Phoebe Ullrich1, Tobias Eckert1, Martin Bongartz1, Christian Werner2, Rainer Kiss3, Jürgen M Bauer2, Klaus Hauer4. 1. Department of Geriatric Research, AGAPLESION Bethanien Hospital Heidelberg, Geriatric Center at the Heidelberg University, Rohrbacher Str. 149, 69126 Heidelberg, Germany. 2. Center of Geriatric Medicine, Heidelberg University, Heidelberg, Germany. 3. Department of Geriatric Research, AGAPLESION Bethanien Hospital Heidelberg, Geriatric Center at the Heidelberg University, Rohrbacher Str. 149, 69126 Heidelberg, Germany; Department of Health and Social Affairs, FHM Bielefeld, University of Applied Science, Ravensberger Str. 10G, 33602 Bielefeld, Germany. 4. Center of Geriatric Medicine, Heidelberg University, Heidelberg, Germany. Electronic address: khauer@bethanien-heidelberg.de.
Abstract
OBJECTIVES: To describe life-space mobility and identify its determinants in older persons with cognitive impairment after discharge from geriatric rehabilitation. METHODS: A cross-sectional study in older community-dwelling persons with mild to moderate cognitive impairment (Mini-Mental State Examination, MMSE: 17-26) following geriatric rehabilitation was conducted. Life-space mobility (LSM) was evaluated by the Life-Space Assessment in Persons with Cognitive Impairment (LSA-CI). Bivariate analyses and multivariate regression analyses were used to investigate associations between LSM and physical, cognitive, psychosocial, environmental, financial and demographic characteristics, and physical activity behavior. RESULTS: LSM in 118 older, multimorbid participants (age: 82.3 ± 6.0 years) with cognitive impairment (MMSE score: 23.3 ± 2.4 points) was substantially limited, depending on availability of personal support and equipment. More than 30% of participants were confined to the neighborhood and half of all patients could not leave the bedroom without equipment or assistance. Motor performance, social activities, physical activity, and gender were identified as independent determinants of LSM and explained 42.4% (adjusted R²) of the LSA-CI variance in the regression model. CONCLUSION: The study documents the highly restricted LSM in older persons with CI following geriatric rehabilitation. The identified modifiable determinants of LSM show potential for future interventions to increase LSM in such a vulnerable population at high risk for restrictions in LSM by targeting motor performance, social activities, and physical activity. A gender-specific approach may help to address more advanced restrictions in women.
OBJECTIVES: To describe life-space mobility and identify its determinants in older persons with cognitive impairment after discharge from geriatric rehabilitation. METHODS: A cross-sectional study in older community-dwelling persons with mild to moderate cognitive impairment (Mini-Mental State Examination, MMSE: 17-26) following geriatric rehabilitation was conducted. Life-space mobility (LSM) was evaluated by the Life-Space Assessment in Persons with Cognitive Impairment (LSA-CI). Bivariate analyses and multivariate regression analyses were used to investigate associations between LSM and physical, cognitive, psychosocial, environmental, financial and demographic characteristics, and physical activity behavior. RESULTS: LSM in 118 older, multimorbid participants (age: 82.3 ± 6.0 years) with cognitive impairment (MMSE score: 23.3 ± 2.4 points) was substantially limited, depending on availability of personal support and equipment. More than 30% of participants were confined to the neighborhood and half of all patients could not leave the bedroom without equipment or assistance. Motor performance, social activities, physical activity, and gender were identified as independent determinants of LSM and explained 42.4% (adjusted R²) of the LSA-CI variance in the regression model. CONCLUSION: The study documents the highly restricted LSM in older persons with CI following geriatric rehabilitation. The identified modifiable determinants of LSM show potential for future interventions to increase LSM in such a vulnerable population at high risk for restrictions in LSM by targeting motor performance, social activities, and physical activity. A gender-specific approach may help to address more advanced restrictions in women.
Authors: Klaus Hauer; Phoebe Ullrich; Patrick Heldmann; Laura Bauknecht; Saskia Hummel; Bastian Abel; Juergen M Bauer; Sarah E Lamb; Christian Werner Journal: Int J Environ Res Public Health Date: 2021-04-07 Impact factor: 3.390
Authors: Barbara Resnick; Marie Boltz; Elizabeth Galik; Sarah Holmes; Steven Fix; Shijun Zhu Journal: Res Gerontol Nurs Date: 2019-10-04 Impact factor: 1.571