4.6 vs 3.4, P = .002), after controlling for covariates. They were also more likely to have more difficulty in stair-climbing (odds ratio ( OR) = 2.8, P < .001) and walking 2 km ( OR = 2.1, P = .003) and tended to have more difficulty in walking 0.5 km ( OR = 1.7, P = .05) but not moving indoors ( P = .18). Persons who reported only some hearing problems did not differ from those who reported good hearing in any of the variables studied. Conclusion Perceived major hearing problems in older adults may contribute to poorer lower limb performance and difficulties in mobility and ADLs. Longitudinal studies are needed to determine whether poor hearing is a risk factor for decline in physical performance. [ABSTRACT FROM AUTHOR]
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- 2015
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23. Life-space mobility assessment in older people in Finland; Measurement properties in winter and spring.
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Portegijs, Erja, Iwarsson, Susanne, Rantakokko, Merja, Viljanen, Anne, and Rantanen, Taina
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OLDER people , *AGING , *ACQUISITION of data , *ANALYSIS of variance , *REPRODUCIBLE research - Abstract
Background Life-space mobility refers to the spatial area an individual moves through, the frequency and need for assistance. Based on the assumption that measurement scale properties are contextspecific, we tested the scale distribution, responsiveness, and reproducibility of the 15-item University of Alabama at Birmingham Study of Aging Life-Space Assessment in older people in Finland, specifically accounting for season. Methods Community-dwelling older men and women in central Finland aged 75-90 years were interviewed to determine life-space mobility (score range 0-120). Baseline (January-June 2012) and one-year follow-up data (January-June 2013; n = 806) from the cohort study "Lifespace mobility in old age" were used to investigate the scale distribution and responsiveness over a period of one year. In addition, with a sub-sample in conjunction with the one-year follow-up, we collected data to study the two-week test-retest reproducibility (n = 18 winter and n = 21 spring 2013). Results The median life-space mobility score at baseline was 64. The median change in score over the one-year follow-up was zero. However, participants reporting a decline in health (repeated measures ANOVA p = .016) or mobility (p = .002) status demonstrated a significantly larger decrease in life-space mobility score than those reporting no or positive changes over the year. The two-week intra-class correlation (ICC) coefficient was .72. Lower ICC was found in the winter than in the spring sample and for items that represent higher lifespace levels. Conclusions The test-retest reproducibility of the Life-Space Assessment was fair but somewhat compromised in the winter. Mobility of older people at the life-space levels of "town" and "beyond town" may be more variable. Life-space mobility was responsive to change, regardless of season. Further study is warranted to obtain insight in the factors contributing to seasonal effects. [ABSTRACT FROM AUTHOR]
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- 2014
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24. Environmental mobility barriers and walking for errands among older people who live alone vs. with others.
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Li-Tang Tsai, Rantakokko, Merja, Portegijs, Erja, Viljanen, Anne, Saajanaho, Milla, Eronen, Johanna, and Rantanen, Taina
- Subjects
WALKING (Sports) ,MOBILITY of older people ,HEALTH of older people ,PHYSICAL fitness for older people ,HEALTH status indicators - Abstract
Background Walking is the most popular form of physical activity among older people and for community-dwelling older people walking for errands is especially important. The aim of this study is to examine the association between self-reported environmental mobility barriers and amount of walking for errands among older people who live alone compared to those who live with others. Methods This observational study is based on cross-sectional data on 657 people aged 75-81 living in Jyväskylä, Central Finland. Self-reports of environmental mobility barriers were collected under four categories: Traffic, Terrain, Distances and Entrance. Persons who reported walking for errands ≤ 1.5 km/week or at most once a week were categorized as having low amount of walking for errands (LOWER). High walking for errands (HIGWER) was defined as the highest quartile of kilometers walked per week (cut-off 8.5 km, referent). The rest were defined as having moderate amount of walking for errands (MODWER). Multinominal regression analysis was used to compare the odds for LOWER vs. HIGWER and MODWER vs. HIGWER, which were formed for each environmental mobility barrier separately. Results Participants walked on average 6.5 km (SD 5.2) and 4.0 times (SD 2.2) per week and 14% reported LOWER. Persons living alone (57% of the participants) reported environmental mobility barriers more often than those living with others. LOWER was more common among those living with others. Among those living with others, all the environmental mobility barriers increased the odds for LOWER. In turn, among those living alone, only Distance- and Entrance- related environmental mobility barriers increased the odds for LOWER. People living alone typically run errands by themselves and become better aware of the barriers to environmental mobility, while those living with others have less exposure to environmental mobility barriers, as their walking for errands is more likely to be low. Conclusions These findings emphasize the need to take living arrangements into account when analyzing the association between environmental mobility barriers and walking for errands. Future longitudinal studies are warranted to better understand the temporal order of events and to find ways to enhance walking for errands among older people. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
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25. The effects of muscle strength and power training on mobility among older hip fracture patients.
- Author
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Mård, Minna, Vaha, Johanna, Heinonen, Ari, Portegijs, Erja, Sakari-Rantala, Ritva, Kallinen, Mauri, Alen, Markku, Kiviranta, Ilkka, and Sipilä, Sarianna
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MUSCLE strength ,PHYSICAL fitness ,TREATMENT of fractures ,LEG fractures ,CHAIR exercises ,EXERCISE therapy ,THERAPEUTICS - Abstract
The incidence of hip fractures is growing in all Western societies. The mobility of hip fracture patients does not return to the pre-fracture level even 2 years after fracture. One reason for mobility limitation may be the persistent muscle weakness on the fractured leg. The purpose of this randomized controlled study was to examine whether 12-week muscle strength and power training twice a week has an effect on mobility in 60-85-year-old hip fracture patients. Forty-three persons were randomly assigned to an intervention (n=23) and a control (n=20) group. The intervention comprised 12-week supervised intensive progressive strength-power training twice per week. All the measurers were blinded. Mobility was assessed by the timed-up-and-go test (TUG), chair rise and stair climbing time, walking time and self-reported change in mobility. Data were analyzed using the intention-to-treat principle. In addition, an efficacy analysis was performed for those subjects with over 50% training compliance (n=20). Fourteen of the subjects in the training group and only two controls felt that their mobility had improved during the intervention period (p=0.002). Training had no significant effect on TUG, chair rise and stair climbing time and walking time. However, in the efficacy analysis, the average chair rise time improved by 5.4% in the exercise group compared with controls (p=0.005). After intensive muscle strength and power training, the self-reported mobility improved. The chair rise improved in participants with higher training compliance. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
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26. Leg Extension Power Deficit and Mobility Limitation in Women Recovering from Hip Fracture.
- Author
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Portegijs, Erja, Sipilä, Sarianna, Rantanen, Taina, and Lamb, Sarah E.
- Subjects
- *
MEDICAL research , *HUMAN locomotion , *HIP joint injuries , *FEMUR , *BONE fractures , *SURGERY , *REGRESSION analysis , *MEDICAL care ,WOMEN'S injuries - Abstract
The article presents research on leg extension power deficit and mobility limitation in women who are recovering from hip fracture. The study aimed to explore whether asymmetrical leg extension power (LEP) deficit affects mobility in women after proximal femoral fracture (PFF). The LEP increased in the fractured and nonfractured legs by 100% and 30% respectively after PFF surgery while asymmetrical deficit was reduced. Linear regression analysis proved that poorer LEP of the nonfractured leg on the first week correlate significantly with slower walking, stair-climbing speed and predicted poorer mobility. Increased LEP of the nonfractured leg showed better recovery of mobility after PFF while larger asymmetrical LEP deficit was linked with limitation in climbing stairs.
- Published
- 2008
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27. Reciprocal Associations Between Relative or Absolute Physical Activity, Walking Performance, and Autonomy in Outdoor Mobility Among Older Adults: A 4-Year Follow-Up.
- Author
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Lindeman, Katja, Koivunen, Kaisa, Rantalainen, Timo, Rantakokko, Merja, Portegijs, Erja, Rantanen, Taina, and Karavirta, Laura
- Subjects
- *
PHYSICAL mobility , *PHYSICAL activity , *OLDER people , *ACCELEROMETERS - Abstract
Objectives: To examine the reciprocal associations between walking performance, physical activity (PA), and perceived autonomy in outdoor mobility in 322 older adults.Methods: At baseline and four years later, a 6-min walk test assessed walking performance. A thigh-mounted accelerometer monitored relative PA (acceleration exceeding the individual’s preferred walking intensity on the walk test) and absolute MVPA (acceleration exceeding 3 METs) in free-living. Autonomy in outdoor mobility was self-reported using the IPA subscale. Cross-lagged panel model was used for analyses.Results: Higher relative PA at baseline predicted better walking performance four years later and vice versa (p < .05). Baseline MVPA did not predict subsequent walking performance, but better initial walking performance predicted higher subsequent MVPA (p < .001). In both models, only walking performance predicted perceived autonomy at follow-up (p < .05).Discussion: Accumulating enough PA of a sufficient relative intensity can maintain good walking performance, which in turn helps to maintain perceived autonomy in mobility. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
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