Psychosocial resources related to survival among non-robust community-dwelling older people: an 18-year follow-up study

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.

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Frailty, walking ability and self-rated health in predicting institutionalization: an 18-year follow-up study among Finnish community-dwelling older people

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01551-x ◽

2020 ◽

Author(s):

Anna Viljanen ◽

Marika Salminen ◽

Kerttu Irjala ◽

Päivi Korhonen ◽

Maarit Wuorela ◽

...

Keyword(s):

Older People ◽

Community Dwelling ◽

Walking Ability ◽

Self Rated Health ◽

Follow Up Study ◽

Community Dwelling Older People

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Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study

PLoS ONE ◽

10.1371/journal.pone.0154396 ◽

2016 ◽

Vol 11 (4) ◽

pp. e0154396 ◽

Cited By ~ 9

Author(s):

Merja Rantakokko ◽

Erja Portegijs ◽

Anne Viljanen ◽

Susanne Iwarsson ◽

Taina Rantanen

Keyword(s):

Older People ◽

Environmental Influence ◽

Community Dwelling ◽

Follow Up Study ◽

Community Dwelling Older People ◽

Mobility Difficulty

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Task Modifications in Walking Postpone Decline in Life-Space Mobility Among Community-Dwelling Older People: A 2-year Follow-up Study

The Journals of Gerontology Series A ◽

10.1093/gerona/glw348 ◽

2017 ◽

Vol 72 (9) ◽

pp. 1252-1256 ◽

Cited By ~ 14

Author(s):

Merja Rantakokko ◽

Erja Portegijs ◽

Anne Viljanen ◽

Susanne Iwarsson ◽

Taina Rantanen

Keyword(s):

Older People ◽

Community Dwelling ◽

Life Space ◽

Follow Up Study ◽

Community Dwelling Older People

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

Quality of Life Research ◽

10.1007/s11136-015-1137-x ◽

2015 ◽

Vol 25 (5) ◽

pp. 1189-1197 ◽

Cited By ~ 52

Author(s):

Merja Rantakokko ◽

Erja Portegijs ◽

Anne Viljanen ◽

Susanne Iwarsson ◽

Markku Kauppinen ◽

...

Keyword(s):

Quality Of Life ◽

Older People ◽

Community Dwelling ◽

Life Space ◽

Follow Up Study ◽

Community Dwelling Older People

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Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people

Aging Clinical and Experimental Research ◽

10.1007/s40520-019-01383-4 ◽

2019 ◽

Vol 32 (10) ◽

pp. 2013-2019 ◽

Cited By ~ 3

Author(s):

Marika Salminen ◽

Anna Viljanen ◽

Sini Eloranta ◽

Paula Viikari ◽

Maarit Wuorela ◽

...

Keyword(s):

Confidence Interval ◽

Older People ◽

Cox Regression ◽

Frailty Index ◽

Community Dwelling ◽

Clinical Settings ◽

Follow Up Study ◽

Community Dwelling Older People ◽

A Prospective Study

Abstract Background There is a lack of agreement about applicable instrument to screen frailty in clinical settings. Aims To analyze the association between frailty and mortality in Finnish community-dwelling older people. Methods This was a prospective study with 10- and 18-year follow-ups. Frailty was assessed using FRAIL scale (FS) (n = 1152), Rockwood’s frailty index (FI) (n = 1126), and PRISMA-7 (n = 1124). To analyze the association between frailty and mortality, Cox regression model was used. Results Prevalence of frailty varied from 2 to 24% based on the index used. In unadjusted models, frailty was associated with higher mortality according to FS (hazard ratio 7.96 [95% confidence interval 5.10–12.41] in 10-year follow-up, and 6.32 [4.17–9.57] in 18-year follow-up) and FI (5.97 [4.13–8.64], and 3.95 [3.16–4.94], respectively) in both follow-ups. Also being pre-frail was associated with higher mortality according to both indexes in both follow-ups (FS 2.19 [1.78–2.69], and 1.69 [1.46–1.96]; FI 1.81[1.25–2.62], and 1.31 [1.07–1.61], respectively). Associations persisted even after adjustments. Also according to PRISMA-7, a binary index (robust or frail), frailty was associated with higher mortality in 10- (4.41 [3.55–5.34]) and 18-year follow-ups (3.78 [3.19–4.49]). Discussion Frailty was associated with higher mortality risk according to all three frailty screening instrument used. Simple and fast frailty indexes, FS and PRISMA-7, seemed to be comparable with a multidimensional time-consuming FI in predicting mortality among community-dwelling Finnish older people. Conclusions FS and PRISMA-7 are applicable frailty screening instruments in clinical setting among community-dwelling Finnish older people.

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Community-dwelling older people with an injurious fall are likely to sustain new injurious falls within 5 years - a prospective long-term follow-up study

BMC Geriatrics ◽

10.1186/1471-2318-14-120 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 30

Author(s):

Petra Pohl ◽

Ellinor Nordin ◽

Anders Lundquist ◽

Ulrica Bergström ◽

Lillemor Lundin-Olsson

Keyword(s):

Older People ◽

Community Dwelling ◽

Follow Up Study ◽

Injurious Falls ◽

Long Term Follow Up ◽

Injurious Fall ◽

Community Dwelling Older People

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Does the Meeting Centres Support Programme reduce unmet care needs of community-dwelling older people with dementia? A controlled, 6-month follow-up Polish study

Clinical Interventions in Aging ◽

10.2147/cia.s185683 ◽

2019 ◽

Vol Volume 14 ◽

pp. 113-122 ◽

Cited By ~ 4

Author(s):

Justyna Mazurek ◽

Dorota Szcześniak ◽

Katrzyna Urbańska ◽

Rose-Marie Dröes ◽

Maciej Karczewski ◽

...

Keyword(s):

Older People ◽

Community Dwelling ◽

Care Needs ◽

Support Programme ◽

People With Dementia ◽

Polish Study ◽

Community Dwelling Older People

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Fall-related efficacy is a useful and independent index to detect fall risk in Japanese community-dwelling older people: a 1-year longitudinal study

BMC Geriatrics ◽

10.1186/s12877-019-1318-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Naoto Kamide ◽

Yoshitaka Shiba ◽

Miki Sakamoto ◽

Haruhiko Sato ◽

Akie Kawamura

Keyword(s):

Risk Factors ◽

Older People ◽

Physical Performance ◽

Fall Risk ◽

Community Dwelling ◽

Confounding Factors ◽

Potential Risk Factors ◽

Community Dwelling Older People ◽

Walking Time

Abstract Background Fall-related efficacy has been found to be associated with both falls and fall risk factors such as physical performance. The aim of the present study was to clarify whether fall-related efficacy is, independent of physical performance and other potential risk factors, associated with future falls in community-dwelling older people. Methods The study participants were 237 Japanese older people aged 65 years and over who were living independently in their community. Fall-related efficacy and physical performance were assessed at baseline using the short version of the Falls Efficacy Scale-International (short FES-I) and 5-m walking time, the Timed Up and Go Test, the 5 Times Sit to Stand Test, and grip strength. Physical performance was then again assessed at 1-year follow-up. The number of falls was obtained every 6 months for 1 year after the baseline survey. Instrumental activities of daily living (IADL), depression, fall history, current medications, medical history, and pain were also investigated as potential confounding factors that have possible associations with falls. The associations between the short FES-I, physical performance, and number of falls were analyzed using Poisson regression analysis adjusted for physical performance and potential confounding factors. Results The mean age of the participants (75.9% women) was 71.1 ± 4.6 years, and 92.8% could perform IADL independently. The total numbers of falls and fallers during the 1-year follow-up period were 70 and 42, respectively. On Poisson regression analysis adjusted for walking time and potential confounding factors, independent of physical performance, the short FES-I was found to be significantly associated with number of falls (relative risk = 1.09, p < 0.05). On the other hand, physical performance was not significantly associated with the number of falls. Conclusions The findings of the present study suggest that the short FES-I, independent of physical performance and other potential risk factors, is a useful index to detect fall risk in community-dwelling older people, and that fall-related efficacy is an important factor in terms of fall prevention.

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