Evidence map›Paper›PMID 32005107›Full record

ArticleBMC geriatrics2020

Modifiable factors related to life-space mobility in community-dwelling older adults: results from the Canadian Longitudinal Study on Aging.

A Kuspinar, C P Verschoor, M K Beauchamp, J Dushoff, J Ma, E Amster, C Bassim, V Dal Bello-Haas, M A Gregory, J E Harris and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
32.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

  1. Pooled it
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  4. Neighborhood Walkability Is Associated With Global Positioning System-Derived Community Mobility of Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  7. The Association of Mobility Determinants and Life Space Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
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  8. Are Mobile Persons With Parkinson Disease Necessarily More Active?Journal of neurologic physical therapy : JNPT · 2021
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17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

A KuspinarSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. kuspinaa@mcmaster.ca.ORCID 0000-0002-3886-0407
C P VerschoorHealth Sciences North Research Institute, Sudbury, Ontario, Canada.
M K BeauchampSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
J DushoffDepartment of Biology, Faculty of Science, McMaster University, Hamilton, Ontario, Canada.
J MaDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
E AmsterDepartment of History, Faculty of Humanities, McMaster University, Hamilton, Ontario, Canada.
C BassimDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
V Dal Bello-HaasSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
M A GregorySchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
J E HarrisSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
L LettsSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
S E Neil-SztramkoSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
J RichardsonSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
R ValaitisSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
B VrkljanSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
McMaster University · CAImpact · CAHealth Sciences North · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe most common methods for measuring mobility in older adulthood include performance-based tests, such as the Timed-Up-and-Go and gait speed. While these measures have strong predictive validity for adverse outcomes, they are limited to assessing what older adults do in standardized settings, rather than what they do in their daily life. Life-space mobility, which is the ability to move within environments that expand from one's home to the greater community, has been proposed as a more comprehensive measure of mobility. The aim of this study was to determine the association between modifiable factors and life-space mobility in older adults enrolled in the Canadian Longitudinal Study on Aging (CLSA).

methodsLife-space mobility was measured using the Life Space Index (LSI). Explanatory factors included physical, psychosocial and cognitive determinants, as well as pain, fatigue, driving status, nutrition, body mass index, smoking status, and vision. To estimate the association between the LSI and explanatory variables, univariate and multivariable ordinary least squares regression analyses were performed.

resultsAll adults 65 years and older (n = 12,646) were included in the analysis. Fifty percent were women and the mean age was 73.0 (SD5.7). The mean LSI score was 80.5, indicating that, on average, the sample was able to move outside of their neighborhood independently. All explanatory variables were significantly associated with the LSI except for balance and memory. The top 3 variables that explained the most variation in the LSI were driving, social support and walking speed.

conclusionTo our knowledge, this was the first study to examine the association between life-space mobility and a comprehensive set of modifiable factors that were selected based on a theoretical framework and existing research evidence. This study had two important messages. First, driving, social support and walking speed emerged as the most significant correlates of life-space mobility in older adults. Second, life-space mobility is multifactorial and interventions that are pragmatic in their design and testing are needed that consider the complexity involved. A multi-disciplinary approach to examining life-space mobility in older adults is needed to optimize opportunities for healthy aging and develop strategies that support mobility in older adulthood.

Indexed as

Activities of Daily LivingIndependent LivingAdultAgedAgingCanadaFemaleGeriatric AssessmentHumansLongitudinal StudiesMobility LimitationCanadian longitudinal study on agingLife-space mobilityOlder adultsRehabilitation

Identifiers

PMID32005107
PMCPMC6995110
OpenAlexW3007719264

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.