Mobility and Aging: New Directions for Public Health Action

Satariano, William A.; Guralnik, Jack M.; Jackson, Richard J.; Marottoli, Richard A.; Phelan, Elizabeth A.; Prohaska, Thomas R.

doi:10.2105/ajph.2011.300631

Cited by 306 publications

(233 citation statements)

References 92 publications

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“…Mobility is a concept which correlates with physical activity; however the concepts do not completely overlap. Mobility simply refers to movement in all its forms, such as walking, riding a bicycle, travelling by bus or driving a car (Satariano et al 2012), including the amount and frequency of movement. Some forms of mobility require more physical activity than others.…”

Section: Physical Activity In Old Agementioning

confidence: 99%

“…Optimal mobility is defined as a person's ability to go where, when and how one wants to go (Satariano et al 2012). The actual mobility of a person moving around in his or her environment can be described with the concept of lifespace mobility, that is, the spatial area a person purposely moves through in daily life within a specific time, also taking into account the need for assistance to accomplish that movement (Baker, Bodner & Allman 2003).…”

Section: Life-space Mobilitymentioning

confidence: 99%

“…Walking, along with driving a car, is one of the main forms of mobility in older people, (Satariano et al 2012). Walking in itself is an essential form of mobility among older people and, because it is a prerequisite for many other forms of mobility, it is also one of the most popular forms of physical activity (Lim & Taylor 2005, Mäkilä, Hirvensalo & Parkatti 2010.…”

Section: Walking Limitationmentioning

confidence: 99%

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Barriers to outdoor physical activity and unmet physical activity need in older adults

Eronen

Bonsdorff

Törmäkangas

et al. 2014

Preventive Medicine

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Physical activity is a basic need, also in old age. However, many older people cannot fulfil this need, often due to walking limitations causing imbalance in person-environment fit. Decreased physical activity can lead to unmet physical activity need and restriction on life-space mobility. The opportunities to remain physically active depend on various factors, not all of which are equally achievable for all older adults. The aim was to investigate disparities in physical activity among older community-dwelling people, with a focus on functioning, environmental barriers and facilitators, and socioeconomic status (SES).The data were drawn from two studies conducted in Central Finland: Screening and Counseling for Physical Activity and Mobility (632 participants, 75% women, mean age 77.6) and Life-Space Mobility in Old Age (848 participants, 62% women, mean age 80.1). Walking limitations, SES, social support, environmental facilitators for outdoor walking and barriers to outdoor physical activity were self-reported. The outcome measures were unmet physical activity need, walking limitation and life-space mobility.Five outdoor physical activity barrier profiles were identified, in which people differed in health and functioning and vulnerability to the challenges of the environment. A higher number of environmental facilitators decreased the risk for walking limitation. The risk for unmet physical activity need increased along with the number of individual and environmental outdoor physical activity barriers, but was highest among people whose poor health and functioning hindered them from going outdoors. Low SES was associated with more restricted life-space mobility and unmet physical activity need, especially among persons with walking limitations.Disparities in physical activity can be traced back to various individual, social and environmental factors. The importance of the environment for physical activity is considerable especially among older people with walking limitations. Keywords ACKNOWLEDGEMENTSThis study was carried out at the Gerontology Research Center, Department of Health Sciences, University of Jyväskylä, Finland. My deepest gratitude goes to the supervisors of this thesis, Professor Taina Rantanen and Mikaela von Bonsdorff, PhD. Taina, I can't stop wondering how you always have solutions to the most complex problems and answers to even the trickiest questions. I highly value your knowledge and experience in the field of gerontology and feel proud that I have been able to conduct my PhD thesis under your supervision. Mikaela, thank you for always having time for me and my questions, especially during the first year of my PhD studies. I admire your enthusiasm towards research and appreciate the guidance and advice that you have given me. I feel that we have become friends during these years. I sincerely thank Professor Teppo Kröger for his interest and supportive comments on this work. I also want to thank Research Director Katja Kokko at the Gerontology Research Center, and Director of t...

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Section: Physical Activity In Old Agementioning

confidence: 99%

Section: Life-space Mobilitymentioning

confidence: 99%

Section: Walking Limitationmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to outdoor physical activity and unmet physical activity need in older adults

Eronen

Bonsdorff

Törmäkangas

et al. 2014

Preventive Medicine

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“…2,3 In addition, leaving the home daily is associated with better health and function in community-dwelling older people, 4,5 and enables older people to participate in meaningful activities. 6,7 Consequently, low frequencies of moving out-of-home may threaten independence and quality of life of community-dwelling older people. 6,8,9 In addition to personal factors, environmental factors have been associated with community mobility of an individual.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Consequently, low frequencies of moving out-of-home may threaten independence and quality of life of community-dwelling older people. 6,8,9 In addition to personal factors, environmental factors have been associated with community mobility of an individual. 10,11 The neighborhood environment may motivate people to leave home and be physically active (e.g.…”

Section: Introductionmentioning

confidence: 99%

Perceived and objective entrance-related environmental barriers and daily out-of-home mobility in community-dwelling older people

Portegijs

Rantakokko

Viljanen

et al. 2017

Archives of Gerontology and Geriatrics

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Perceived and objective entrance-related environmental barriers and daily out-of-home mobility in community-dwelling older people Portegijs, Erja; Rantakokko, Merja; Viljanen, Anne; Rantanen, Taina; Iwarsson, Susanne Portegijs, E., Rantakokko, M., Viljanen, A., Rantanen, T., & Iwarsson, S. (2017). Perceived and objective entrance-related environmental barriers and daily out-of-home mobility in community-dwelling older people. Archives of Gerontology and Geriatrics, 69, 69-76. https://doi.org/10.1016/j.archger.2016.11.011 Creative Commons License: CC BY-NC-ND General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Gerontology and Geriatrics 69 (2017) Portegijs et al. published in Archives of ABSTRACTPurpose. We studied whether entrance-related environmental barriers, perceived and objectively recorded, were associated with moving out-of-home daily in older people with and without limitations in lower extremity performance. Methods.Cross-sectional analyses of the "Life-space mobility in old age" cohort including 848 community-dwelling 75-90-year-old of central Finland. Participants reported their frequency of moving out-of-home (daily vs. 0-6 times/week) and perceived entrance-related environmental barriers (yes/no).Lower extremity performance was assessed (Short Physical Performance Battery) and categorized as poorer (score 0-9) or good (score 10-12). Environmental barriers at entrances and in exterior surroundings were objectively registered (Housing Enabler screening tool) and divided into tertiles.Logistic regression analyses were adjusted for age, sex, number of chronic diseases, cognitive function, month of assessment, type of neighborhood, and years lived in the current home.Results. At home entrances a median of 6 and in the exterior surroundings 5 environmental barriers were objectively recorded, and 20% of the participants perceived entrance-related barriers. The odds for moving out-of-home less than daily increased when participants perceived entrance-related barrier(s) or when they lived in homes with higher numbers of objectively recorded environmental barriers at entrances. Participants with limitations in lower extremity performance were more susceptible to these environmental barriers. Objectively recorded environmental barriers in the exterior surroundings did not c...

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Evaluation of Light Physical Activity Measured by Accelerometry and Mobility Disability During a 6-Year Follow-up in Older Women

et al. 2021

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IMPORTANCE Almost 1 in 4 women older than 65 years is unable to walk 2 to 3 blocks, and mobility disability is a key factor associated with loss of independence. Lack of moderate to vigorousintensity physical activity is associated with mobility disability, but whether lighter physical activity is associated with mobility disability is unknown. OBJECTIVE To determine the association of light-intensity physical activity and incident mobility disability among older women. DESIGN, SETTING, AND PARTICIPANTS This prospective cohort study included women enrolled in the Objectively Measured Physical Activity and Cardiovascular Health study, an ancillary study of the Women's Health Initiative, between March 2012 and April 2014, with follow-up through March 31, 2018. The Women's Health Initiative was a population-based, multisite study that recruited from 40 clinical sites across the US. Participants in the present analysis included 5735 of 7058 ambulatory, community-dwelling women aged 63 years and older who returned an accelerometer with usable data, were free of mobility disability, and had follow-up data on mobility status. Data were analyzed from August 2018 to May 2019.EXPOSURES Light-intensity physical activity, defined as movement requiring energy expenditure between 1.6 and 2.9 metabolic equivalents, captured using an accelerometer over 7 days. MAIN OUTCOMES AND MEASURESIncident mobility disability, defined as the first self-reported inability to walk 1 block or up a flight of stairs at annual follow-up, and persistent incident mobility disability, defined as incident mobility loss that persisted through the end of follow-up. RESULTS A total of 5735 participants were included for primary analysis of all incident mobility disability (mean [SD] age, 78.5 [6.6] years [range,; 2811 [49.0%] White participants).Compared with women in the lowest quartile of light-intensity physical activity, lower risk of incident mobility disability was observed in quartile 2 (multivariable hazard ratio [HR]

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Mobility and Aging: New Directions for Public Health Action

Cited by 306 publications

References 92 publications

Barriers to outdoor physical activity and unmet physical activity need in older adults

Barriers to outdoor physical activity and unmet physical activity need in older adults

Perceived and objective entrance-related environmental barriers and daily out-of-home mobility in community-dwelling older people

Evaluation of Light Physical Activity Measured by Accelerometry and Mobility Disability During a 6-Year Follow-up in Older Women

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