Impact of Driving Cessation on Trajectories of Life-Space Scores Among Community-Dwelling Older Adults

2016 ◽  
Vol 36 (12) ◽  
pp. 1433-1452 ◽  
Author(s):  
Carrie Huisingh ◽  
Emily B. Levitan ◽  
Patricia Sawyer ◽  
Richard Kennedy ◽  
Cynthia J. Brown ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Life Space ◽  
Driving Cessation ◽  
Random Intercept ◽  
Before And After ◽  
Precipitous Decline ◽  
Rate Of Decline ◽  
The University ◽  
Community Dwelling Older Adults

The purpose of this study was to examine the trajectories of life-space before and after the transition to driving cessation among a diverse sample of community-dwelling older adults. Life-space scores and self-reported driving cessation were assessed at annual visits from baseline through Year 6 among participants in the University of Alabama at Birmingham Study of Aging. Approximately 58% of older adults reported having stopped driving during the 6 years of follow-up. After adjusting for potential confounders, results from a random intercept model indicate that mean life-space scores decreased about 1 to 2 points every year ( p = .0011) and approximately 28 points at the time of driving cessation ( p < .0001). The rate of life-space decline post driving cessation was not significantly different from the rate of decline prior to driving cessation. Driving cessation was associated with a precipitous decline in life-space score; however, the driving cessation event did not accelerate the rate of life-space decline.

Nonspousal Family Loss among Community-Dwelling Older Adults

2005 ◽  
Vol 51 (2) ◽  
pp. 125-142 ◽  
Author(s):  
Beverly Rosa Williams ◽  
Patricia Sawyer Baker ◽  
Richard M. Allman
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Community Dwelling ◽  
Life Space ◽  
Depressive Symptomology ◽  
12Th Grade ◽  
Using Data ◽  
Family Loss ◽  
The University ◽  
Community Dwelling Older Adults

We examined the prevalence and correlates of recent nonspousal family loss among older adults using data from the University of Alabama at Birmingham Study of Aging, a stratified random sample of community-dwelling older adults living in central Alabama. Twenty-three percent of participants reported a recent nonspousal family loss. African American ethnicity, education <12th grade, functional difficulty, restricted life-space mobility, depressive symptomology, pain and other somatic symptoms were associated with recent nonspousal family loss. Compared to non-widowed participants, widows with family loss reported a higher proportion of mental health and activity-limiting physical problems as well as restricted life-space. Programs to improve physical function and enhance health and wellbeing in older bereaved spouses should be expanded to include older adults with nonspousal family loss, particularly targeting the mental health needs of previously widowed persons who lose another family member.

scholarly journals Validation of the German Life-Space Assessment (LSA-D): cross-sectional validation study in urban and rural community-dwelling older adults

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049926
Author(s):  
Sandra Angelika Mümken ◽  
Paul Gellert ◽  
Malte Stollwerck ◽  
Julie Lorraine O'Sullivan ◽  
Joern Kiselev
Keyword(s):  
Older Adults ◽  
Construct Validity ◽  
Outcome Measures ◽  
Total Sample ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Life Space ◽  
Cross Sectional ◽  
The Past ◽  
Community Dwelling Older Adults

ObjectivesTo develop a German version of the original University of Alabama at Birmingham Study of Aging Life-Space Assessment (LSA-D) for measurement of community mobility in older adults within the past 4 weeks and to evaluate its construct validity for urban and rural populations of older adults.DesignCross-sectional validation study.SettingTwo study centres in urban and rural German outpatient hospital settings.ParticipantsIn total, N=83 community-dwelling older adults were recruited (n=40 from urban and n=43 from rural areas; mean age was 78.5 years (SD=5.4); 49.4% men).Primary and secondary outcome measuresThe final version of the translated LSA-D was related to limitations in activities and instrumental activities of daily living (ADL/iADL) as primary outcome measure (primary hypothesis); and with sociodemographic factors, functional mobility, self-rated health, balance confidence and history of falls as secondary outcome measures to obtain construct validity. Further descriptive measurements of health included hand grip strength, screening of cognitive function, comorbidities and use of transportation. To assess construct validity, correlations between LSA-D and the primary and secondary outcome measures were examined for the total sample, and urban and rural subsamples using bivariate regression and multiple adjusted regression models. Descriptive analyses of LSA-D included different scoring methods for each region. All parameters were estimated using non-parametric bootstrapping procedure.ResultsIn the multiple adjusted model for the total sample, number of ADL/iADL limitations (β=−0.26; 95% CI=−0.42 to −0.08), Timed Up and Go Test (β=−0.37; 95% CI=−0.68 to −0.14), shared living arrangements (β=0.22; 95% CI=0.01 to 0.44) and history of falls in the past 6 months (β=−0.22; 95% CI=−0.41 to −0.05) showed significant associations with the LSA-D composite score, while living in urban area (β=−0.19; 95% CI=−0.42 to 0.03) and male gender (β=0.15; 95% CI=−0.04 to 0.35) were not significant.ConclusionThe LSA-D is a valid tool for measuring life-space mobility in German community-dwelling older adults within the past 4 weeks in ambulant urban and rural settings.Trial registration numberDRKS00019023.

scholarly journals Impact of the COVID-19 Pandemic on Self-Perception of Aging Among Older Adults

2021 ◽  
Vol 7 ◽  
pp. 233372142199932
Author(s):  
Alexander Seifert
Keyword(s):  
Older Adults ◽  
Multivariate Analysis ◽  
Data Collection ◽  
Descriptive Analysis ◽  
Community Dwelling ◽  
Living Alone ◽  
Self Perception ◽  
Before And After ◽  
Subjective Views ◽  
Community Dwelling Older Adults

The COVID-19 pandemic has created a pattern of physical distancing worldwide, particularly for adults aged 65+. Such distancing can evoke subjective feelings of negative self-perception of aging (SPA) among older adults, but how this pandemic has influenced such SPA is not yet known. This study, therefore, explored SPA at different time phases of the COVID-19 pandemic to explain the pandemic’s impact on SPA among older adults. The analysis employed a sample of 1,990 community-dwelling older adults aged 65 to 95 (mean age = 72.74 years; 43% female) in Switzerland. Data collection from different older adults within one study occurred both before and after Switzerland’s first confirmed COVID-19 case. The descriptive analysis revealed that negative SPA increased, and positive SPA decreased, after the Swiss government recommended physical distancing. After the Federal Council decided to ease these measures, negative SPA slightly decreased and positive SPA increased. According to the multivariate analysis, individuals interviewed after the lockdown were more likely to report greater levels of negative SPA and lower levels of positive SPA. Age, income, and living alone also correlated with SPA. The results suggest that the pandemic has affected older adults’ subjective views of their own aging, and these findings help illustrate the pandemic’s outcomes.

scholarly journals USING GPS-BASED WEARABLE SENSORS TO CAPTURE LIFE-SPACE MOBILITY AMONG COMMUNITY-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S371-S371
Author(s):  
Jane Chung ◽  
Orrin Myers
Keyword(s):  
Older Adults ◽  
Wearable Sensors ◽  
Community Dwelling ◽  
Gps Data ◽  
Temporal Data ◽  
Life Space ◽  
Elderly Mobility ◽  
Community Dwelling Older Adults ◽  
At Home

Abstract Life-space mobility (LSM) is critical to quality of life among older adults. Due to the limitations of current mobility measures, GPS-based sensors are suggested as a potential tool that can collect high-resolution spatial and temporal data on mobility. We aimed to examine the feasibility of using a GPS watch to measure LSM among older adults. Participants were asked to use the device for 8 hours a day for three days. GPS data were analyzed with QGIS and SAS. GIS measures were used to characterize LSM. Participants walked 3.2km/day and moved 67km on average. Nearly all movements at home were &lt; 0.8 m/s, indicating slower gait speed. GPS data suggest that community-dwelling older adults made active trips outside the home, but they were tightly tethered to their residential environments and spent most of their time at home. GPS-based sensors may be particularly beneficial to continuously monitor any changes in elderly mobility.

scholarly journals Social Frailty Is Independently Associated with Mood, Nutrition, Physical Performance, and Physical Activity: Insights from a Theory-Guided Approach

2020 ◽  
Vol 17 (12) ◽  
pp. 4239 ◽  
Author(s):  
Kalene Pek ◽  
Justin Chew ◽  
Jun Pei Lim ◽  
Suzanne Yew ◽  
Cai Ning Tan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Outcomes ◽  
Physical Performance ◽  
Community Dwelling ◽  
Physical Frailty ◽  
Life Space ◽  
Independent Association ◽  
Community Dwelling Older Adults ◽  
Significant Covariates

Notwithstanding the increasing body of evidence that links social determinants to health outcomes, social frailty is arguably the least explored among the various dimensions of frailty. Using available items from previous studies to derive a social frailty scale as guided by the Bunt social frailty theoretical framework, we aimed to examine the association of social frailty, independently of physical frailty, with salient outcomes of mood, nutrition, physical performance, physical activity, and life–space mobility. We studied 229 community-dwelling older adults (mean age 67.22 years; 72.6% females) who were non-frail (defined by the FRAIL criteria). Using exploratory factor analysis, the resultant 8-item Social Frailty Scale (SFS-8) yielded a three-factor structure comprising social resources, social activities and financial resource, and social need fulfilment (score range: 0–8 points). Social non-frailty (SNF), social pre-frailty (SPF), and social frailty (SF) were defined based on optimal cutoffs, with corresponding prevalence of 63.8%, 28.8%, and 7.4%, respectively. In logistic regression adjusted for significant covariates and physical frailty (Modified Fried criteria), there is an association of SPF with poor physical performance and low physical activity (odds ratio, OR range: 3.10 to 6.22), and SF with depressive symptoms, malnutrition risk, poor physical performance, and low physical activity (OR range: 3.58 to 13.97) compared to SNF. There was no significant association of SPF or SF with life–space mobility. In summary, through a theory-guided approach, our study demonstrates the independent association of social frailty with a comprehensive range of intermediary health outcomes in more robust older adults. A holistic preventative approach to frailty should include upstream interventions that target social frailty to address social gradient and inequalities.

scholarly journals Contextual factors associated with life-space mobility in community-dwelling older adults based on International Classification of Functioning, Disability and Health: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023468 ◽  
Author(s):  
Heloisa Maria Jácome Sousa Britto ◽  
Bruna Silva Oliveira ◽  
Cristiano Santos Gomes ◽  
Juliana Martins Pinto ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Contextual Factors ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Life Space ◽  
Factors Associated ◽  
Community Dwelling Older Adults

IntroductionMobility decline compromises functionality and quality of life in old age. Life-Space Assessment (LSA) evaluates mobility considering interaction between person and environment. The International Classification of Functioning, Disability and Health (ICF) is a reference to identify and categorise the personal and environmental contextual factors associated to the LSA. Our objective is identifying contextual factors that may influence life-space mobility of older community-dwelling adults based on ICF.Methods and analysisA systematic review of literature will be performed to identify studies published between 1 January 2001 and 10 May 2017 which investigates life-space mobility among older adults. Keywords will be entered into the electronic databases of MEDLINE (PubMed), EMBASE (OVID), CINHAL (EBSCO), Cochrane Central Register of Controlled Trials Cochrane Central (OVID), PsycINFO (EBSCO) and COCH (OVID). Five investigators will work on search databases and standardised screening of the articles. Mobility predictors will be separated into personal and environmental aspects, according to the ICF model. The results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and then a meta-analysis will be performed, if applicable.DiscussionKnowledge about life-space mobility in community-dwelling older adults by examining related risk and protective aspects may help practitioners better approach older adults’ mobility and prevent their decline in old age. Furthermore, researchers will have more clues for investigations into factors related to life-space mobility.Trial registration numberCRD42017064552.

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