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Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons

BACKGROUND: The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors. METHODS: The pr...

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Autores principales: Hayashi, Chisato, Tanaka, Haruka, Ogata, Soshiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687835/
https://www.ncbi.nlm.nih.gov/pubmed/33238895
http://dx.doi.org/10.1186/s12877-020-01882-4
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author Hayashi, Chisato
Tanaka, Haruka
Ogata, Soshiro
author_facet Hayashi, Chisato
Tanaka, Haruka
Ogata, Soshiro
author_sort Hayashi, Chisato
collection PubMed
description BACKGROUND: The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors. METHODS: The present study used a longitudinal design with repeated measures every 3 months. In conformity with our inclusion criteria, this study included 233 community-dwelling elderly users of a day care facility with rehabilitation services for seniors in Japan. We analyzed the life-space assessment (LSA) scores collected at five time points (baseline, 3 months, 6 months, 9 months, and 12 months) using mixed-effects models with random intercepts and slopes over time. In the present study, the explanatory variables of interest were time, and living situation (living alone or with others). As possible confounders, we considered the following: (a) age, (b) sex, (c) social frailty, (d) physical frailty, (e) mild cognitive impairment (MCI), (f) depression, and (g) economic satisfaction. RESULTS: The mean age of participants was 78.9 years (SD = 7.7), their mean LSA score was 60.1 points (SD = 25.7), and 42.9% of the participants were men. After adjusting for age, gender, frailty, depression, MCI, and economic satisfaction, the mean LSA score of older adults who lived with others was significantly lower (7.42 points, 95%CI = − 18.30 to − 0.15, p = 0.048) than that older adults who lived alone. DISCUSSION: Community-dwelling older adults who used a day care center with rehabilitation services and lived with others had a smaller life-space at baseline than those who lived alone. This suggests that there is a need to pay more attention to social frailty among both older adults who live alone and those who live with others. CONCLUSIONS: According to a multilevel analysis growth model, elderly persons who lived with others had significantly lower life-space mobility than those who lived alone. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-020-01882-4.
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spelling pubmed-76878352020-11-30 Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons Hayashi, Chisato Tanaka, Haruka Ogata, Soshiro BMC Geriatr Research Article BACKGROUND: The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors. METHODS: The present study used a longitudinal design with repeated measures every 3 months. In conformity with our inclusion criteria, this study included 233 community-dwelling elderly users of a day care facility with rehabilitation services for seniors in Japan. We analyzed the life-space assessment (LSA) scores collected at five time points (baseline, 3 months, 6 months, 9 months, and 12 months) using mixed-effects models with random intercepts and slopes over time. In the present study, the explanatory variables of interest were time, and living situation (living alone or with others). As possible confounders, we considered the following: (a) age, (b) sex, (c) social frailty, (d) physical frailty, (e) mild cognitive impairment (MCI), (f) depression, and (g) economic satisfaction. RESULTS: The mean age of participants was 78.9 years (SD = 7.7), their mean LSA score was 60.1 points (SD = 25.7), and 42.9% of the participants were men. After adjusting for age, gender, frailty, depression, MCI, and economic satisfaction, the mean LSA score of older adults who lived with others was significantly lower (7.42 points, 95%CI = − 18.30 to − 0.15, p = 0.048) than that older adults who lived alone. DISCUSSION: Community-dwelling older adults who used a day care center with rehabilitation services and lived with others had a smaller life-space at baseline than those who lived alone. This suggests that there is a need to pay more attention to social frailty among both older adults who live alone and those who live with others. CONCLUSIONS: According to a multilevel analysis growth model, elderly persons who lived with others had significantly lower life-space mobility than those who lived alone. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-020-01882-4. BioMed Central 2020-11-25 /pmc/articles/PMC7687835/ /pubmed/33238895 http://dx.doi.org/10.1186/s12877-020-01882-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Hayashi, Chisato
Tanaka, Haruka
Ogata, Soshiro
Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title_full Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title_fullStr Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title_full_unstemmed Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title_short Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
title_sort assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687835/
https://www.ncbi.nlm.nih.gov/pubmed/33238895
http://dx.doi.org/10.1186/s12877-020-01882-4
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