Life-Space Mobility and Active Aging as Factors Underlying Quality of Life Among Older People Before and During COVID-19 Lockdown in Finland-A Longitudinal Study
Life-Space Mobility and Active Aging as Factors Underlying Quality of Life Among Older People Before and During COVID-19 Lockdown in Finland-A Longitudinal Study
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DOI：
10.1093/gerona/glaa274
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发表时间：
2021-03-01
影响因子：
5.1
通讯作者：
Newman, Anne B.
中科院分区：
文献类型：
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作者：
Rantanen, Taina;Eronen, Johanna;Newman, Anne B.
背景资料：在COVID-19大流行期间，建议保持社交距离，即避免与其他人在一起并呆在家里，以防止病毒传播。老年人外出活动减少和活动水平降低可能会降低他们的生活质量（QOL）。我们研究了与2年前相比，COVID-19社交距离期间生活空间移动性、积极老龄化和生活质量的横截面和纵向关联和变化。共有809名社区生活参与者，最初年龄为75岁，80岁，我们在2017-2018年进行的积极老龄化研究（AGNES）的85岁或85岁参与了2020年5月和6月的当前AGNES-COVID-19调查。使用生活空间评估（范围0-120）评估户外活动能力。采用伊瓦斯基拉大学积极老龄化量表（范围0-272）评估积极的生活方式，并采用缩短的老年人生活质量问卷（范围13 -65;得分越高对所有人来说越好）评估QOL。数据采用一般估计方程、一般线性模型和单因素方差分析进行分析。生活空间流动性（B-10.8，SE 0.75，p < .001），主动老化评分（B-24.1，SE 0.88，p <0.001）和QOL评分（B-1.65，SE 0.21，p <0.001）在COVID-19社交距离期间低于2年前。同时生活空间移动性和积极老龄化评分，年龄和性别解释了48%的QOL在基线和42%在社交距离。结论：观察到的下降表明遵守了社交距离建议，但强调了参与有意义的生活情境的重要性，这也是COVID-19大流行期间良好QOL的基础因素。
Background: Social distancing, that is, avoiding places with other people and staying at home, was recommended to prevent viral transmission during the COVID-19 pandemic. Potentially, reduced out-of-home mobility and lower activity levels among older people may lower their quality of life (QOL). We studied cross-sectional and longitudinal associations of and changes in life-space mobility, active aging, and QOL during COVID-19 social distancing compared to 2 years before.Methods: Altogether 809 community-living participants initially aged 75, 80, or 85 years of our active aging study (AGNES) conducted in 2017-2018 took part in the current AGNES-COVID-19 survey in May and June 2020. Outdoor mobility was assessed with the Life-Space Assessment (range 0-120). Active approach to life was assessed with the University of Jyvaskyla Active Aging Scale (range 0-272), and QOL with the shortened Older People's Quality of Life Questionnaire (range13-65; higher scores better for all). Data were analyzed with General Estimating Equations, General Linear Models, and One-way analysis of variance.Results: Life-space mobility (B -10.8, SE 0.75, p < .001), the active aging score (B -24.1, SE 0.88, p < .001), and the QOL score (B -1.65, SE 0.21, p < .001) were lower during COVID-19 social distancing versus 2 years before. Concurrent life-space mobility and active aging scores, age, and sex explained 48% of QOL at the baseline and 42% during social distancing. Longitudinally, steeper declines in all 3 variables coincided.Conclusion: The observed declines indicate compliance with social distancing recommendation, but underline the importance of participation in meaningful life situations as a factor underlying good QOL also during the COVID-19 pandemic.