Factors Influencing Mobility During the COVID-19 Pandemic in Community-Dwelling Older Adults

被引：8

作者：

Saunders, Stephanie ^{[1
]}

Mayhew, Alexandra ^{[2
]}

Kirkwood, Renata ^{[1
]}

Nguyen, Khang ^{[1
]}

Kuspinar, Ayse ^{[1
]}

Vesnaver, Elisabeth ^{[3
]}

Keller, Heather ^{[4
]}

Wilson, Janie Astephen ^{[5
]}

Macedo, Luciana G. ^{[1
]}

Vrkljan, Brenda ^{[1
]}

Richardson, Julie ^{[1
,2
]}

Beauchamp, Marla ^{[1
,6
]}

机构：

[1] McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada

[2] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada

[3] Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada

[4] Univ Waterloo, Schlegel UW Res Inst Aging, Waterloo, ON, Canada

[5] Dalhousie Univ, Sch Biomed Engn, Halifax, NS, Canada

[6] McMaster Univ, Sch Rehabil Sci, McMaster Innovat Pk, Hamilton, ON L8P 0A1, Canada

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2023年 / 104卷 / 01期

关键词：

Aged; Community dwelling; COVID-19; Independent living; Mobil-ity; Older adult; Physical function performance; Rehabilitation; PHYSICAL-ACTIVITY; RISK-FACTORS; EVENT SCALE; DISABILITY; DEPRESSION; VALIDITY; SENIORS; IMPACT;

D O I：

10.1016/j.apmr.2022.08.009

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To describe and identify factors influencing mobility among older adults during the first 5 months of the COVID-19 pandemic.Design: A cross-sectional telesurvey.Setting: Community dwelling older adults, situated within the first 5 months of the COVID-19 pandemic, in Hamilton, Canada.Participants: A random sample of 2343 older adults were approached to be in the study, of which 247 completed the survey (N=247). Eligible participants were aged >= 65 years.Interventions: Not applicable.Main Outcome Measures: Mobility was measured using global rating of change items and the Late Life Function Instrument (LLFI). Multivariate linear regression models were used to examine the association between mobility and related factors based on Webber's model.Results: 247 older adults (29% male, mean age 78 + 7.3 years) completed surveys between May and August 2020. Respectively, 26%, 10%, and 9%, rated their ability to engage in physical activity, housework, and move around their home as worse compared with the start of the pandemic. The mean LLFI score was 60.9 + 13.4. In the model, walking volume (fi=0.03 95% confidence interval 0.013, 0.047), fall history (fi=-0.04, 95% confidence interval-0.08, -0.04), male sex (fi=0.06, 95% confidence interval 0.02, 0.09), unpleasant neighborhood (fi=-0.06, 95% confidence inter-val-0.11, -0.02), musculoskeletal pain (fi=-0.07, 95% confidence interval-0.11, -0.03), and self-reported health (fi=0.08, 95% confidence interval 0.03, 0.13) had the strongest associations with LLFI scores and explained 64% of the variance in the LLFI score.Conclusions: Physical and environmental factors may help explain poorer mobility during lockdowns. Future research should examine these asso-ciations longitudinally to see if factors remain consistent over time and could be targeted for rehabilitation. Archives of Physical Medicine and Rehabilitation 2023;104:34-42 (c) 2022 by the American Congress of Rehabilitation Medicine.

引用

页码：34 / 42

页数：9

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