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Motility in Frail Older Adults: Operationalization of a New Framework and First Insights into Its Relationship with Physical Activity and Life-Space Mobility: An Exploratory Study

Author

Listed:
  • Julia Seinsche

    (Institute of Movement & Sport Gerontology, German Sport University Cologne, 50933 Cologne, Germany)

  • Wiebren Zijlstra

    (Institute of Movement & Sport Gerontology, German Sport University Cologne, 50933 Cologne, Germany)

  • Eleftheria Giannouli

    (Institute of Movement & Sport Gerontology, German Sport University Cologne, 50933 Cologne, Germany)

Abstract

In order to design effective interventions to prevent age-related mobility loss, it is important to identify influencing factors. The concept of “motility” by Kaufmann et al. subdivides such factors into three categories: “access”, “skills”, and “appropriation”. The aim of this study was to assemble appropriate quantitative assessment tools for the assessment of these factors in frail older adults and to get first insights into their relative contribution for life-space and physical activity-related mobility. This is an exploratory cross-sectional study conducted with twenty-eight at least prefrail, retired participants aged 61–94. Life-space mobility was assessed using the “University of Alabama at Birmingham Life-space Assessment” (LSA) and physical activity using the “German Physical Activity Questionnaire” (PAQ50+). Factors from the category “appropriation”, followed by factors from the category “skills” showed the strongest associations with the LSA. Factors from the category “access” best explained the variance for PAQ50+. This study’s findings indicate the importance of accounting for and examining comprehensive models of mobility. The proposed assessment tools need to be explored in more depth in longitudinal studies with larger sample sizes in order to yield more conclusive results about the appropriateness of the motility concept for such purposes.

Suggested Citation

  • Julia Seinsche & Wiebren Zijlstra & Eleftheria Giannouli, 2020. "Motility in Frail Older Adults: Operationalization of a New Framework and First Insights into Its Relationship with Physical Activity and Life-Space Mobility: An Exploratory Study," IJERPH, MDPI, vol. 17(23), pages 1-20, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8814-:d:452201
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    References listed on IDEAS

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    1. Metz, D. H., 2000. "Mobility of older people and their quality of life," Transport Policy, Elsevier, vol. 7(2), pages 149-152, April.
    2. Rob C van Lummel & Stefan Walgaard & Mirjam Pijnappels & Petra J M Elders & Judith Garcia-Aymerich & Jaap H van Dieën & Peter J Beek, 2015. "Physical Performance and Physical Activity in Older Adults: Associated but Separate Domains of Physical Function in Old Age," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-16, December.
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    5. Eleftheria Giannouli & Otmar Bock & Wiebren Zijlstra, 2018. "Cognitive functioning is more closely related to real-life mobility than to laboratory-based mobility parameters," European Journal of Ageing, Springer, vol. 15(1), pages 57-65, March.
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    1. Klaus Hauer & Phoebe Ullrich & Patrick Heldmann & Laura Bauknecht & Saskia Hummel & Bastian Abel & Juergen M. Bauer & Sarah E. Lamb & Christian Werner, 2021. "Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment," IJERPH, MDPI, vol. 18(8), pages 1-17, April.

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