Trajectories of Outdoor Mobility in Vulnerable Community-Dwelling Elderly

Smith, Abigail R.; Chen, Charity; Clarke, Philippa; Gallagher, Nancy Ambrose

doi:10.1177/0898264315611665

Cited by 27 publications

(31 citation statements)

References 35 publications

(39 reference statements)

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“…Walking is recommended [ 67 , 98 – 100 ]. The number of repetition of the basic locotra is increased, and other exercises, such as heel raise and front lunges, are added.…”

Section: Locomotion Trainingmentioning

confidence: 99%

Locomotive Syndrome: Definition and Management

Nakamura

Ogata

2016

Clinic Rev Bone Miner Metab

209

239

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Locomotive syndrome is a condition of reduced mobility due to impairment of locomotive organs. Since upright bipedal walking involves minutely controlled movement patterns, impairment of any aspect of the locomotive organs has the potential to adversely affect it. In addition to trauma, chronic diseases of the locomotive organs, which progress with repeated bouts of acute exacerbations, are common causes of the locomotive syndrome. In Japan’s super-aging society, many people are likely to experience locomotive syndrome in the later part of their lives. Exercise intervention is effective in improving motor function, but because the subjects are elderly people with significant degenerative diseases of the locomotor organs, caution should be taken in choosing the type and intensity of exercise. The present review discusses the definition, current burden, diagnosis and interventions pertaining to the locomotive syndrome. The concept and measures are spreading throughout Japan as one of the national health policy targets.

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“…Walking is recommended [ 67 , 98 – 100 ]. The number of repetition of the basic locotra is increased, and other exercises, such as heel raise and front lunges, are added.…”

Section: Locomotion Trainingmentioning

confidence: 99%

Locomotive Syndrome: Definition and Management

Nakamura

Ogata

2016

Clinic Rev Bone Miner Metab

209

239

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“…Fear of falling is a concern about falling over which results in activity avoidance [21] and is common among older adults, whether they have experienced a fall or not [21,22]. Concerns about falling over can lead to reductions in daily mobility and associated physical activity, an increased risk of falls and threaten the wellbeing of older adults [19,[23][24][25][26][27][28]. Fear of falling is associated with reduced social activity, depression, decreased quality of life, difficulties with activities of daily living and functional disability [27,28].…”

Section: Introductionmentioning

confidence: 99%

Experiences of the Built Environment, Falls and Fear of Falling Outdoors among Older Adults: An Exploratory Study and Future Directions

Curl

Fitt

Tomintz

2020

IJERPH

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Falls can have serious impacts on the health, wellbeing and daily mobilities of older adults. Falls are a leading cause of injury and death amongst older adults and outdoor falls comprise a substantial proportion of pedestrian injuries. As well as physical injuries, the psychological impacts of experiencing a fall can result in older adults getting out of the house less often, resulting in lower levels of physical activity and social connection. Despite the known consequences of falls, relatively little research considers the impact of the urban built environment on falls among older adults. This research aimed to explore the experiences of older adults in the urban environment, falling and the fear of falling outdoors. We conducted an online survey with adults aged 50+ using a participatory mapping survey tool and a convenience sample. The study area was Greater Christchurch, New Zealand. Results suggest that both perceived accessibility and neighbourhood conditions are independently associated with fear of falling, after controlling for frequency of falling, gender and activities of daily living. Our findings demonstrate the need for much better understandings of the relationships between the urban environment, outdoor mobility, fear of falling and falling among older adults and we propose suggestions for future research.

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“…Nonetheless, the associations of PREDICTORS OF OUT-OF-HOME TIME AMONG OLDER ADULTS 4 these social environmental factors with out-of-home behavior are still inconclusive (Fujita et al, 2004;Ganguli et al, 1996;Jing et al, 2017;Murayama et al, 2012;Nakamura & Yamada, 2009;Negron-Blanco et al, 2016;Todo et al, 2015). On the other side, regarding the physical environmental factors, while Japanese studies (Hirai et al, 2015;Murayama et al, 2012) have reported the associations of poor food accessibility and daily errands with homebound status among older adults, a previous study in the United States did not support these results (Smith et al, 2016). Inconsistent findings for environmental correlates of out-of-home behavior in previous studies would be derived from methodological limitations among them.…”

Section: Introductionmentioning

confidence: 81%

“…Although various studies have identified determinants of homebound status and out-of-home behavior (Fujita et al, 2004;Ganguli, Fox, Gilby, & Belle, 1996;Jing, Wang, Zhang, Yao, & Xing, 2017;Murayama, Yoshie, Sugawara, Wakui, & Arami, 2012;Nakamura & Yamada, 2009;Negrón-Blanco et al, 2016;Smith, Chen, Clarke, & Gallagher, 2016;Todo et al, 2015), evidences about the environmental determinants of out-of-home behavior among older adults are still inconsistent. According to physical activity studies using an ecological model, out-of-home time among older adults would be influenced by both social and physical environmental factors.…”

Section: Introductionmentioning

confidence: 99%

“…Inconsistent findings for environmental correlates of out-of-home behavior in previous studies would be derived from methodological limitations among them. One methodological limitation is that most studies were cross-sectional, and few have examined the social and physical environmental predictors by prospective design (Smith et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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