Siltanen Sini, Portegijs Erja, Saajanaho Milla, Pynnönen Katja, Kokko Katja, Rantanen Taina
Finnish Institute for Health and Welfare, PO Box 30, 00271 Helsinki, Finland.
Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Eur J Ageing. 2021 Aug 28;19(3):475-484. doi: 10.1007/s10433-021-00634-6. eCollection 2022 Sep.
Social distancing during the COVID-19 pandemic decreased older people's opportunities to lead an active life. The purpose of this study was to investigate whether walking difficulties predict changes in leading an active life during the COVID-19 social distancing recommendation compared to 2 years before, and whether self-rated resilience moderates this association among older people. Data were collected during social distancing recommendation in May and June 2020 and 2 years before (2017-18) among community-living AGNES study participants initially aged 75, 80, or 85 years ( = 809). Leading an active life was assessed with the University of Jyväskylä Active Aging Scale (UJACAS; total score range 0-272) and resilience with the 10-item Connor-Davidson Resilience Scale (0-40). Self-reported walking difficulties over a 2 km distance were categorized into no difficulty, difficulty, and unable to walk. The total UJACAS score declined 24.9 points (SD 23.5) among those without walking difficulty, 27.0 (SD 25.0) among those reporting walking difficulty and 19.5 (SD 31.2) among those unable to walk 2 km. When adjusted for baseline UJACAS score, those unable to walk 2 km demonstrated the greatest decline. Baseline resilience moderated this association: Higher resilience was associated with less declines in UJACAS scores among persons with or without walking difficulty, and with more declines among persons unable to walk 2 km. When opportunities for leading an active life are compromised, those with less physical and psychological resources become particularly vulnerable to further declines in activity.
在新冠疫情期间保持社交距离减少了老年人积极生活的机会。本研究的目的是调查与两年前相比，行走困难是否能预测在新冠疫情社交距离建议期间积极生活的变化，以及自我评定的恢复力是否会调节老年人中的这种关联。数据收集于2020年5月和6月社交距离建议期间以及两年前（2017 - 18年），来自社区居住的AGNES研究参与者，初始年龄为75、80或85岁（n = 809）。使用于韦斯屈莱大学积极老龄化量表（UJACAS；总分范围0 - 272）评估积极生活情况，使用10项Connor - Davidson恢复力量表（0 - 40）评估恢复力。自我报告的2公里行走困难情况分为无困难、有困难和无法行走。在无行走困难的人群中，UJACAS总分下降了24.9分（标准差23.5），报告有行走困难的人群中下降了27.0分（标准差25.0），无法行走2公里的人群中下降了19.5分（标准差31.2）。在调整基线UJACAS得分后，无法行走2公里的人群下降幅度最大。基线恢复力调节了这种关联：较高的恢复力与有或无行走困难人群中UJACAS得分下降较少相关，与无法行走2公里的人群中得分下降较多相关。当积极生活的机会受到损害时，身体和心理资源较少的人在活动方面更容易进一步下降。
