0000000000202138

AUTHOR

Kaisa Koivunen

0000-0002-0710-0069

showing 14 related works from this author

Is Complexity of Daily Activity Associated with Physical Function and Life Space Mobility among Older Adults?

2022

Purpose Information about mobility, and physical function may be encoded in the complexity of daily activity pattern. Therefore, daily activity pattern complexity metrics could provide novel insight regarding the relationship between daily activity behaviour and health. The purpose of the present study was to examine the association between the complexity of daily activity behaviour, and mobility and physical function among community-dwelling older adults aged 75, 80, and 85 years-of-age. Methods A total of 309 participants wore accelerometers concurrently on the thigh and the trunk for at least 3 consecutive days. Five activity states (lying, sitting, standing, walking, or activity other t…

Physical Therapyfyysinen toimintakykyaktigrafiaSocial SciencesSports Therapy and RehabilitationkompleksisuusWEARABLEHABITUALACTIGRAPHYliikuntakykyMedicine and Health SciencesOrthopedics and Sports Medicinepuettava teknologiaikääntyneetfyysinen aktiivisuusAMBULATORY
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Resilienssi ikääntyessä: fyysinen suorituskyky ja psykososiaaliset tekijät muuttuvassa ympäristössä ja voimavaroina vastoinkäymisissä

2022

resilienssisuorituskykyVäitöksetfyysinen kuntoikääntyminenpsykososiaaliset tekijätGeneral MedicineikääntyneetlihasvoimaGerontologia
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Cohort Differences in Depressive Symptoms and Life Satisfaction in 75- and 80-Year-Olds : A Comparison of Two Cohorts 28 Years Apart

2023

Objectives To examine birth cohort differences in depressive symptoms and life satisfaction in older men and women and the mechanisms underpinning the possible cohort differences. Methods Two independent cohorts of Finnish men and women aged 75 and 80 were assessed in 1989–1990 ( n = 617) and 2017–2018 ( n = 794). They reported their depressive symptoms (CES-D), current life satisfaction, and evaluation of life until now. Results The later-born cohort reported fewer depressive symptoms (8.6 ± 7.1 vs. 13.9 ± 8.3) and the differences were similar for the subdomains of depressive symptoms. The later-born cohort was more often mostly satisfied with life until now (90 vs. 70%) but not with the c…

Community and Home Caremasennusbirth cohortsmielenterveysmielenterveyshäiriötdepressionelämänlaatuGeriatrics and Gerontologysecular trendsGerontologymental healthikääntyneet
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Birth cohort differences in cognitive performance in 75- and 80-year-olds: a comparison of two cohorts over 28 years.

2021

Abstract Objective To evaluate cohort differences in cognitive performance in older men and women born and assessed 28 years apart. Methods Data in this study were drawn from two age-homogeneous cohorts measured in the same laboratory using the same standardized cognitive performance tests. Participants in the first cohort were born in 1910 and 1914 and assessed in 1989–1990 (Evergreen project, n = 500). Participants in the second cohort were born in 1938 or 1939 and 1942 or 1943 and assessed in 2017–2018 (Evergreen II, n = 726). Participants in both cohorts were assessed at age 75 and 80 years and were recruited from the population register. Cognitive performance was measured using the Dig…

MaleAgingWechsler Memory Scaleverbal fluency testDigit symbol testNeuropsychological Tests050105 experimental psychologyCohort Studies03 medical and health sciences0302 clinical medicineCognitionDigit span testMemory spanVerbal fluency testHumans0501 psychology and cognitive sciencesCognitive performancecognitive performancekohorttitutkimusAgedreaction timeAged 80 and overIntelligence TestsReaction timedigit span testIntelligence quotient05 social sciencesWechsler Adult Intelligence ScaleCognition16. Peace & justicedigit symbol testkognitiiviset prosessitreaktiotikääntyminenCohortFemaleOriginal ArticleGeriatrics and GerontologyPsychologyCognition DisordersVerbal fluency test030217 neurology & neurosurgeryClinical psychologyCohort studyAging clinical and experimental research
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Association Between Free-Living Sit-to-Stand Transition Characteristics, and Lower-Extremity Performance, Fear of Falling, and Stair Negotiation Diff…

2022

Abstract Background Good sit-to-stand (STS) performance is an important factor in maintaining functional independence. This study investigated whether free-living STS transition volume and intensity, assessed by a thigh-worn accelerometer, is associated with characteristics related to functional independence. Methods Free-living thigh-worn accelerometry was recorded continuously for 3–7 days in a population-based sample of 75-, 80-, and 85-year-old community-dwelling people (479 participants; women n = 287, men n = 192). The records were used to evaluate the number and intensity (angular velocity of the STS phase) of STS transitions. Associations with short physical performance battery (SPP…

Aged 80 and overMalekaatuminenAgingNegotiatinggeriatric assessmentfyysinen toimintakykyFearphysical performancemittausmenetelmätphysical functionfunctional performanceHumansFemaleKneeIndependent LivingGeriatrics and Gerontologychair riseikääntyneetAged
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Day-to-Day Variability and Year-to-Year Reproducibility of Accelerometer-Measured Free-Living Sit-to-Stand Transitions Volume and Intensity among Com…

2021

(1) Background: The purpose of this study was to evaluate the day-to-day variability and year-to-year reproducibility of an accelerometer-based algorithm for sit-to-stand (STS) transitions in a free-living environment among community-dwelling older adults. (2) Methods: Free-living thigh-worn accelerometry was recorded for three to seven days in 86 (women n = 55) community-dwelling older adults, on two occasions separated by one year, to evaluate the long-term consistency of free-living behavior. (3) Results: Year-to-year intraclass correlation coefficients (ICC) for the number of STS transitions were 0.79 (95% confidence interval, 0.70-0.86, p < 0.001), for mean angular velocity-0.81 (95% c…

TechnologyACCURACYTP1-1185mobility limitationEngineeringAGEAccelerometryHumansKINEMATICSInstruments & InstrumentationAgedScience & TechnologyChemical technologyCommunicationDISABILITYMORTALITYChemistry AnalyticalReproducibility of ResultsliikuntarajoitteetEngineering Electrical & Electronictest-retestmittausmenetelmätChemistryLOWER-EXTREMITY FUNCTIONPHYSICAL-ACTIVITYThighPhysical SciencesYOUNGFemaleIndependent LivingTEST-RETEST RELIABILITYBODY FIXED SENSORchair risetest–retestfyysinen aktiivisuusikääntyneet
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Maintenance of high quality of life as an indicator of resilience during COVID-19 social distancing among community-dwelling older adults in Finland

2021

Abstract Purpose Social distancing during the COVID-19 pandemic reduced possibilities for activities of choice potentially threatening quality of life (QoL). We defined QoL resilience as maintaining high quality of life and studied whether walking speed, absence of loneliness, living arrangement, and stress-coping ability predict QoL resilience among older people. Methods Community-dwelling 75-, 80-, and 85-year-old persons (n = 685) were interviewed and examined in 2017–2018 and were followed up during COVID-19 social distancing in 2020. We assessed QoL using the OPQOL-brief scale and set a cut-off for ‘constant high’ based on staying in the highest baseline quartile over the follow-up and…

GerontologySTRESSadaptationelämänlaatuAdversitypandemiat0302 clinical medicineQuality of life030212 general & internal medicineadversityFinlandSCALEmedia_commonsopeutuminenSocial distanceOF-LIFELoneliness3142 Public health care science environmental and occupational healthPhysical functionIndependent LivingHEALTHPsychological resiliencemedicine.symptomPsychologyPsychosocialikääntyneetpsychosocial resourcesmedia_common.quotation_subjectPhysical Distancingfyysinen toimintakykyCONNOR-DAVIDSON RESILIENCEpsykososiaaliset tekijätArticleOdds03 medical and health sciencesphysical functionAGEmedicineHumansAdaptationSPEEDPandemicsRestrictivenessAgedSARS-CoV-2Public Health Environmental and Occupational HealthCOVID-193141 Health care sciencePreferred walking speedpoikkeusolotQuality of LifePsychosocial resourcesLONELINESS030217 neurology & neurosurgeryQuality of Life Research
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Impact of mobility restrictions on active aging; cross-sectional associations and longitudinal changes parallel to COVID-19 restrictions

2021

Background: Meaningful activities can be done in or around home, but opportunities for participation and active aging decrease when moving in smaller areas. Active aging refers to having an active approach to life in line with one's goals, ability and opportunities. In adults over 75 years with different baseline neighborhood mobility levels, we studied active aging scores two years prior to and amid COVID-19, when governments restricted mobility of residents to slow the COVID-19 outbreak. Methods: AGNES cohort data were collected in 2017-2018 and spring 2020. Individuals were queried about their will, ability, and opportunity, and extent of doing 17 activities, and subsequently, item, comp…

GerontologyAging2019-20 coronavirus outbreakHealth (social science)Coronavirus disease 2019 (COVID-19)03 medical and health sciences0302 clinical medicineGroup differencesResidence Characteristicslife-spaceliikuntakykyelinympäristöHumans030212 general & internal medicineMobility LimitationGeneralized estimating equationosallistuminenSARS-CoV-2agingCOVID-19liikuntarajoitteetMobility limitationCoronavirusCross-Sectional StudiesMobility LimitationpoikkeusolotLife spaceCohortGeriatrics and GerontologyLimited mobilityPsychologyGerontologyikääntyneet030217 neurology & neurosurgeryArchives of Gerontology and Geriatrics
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Mortality Risk Among Older People Who Did Versus Did Not Sustain a Fracture: Baseline Prefracture Strength and Gait Speed as Predictors in a 15-Year …

2019

Abstract Background Physiological reserve, as indicated by muscle strength and gait speed, may be especially determinant of survival in people who are exposed to a health stressor. We studied whether the association between strength/speed and mortality risk would be stronger in the time period after a fracture compared to other time periods. Methods Participants were population-based sample of 157 men and 325 women aged 75 and 80 years at baseline. Maximal 10-m gait speed and maximal isometric grip and knee extension strength were tested at the baseline before the fracture. Subsequent fracture incidence and mortality were followed up for 15 years. Cox regression analysis was used to estimat…

MaleRiskkuolleisuusAgingmedicine.medical_specialtyPopulationfyysinen toimintakykyvanhuksetPoison controlIsometric exercise030204 cardiovascular system & hematologyFractures Bone03 medical and health sciencesphysical function0302 clinical medicineInjury preventionHumansMedicineMuscle Strength030212 general & internal medicineepidemiologiaeducationGeriatric AssessmentluunmurtumatFinlandAgedAged 80 and overeducation.field_of_studyProportional hazards modelbusiness.industryIncidenceIncidence (epidemiology)Survival AnalysisGaitadverse eventsWalking SpeedPreferred walking speedfracturePhysical therapyFemaleepidemiologyGeriatrics and Gerontologybusinesshealth stressorsikääntyneetThe Journals of Gerontology: Series A
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Development and validation of an intrinsic capacity composite score in the Longitudinal Aging Study Amsterdam: a formative approach

2023

Abstract Background Intrinsic capacity (IC) defined by the WHO refers to the composite of five domains of capacities. So far, developing and validating a standardized overall score of the concept have been challenging partly because its conceptual framework has been unclear. We consider that a person’s IC is determined by its domain-specific indicators suggesting a formative measurement model. Aims To develop an IC score applying a formative approach and assess its validity. Methods The study sample (n = 1908) consisted of 57–88-year-old participants from the Longitudinal Aging Study Amsterdam (LASA). We used logistic regression models to select the indicators to the IC score with 6-year fu…

functional abilityAgingSDG 16 - PeaceSDG 16 - Peace Justice and Strong Institutions/dk/atira/pure/sustainabledevelopmentgoals/peace_justice_and_strong_institutionsJustice and Strong InstitutionsWHOikääntyminenhealthy agingSDG 3 - Good Health and Well-beingtoimintakykyvaliditeettimittarit (mittaus)/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_beingmeasurementGeriatrics and Gerontologyikääntyneet
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Living alone vs. living with someone as a predictor of mortality after a bone fracture in older age

2020

Abstract Background Living alone is a risk factor for health decline in old age, especially when facing adverse events increasing vulnerability. Aim We examined whether living alone is associated with higher post-fracture mortality risk. Methods Participants were 190 men and 409 women aged 75 or 80 years at baseline. Subsequent fracture incidence and mortality were followed up for 15 years. Extended Cox regression analysis was used to compare the associations between living arrangements and mortality risk during the first post-fracture year and during the non-fracture time. All participants contributed to the non-fracture state until a fracture occurred or until death/end of follow-up if th…

MalekuolleisuusAgingsosiaalinen tukiSocial networksSocial support03 medical and health sciencesSocial supportFractures Bone0302 clinical medicinesosiaaliset verkostotResidence CharacteristicsRisk FactorsmedicineHumans030212 general & internal medicineRisk factorAdverse effectliving arrengementAgedAged 80 and overresilienssiHealth stressors030214 geriatricsResilienceGeriatrics gerontologyProportional hazards modelbusiness.industryIncidence (epidemiology)IncidenceasuminenBone fracturemedicine.diseaseLiving arrangementFemaleOriginal ArticleGeriatrics and GerontologybusinessLower mortalityhealth stressorsikääntyneetDemographyAging Clinical and Experimental Research
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Cohort Differences in Maximal Physical Performance: A Comparison of 75- and 80-Year-Old Men and Women Born 28 Years Apart

2020

Abstract Background Whether increased life expectancy is accompanied by increased functional capacity in older people at specific ages is unclear. We compared similar validated measures of maximal physical performance in 2 population-based older cohorts born and assessed 28 years apart. Method Participants in the first cohort were born in 1910 and 1914 and were assessed at age 75 and 80 years, respectively (N = 500, participation rate 77%). Participants in the second cohort were born in 1938 or 1939 and 1942 or 1943 and were assessed at age 75 and 80 years, respectively (N = 726, participation rate 40%). Participants were recruited using a population register and all community-dwelling pers…

Malerip strengthAgingVital capacityWalkingfunctional capacityIsometric exerciseGrip strengthpulmonary function testbirth0302 clinical medicineMedicine030212 general & internal medicinesecular trendskohorttitutkimusFinlandAged 80 and overbirth cohortseducation.field_of_studyHand Strengthpulmonary functionPhysical Functional PerformanceRespiratory Function TestskävelyCohortrespiratory physiologycommunityFemaleikääntyneetelinajanodoteextension of kneePopulationfyysinen toimintakykywalking speed03 medical and health sciencesFEV1/FVC ratiophysical functionforced vital capacitytoimintakykyHumanssolder adulteducationGeriatric AssessmentAgedsuorituskykybusiness.industryPreferred walking speedlife expectancyLife expectancyforced expiratory volume functionGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryDemographyThe Journals of Gerontology: Series A
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Psychometric properties of the 10-item Connor–Davidson resilience scale among Finnish older adults

2021

Objectives: Resilience, the ability to bounce back after adverse events may be an important factor in active aging. The 10-item version of the Connor–Davidson Resilience Scale (CD-RISC10) seems suitable for aging research owing to its low participant burden; however, its psychometric properties have not been comprehensively reported for older people. For example, no estimate exists of the test–retest reliability of the scale when used with older adults. Hence, this study evaluated the psychometric properties of the CD-RISC10 in a large population-based sample of community-dwelling older people. Method: The scale’s internal consistency, factor structure, construct validity, test-retest relia…

MaleValidation studyPsychometricspsychometric properties03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesHumansResilience (network)resilienceFinlandreliabiliteettiAgedresilienssi030214 geriatricsagingReproducibility of ResultsResilience PsychologicalpsykometriikkaPsychiatry and Mental healthikääntyminenvalidation studyvaliditeettimittarit (mittaus)CD-RISCFemaleResilience scaleConnor-Davidson Resilience ScaleGeriatrics and GerontologyPshychiatric Mental HealthFactor Analysis StatisticalPsychologyGerontologyikääntyneet030217 neurology & neurosurgeryClinical psychologyAging & Mental Health
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Supplemental Material - Cohort Differences in Depressive Symptoms and Life Satisfaction in 75- and 80-Year-Olds: A Comparison of Two Cohorts 28 Years…

2023

Supplemental Material for Cohort Differences in Depressive Symptoms and Life Satisfaction in 75- and 80-Year-Olds: A Comparison of Two Cohorts 28 Years Apart by Tiia Kekäläinen, Kaisa Koivunen, Katja Pynnönen, Erja Portegijs, and Taina Rantanen in Journal of Aging and Health.

FOS: Clinical medicine111799 Public Health and Health Services not elsewhere classifiedFOS: Health sciences110306 Endocrinology110308 Geriatrics and Gerontology
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