Determinants of mobility in populations of older adults: Results from a cross-sectional study in Finland, Poland and Spain

Raggi, Alberto; Corso, Barbara; Torres, Laura De; Quintas, Rui; Chatterji, Somnath; Sainio, Päivi; Martinuzzi, Andrea; Zawisza, Katarzyna; Haro, Josep María; Minicuci, Nadia; Leonardi, Matilde

doi:10.1016/j.maturitas.2018.06.018

Cited by 12 publications

(8 citation statements)

References 51 publications

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“…In recent quantitative studies, features of the built environment (slope, sidewalk conditions) were associated with changes in gait speed, while perceived neighborhood usability was found to be a determinant of mobility. 52,53 This relationship highlights the interplay between individual-level factors (socioeconomic status, health), and the physical condition of communities, which are shaped by local politics and economics.…”

Section: Discussionmentioning

confidence: 99%

Life‐Space Mobility and Parkinson's Disease. A Multiple‐Methods Study

Ryder‐Burbidge

Wieler

Nykiforuk

et al. 2022

Movement Disord Clin Pract

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Background Life‐space mobility (LSM) captures a broad spectrum of mobility in physical and social environments; however, it has not been extensively studied in Parkinson's disease. Using a multiple‐methods approach, individual, social and environmental factors that impact LSM were explored in PD. Methods Two hundred twenty‐seven participants with PD (n = 113) and a comparative group without PD (n = 114) were recruited from the community. Within a cross‐sectional survey, LSM (University of Alabama Birmingham Life‐Space Assessment, LSA) was compared in the two groups. Using multiple linear regression, socio‐demographics, lifestyle behaviors, medical, mobility and social factors were examined to identify factors that explained LSM. A qualitative narrative inquiry was completed to augment the findings from the survey; 10 participants with PD were interviewed regarding facilitators and barriers to mobility. Results The mean overall LSA‐composite score for the PD group was 64.2 (SD = 25.8) and 70.3 (SD = 23.1) for the community comparative group (mean difference = 6 points, 95%CI:‐0.4, 12.5) indicating most participants moved independently beyond their neighborhoods. A higher proportion of the PD group required assistance with mobility than the community comparison group. Not driving, receiving caregiving, lower social participation, and lower monthly family finances were associated with restricted LSM in the PD group. Data from qualitative interviews supported quantitative findings and offered insights into the features of the built environment that facilitate and restrict mobility. Conclusion Individual, social and environmental factors are associated with the LSM among persons with PD. Clinicians and policy‐makers should include both individual and community‐based factors when developing interventions to encourage the LSM of the PD population.

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Section: Discussionmentioning

confidence: 99%

Life‐Space Mobility and Parkinson's Disease. A Multiple‐Methods Study

Ryder‐Burbidge

Wieler

Nykiforuk

et al. 2022

Movement Disord Clin Pract

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“…Given the observed and predicted increase of pain rates, determinants need to be addressed in order to limit to the widest extent the possible negative consequences of such an expansion, for example the risk of future opioids and other drugs' overuse, increase in disability, reduction in quality of life and employment rates, and productivity loss [15][16][17][18][19][20][21][22][23][24][25]. A large amount of studies identified potential predictors of pain, both in clinical trials and in population or cohort studies.…”

Section: Introductionmentioning

confidence: 99%

Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database

et al. 2020

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Background: Pain is a common symptom, often associated with neurological and musculoskeletal conditions, and experienced especially by females and by older people, and with increasing trends in general populations. Different risk factors for pain have been identified, but generally from studies with limited samples and a limited number of candidate predictors. The aim of this study is to evaluate the predictors of pain from a large set of variables and respondents. Methods: We used part of the harmonized dataset of ATHLOS project, selecting studies and waves with a longitudinal course, and in which pain was absent at baseline and with no missing at follow-up. Predictors were selected based on missing distribution and univariable association with pain, and were selected from the following domains: Sociodemographic and economic characteristics, Lifestyle and health behaviours, Health status and functional limitations, Diseases, Physical measures, Cognition, personality and other psychological measures, and Social environment. Hierarchical logistic regression models were then applied to identify significant predictors. Results: A total of 13,545 subjects were included of whom 5348 (39.5%) developed pain between baseline and the average 5.2 years' follow-up. Baseline risk factors for pain were female gender (OR 1.34), engaging in vigorous exercise (OR 2.51), being obese (OR 1.36) and suffering from the loss of a close person (OR 1.88) whereas follow-up risk factors were low energy levels/fatigue (1.93), difficulties with walking (1.69), self-rated health referred as poor (OR 2.20) or average to moderate (OR 1.57) and presence of sleep problems (1.80).

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“…The circumscription to a smaller physical area and decrease in the frequency of displacement of the older people during the pandemic (11) determines a greater restriction of mobility in the living spaces. The consequence of this scenario is worrying, since those with restricted mobility in living spaces are at risk of negative outcomes such as falls, depression, disability, dependence and eventually the need for long-term assistance and services (10,12) .…”

Section: Discussionmentioning

confidence: 99%

Impact of Social Restriction Imposed by 2019-ncov Pandemic on the Mobility of Older People: A Scope Review Protocol

Bandeira

Batista

Silva³

et al. 2020

Preprint

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Background The 2019‑nCoV pandemic represents a high risk for older people that sustain higher mortality rates compared to young adults. Limited social contact and restriction of mobility in the community (stay-at-home precautions) are recognised as measures to prevent SARS-CoV-2 infection among older people. The impact of these measures on health, physical function and emotional wellbeing are numerous, and might result in long-term adverse outcomes such as disability, falls and limited mobility. Thus, the objective of this scope review is to map the estimated impact of measures of social restrictions on the mobility of older people living in the community and to systematize the existing recommendations, anticipating possible intervention strategies gaps.Methods The search will be carried out using a standardized protocol in Latin American and Caribbean Literature on Health Sciences (LILACS), consulted by the Virtual Health Library (VHL), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), via PubMed; Web of Science, via Main Collection (Thomson Reuters Scientific) and SCOPUS. Documents and reports with recommendations from governmental and nongovernmental organizations will be consulted. Complete studies available in the English, Spanish or Portuguese languages included in the different methodological approaches (original articles, literature reviews, editorials and guidelines) that necessarily address the recommendations of social restriction measures for preventing Covid-19 disease and their impacts on mobility of older people will be included. Two reviewers will select the studies based on their titles and abstracts. The manuscripts and documents selected for full reading will be analysed by reviewers concerning the eligibility criteria. When disagreements occurred in any phase of the selection process, a third reviewer will be included for a consensus analysis. Data will be extracted using a template form and the PRISMA-ScR checklist will be used to guarantee quality and transparency. Results will be presented as a narrative summary, including tables and figures.Discussion Globally, recommendations to stay-at-home and social distancing are substantially affecting health and wellbeing of older people. Preserving mobility is crucial to active and healthy ageing. The evidence summarized in the selected studies will be analysed in order to answer the research questions. The results of this review will help clinical practitioners, health care providers and policy makers to estimate the impact of measures to protect older people from 2019‑nCoV and to identify gaps and anticipate needs for targeted interventions to prevent mobility decline. Systematic review registrationsubmitted on 10-09-2020 in https://osf.io/registries

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Determinants of mobility in populations of older adults: Results from a cross-sectional study in Finland, Poland and Spain

Cited by 12 publications

References 51 publications

Life‐Space Mobility and Parkinson's Disease. A Multiple‐Methods Study

Life‐Space Mobility and Parkinson's Disease. A Multiple‐Methods Study

Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database

Impact of Social Restriction Imposed by 2019-ncov Pandemic on the Mobility of Older People: A Scope Review Protocol

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