uk4muyn0

Property	Value
?:abstract	BACKGROUND: The COVID-19 pandemic has led to abrupt restrictions of lile-space mobility. The impact of shelter-in-place orders on older adults’ health and well-being is still unclear. OBJECTIVE: To investigate the relationship between life-space mobility and quality of life (QoL) in older adults with and without frailty during the COVID-19 pandemic. DESIGN: Multicenter prospective cohort study based on structured telephone interviews. SETTING: Four geriatric outpatient clinics in the metropolitan area of Sao Paulo, Brazil. PARTICIPANTS: 557 community-dwelling adults aged 60 years and older. MEASUREMENTS: The Life-Space Assessment was used to measure community mobility before and during the COVID-19 pandemic, and a previously validated decrease of ≥ 5 points defined restricted life-space mobility. Frailty was assessed through the FRAIL (fatigue, resistance, ambulation, illnesses, and loss of weight) scale. The impact of shelter-in-place orders on QoL was evaluated with the question «How is the COVID-19 pandemic affecting your QoL?», to which participants could respond «not at all», «to some extent», or «to a great extent». We used ordinal logistic regressions to investigate the relationship between restricted life-space mobility and impact on QoL, adjusting our analyses for demographics, frailty, comorbidities, cognition, functionality, loneliness, depression, and anxiety. We explored whether frailty modified the association between life-space mobility and impact on QoL. RESULTS: Participants were on average 80±8 years old, 65% were women, and 33% were frail. The COVID-19 quarantine led to a restriction of community mobility in 79% of participants and affected the QoL for 77% of participants. We found that restricted life-space mobility was associated with impact on QoL in older adults during the pandemic, although frailty modified the magnitude of the association (P-value for interaction=0.03). Frail participants who experienced restricted life-space mobility had twice the odds of reporting an impact on QoL when compared with non-frail individuals, with respective adjusted odds ratios of 4.20 (95% CI=2.36–7.50) and 2.18 (95% CI=1.33–3.58). CONCLUSION: Older adults experienced substantial decreases in life-space mobility during the COVID-19 pandemic, and this unexpected change impacted their QoL. Providers should be particularly watchful for the consequences of abrupt life-space restrictions on frail individuals. ELECTRONIC SUPPLEMENTARY MATERIAL: Supplementary material is available in the online version of this article at 10.1007/s12603-020-1532-z.
is ?:annotates of	<https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C0003467> <https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C0011581> <https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C0015672> <https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C0221423> <https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C1415068> <https://research.tib.eu/covid-19/entity/uk4muyn0_hasAnnotation_C1825598>
?:creator	<https://research.tib.eu/covid-19/entity/Saraiva%2C_M._D.%3B_Apolinario%2C_D.%3B_Avelino-Silva%2C_T._J.%3B_De_Assis_Moura_Tavares%2C_C.%3B_Gatt%C3%A1s-Vernaglia%2C_I._F.%3B_Marques_Fernandes%2C_C.%3B_Rabelo%2C_L._M.%3B_Tavares_Fernandes_Yamaguti%2C_S.%3B_Karnakis%2C_T.%3B_Kalil-Filho%2C_R.%3B_Jacob-Filho%2C_W.%3B_Romero_Aliberti%2C_M%C3%A1rlon_Juliano>
?:doi	10.1007/s12603-020-1532-z
?:doi	<https://research.tib.eu/covid-19/entity/10.1007/s12603-020-1532-z>
?:externalLink	<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678592/>
?:journal	J_Nutr_Health_Aging
?:license	no-cc
?:pdf_json_files	document_parses/pdf_json/4ad756553884a3cb1911c507cb4b1f8d1f04b94e.json
?:pmc_json_files	document_parses/pmc_json/PMC7678592.xml.json
?:pmcid	<https://research.tib.eu/covid-19/entity/PMC7678592>
?:publication_isRelatedTo_Disease	<https://research.tib.eu/covid-19/entity/COVID-19>
?:sha_id	<https://research.tib.eu/covid-19/entity/4ad756553884a3cb1911c507cb4b1f8d1f04b94e>
?:source	PMC
?:title	The Impact of Frailty on the Relationship between Life-Space Mobility and Quality of Life in Older Adults During the COVID-19 Pandemic
?:type	<https://research.tib.eu/covid-19/vocab/Publication>
?:year	2020-11-17

Property

Value

?:abstract

BACKGROUND: The COVID-19 pandemic has led to abrupt restrictions of lile-space mobility. The impact of shelter-in-place orders on older adults’ health and well-being is still unclear. OBJECTIVE: To investigate the relationship between life-space mobility and quality of life (QoL) in older adults with and without frailty during the COVID-19 pandemic. DESIGN: Multicenter prospective cohort study based on structured telephone interviews. SETTING: Four geriatric outpatient clinics in the metropolitan area of Sao Paulo, Brazil. PARTICIPANTS: 557 community-dwelling adults aged 60 years and older. MEASUREMENTS: The Life-Space Assessment was used to measure community mobility before and during the COVID-19 pandemic, and a previously validated decrease of ≥ 5 points defined restricted life-space mobility. Frailty was assessed through the FRAIL (fatigue, resistance, ambulation, illnesses, and loss of weight) scale. The impact of shelter-in-place orders on QoL was evaluated with the question «How is the COVID-19 pandemic affecting your QoL?», to which participants could respond «not at all», «to some extent», or «to a great extent». We used ordinal logistic regressions to investigate the relationship between restricted life-space mobility and impact on QoL, adjusting our analyses for demographics, frailty, comorbidities, cognition, functionality, loneliness, depression, and anxiety. We explored whether frailty modified the association between life-space mobility and impact on QoL. RESULTS: Participants were on average 80±8 years old, 65% were women, and 33% were frail. The COVID-19 quarantine led to a restriction of community mobility in 79% of participants and affected the QoL for 77% of participants. We found that restricted life-space mobility was associated with impact on QoL in older adults during the pandemic, although frailty modified the magnitude of the association (P-value for interaction=0.03). Frail participants who experienced restricted life-space mobility had twice the odds of reporting an impact on QoL when compared with non-frail individuals, with respective adjusted odds ratios of 4.20 (95% CI=2.36–7.50) and 2.18 (95% CI=1.33–3.58). CONCLUSION: Older adults experienced substantial decreases in life-space mobility during the COVID-19 pandemic, and this unexpected change impacted their QoL. Providers should be particularly watchful for the consequences of abrupt life-space restrictions on frail individuals. ELECTRONIC SUPPLEMENTARY MATERIAL: Supplementary material is available in the online version of this article at 10.1007/s12603-020-1532-z.

is ?:annotates of