Housing conditions and limitations in physical function among older adults

García‐Esquinas, Esther; Pérez-Hernández, Bibiana; Guallar‐Castillón, Pilar; Banegas, José R.; Ayuso-Mateos, José Luís; Rodríguez‐Artalejo, Fernando

doi:10.1136/jech-2016-207183

Cited by 17 publications

(8 citation statements)

References 37 publications

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“…From another perspective, satisfaction with housing may be a reflection of the housing conditions of the elderly. A related study reported that poor housing conditions were independently associated with limitations in physical function and frailty in older adults [37].…”

Section: Discussionmentioning

confidence: 98%

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Zhang

Lian

et al. 2020

Aging

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In order to explore frailty subtypes and find their associated risk factors, we conducted cross-sectional surveys of 5,341 seniors aged 60 and over in China using the Frailty Index (FI) scale. We identified four frailty subtypes, namely multi-frail, cognitive and functionally frail, psychologically frail and physiologically frail. Old age and low education level were the common risk factors among the four subtypes. Being widowed, divorced or unmarried was a risk factor for multi-frail, cognitive and functionally frail and psychologically frail, and male sex was a protective factor against cognitive and functionally frail and psychologically frail subtypes. Having a harmonious relationship with family was a protective factor against multi-frail, and fewer visits to the elderly by their children was a risk factor for psychologically frail. Dissatisfaction with their housing was a risk factor for cognitive and functionally frail, psychologically frail and physiologically frail, and a pension being the main source of income was a risk factor for cognitive and functionally frail and psychologically frail. Exercising every day was a protective factor against multi-frail and cognitive and functionally frail, and a lower level of physical activity was a risk factor for all four frailty subtypes. Our findings confirm the heterogeneity of frailty and suggest that different frail elderly individuals need more targeted care interventions.

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Section: Discussionmentioning

confidence: 98%

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Zhang

Lian

et al. 2020

Aging

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“…Four studies investigated the impact of entrance features on aspects of health such as body functions, quality of life, P-ADL, and I-ADL. The studies focused either on the walking surface leading to the building ( Clarke, 2014 ) or walk-up buildings, that is family houses with more than one floor without an elevator ( García-Esquinas et al, 2017 ; Pérez-Hernández et al, 2018 ; Tomioka et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies focused on body functioning and had either a longitudinal, ( Pérez-Hernández et al, 2018 ) or a cross-sectional study design ( Clarke, 2014 ; García-Esquinas et al, 2017 ). Two studies used the Short Physical Performance Battery (SPPB) ( García-Esquinas et al, 2017 ; Pérez-Hernández et al, 2018 ), and both concluded that there was no association between decreased body functioning and older adults living in a walk-up building. However, Clarke (2014) concluded that stairs at the entrance increase the risk of difficulties going outside independently (OR 1.52; CI 1.21 to 1.91).…”

Section: Resultsmentioning

confidence: 99%

The Relationship Between Physical Housing Characteristics, Housing Accessibility and Different Aspects of Health Among Community-Dwelling Older People: A Systematic Review

et al. 2023

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Objectives To synthesize the evidence on the relationships between physical housing characteristics or housing accessibility and different aspects of health among community-dwelling people 60 years and older. Methods A systematic review of recent evidence with a narrative synthesis was conducted. Results We included 15 studies and found three themes covering physical housing characteristics or housing accessibility that are associated with aspects of health among community-dwelling older adults: (1) interventions by home modifications targeting housing features both at entrances and indoors; (2) non-interventions targeting indoor features; (3) non-interventions targeting entrance features, that is, the presence of an elevator or stairs at the entrance. The overall quality of evidence across studies was assessed as very low. Discussion The findings highlight the need for studies with a stronger research design and higher methodological quality that address the physical housing environment in relation to health among older adults to strengthen the body of evidence.

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“…The Seniors-ENRICA cohort was established during 2008-2010 with individuals selected by multi-stage stratified random sampling from the non-institutionalized Spanish population aged ≥60 years (wave 1). 32 For these analyses, we used data from 2519 subjects participating in wave 2 (2012), the first wave with social network information available. At baseline (2012) and follow-up (2015), information regarding sociodemographic variables, sleep characteristics, health behaviors and morbidity was collected.…”

Section: Study Participants and Designmentioning

confidence: 99%

Social Network and Risk of Poor Sleep Outcomes in Older Adults: Results from a Spanish Prospective Cohort Study

León-González

Rodríguez‐Artalejo

Ortolá

et al. 2021

NSS

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Background: Not having social support has been associated with poor sleep, but most prospective studies were based on social support in the workplace, did not account for baseline sleep characteristics or did not assess sleep duration. Moreover, no previous research has evaluated the relationship between social network and sleep outcomes in an older Spanish population. Methods: 1444 individuals aged ≥60 years were followed between 2012 and 2015. At baseline (2012), a poor social network index (SNI) was computed by summing the following dichotomous indicators: not being married; living alone; not having daily contact with family, friends or neighbors; being alone ≥8h/day; lacking someone to go for a walk with; not having emotional support; lacking instrumental support. Higher values in SNI indicate less social support. In 2012 and 2015, information was collected on sleep duration (hours/ day) and on symptoms of sleep disturbance: bad overall sleep; difficulty falling asleep, awakening during nighttime, early awakening with difficulty getting back to sleep, use of sleeping pills, feeling restless in the morning, being asleep at daytime, and having an Epworth Sleepiness Scale>10. Poor sleep duration was defined as short (<6 h) or long (>9 h) nighttime sleep, and poor sleep quality as having ≥4 indicators of sleep disturbance. Linear or logistic regression models were used to assess the relationship of SNI with changes in sleep duration and in number of sleep disturbance indicators, or with the risk of developing poor nighttime sleep or poor sleep quality. Results: Compared to individuals in the lowest (best) quartile of the SNI in 2012, those in the second, third and fourth quartiles, respectively, displayed a mean (95%confidence interval [95% CI]) change of 2.32 (−7.58-12.22), −2.70 (−13.19-7.79) and −13.04 (−23.41-−2.67) minutes in sleep duration from 2012 to 2015; p for trend=0.02. A 1-point increase in the SNI at baseline was associated with an increased risk of short nighttime sleep (Odds Ratio [OR] and 95% CI: 1.22 (1.05-1.42)), poor sleep quality (OR: 1.13; 95% CI: 1.00-1.30), and of the indicator of sleep disturbance "early awakening with difficulty getting back to sleep" (OR: 1.20; 95% CI: 1.07-1.35). Conclusion: A poorer social network is associated with a higher risk of short sleep and poor sleep quality in older adults.

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Housing conditions and limitations in physical function among older adults

Abstract: Poor housing conditions, particularly living in a walk-up building and lacking heating, are independently associated with limitations in physical function in older adults. This entails serious inequalities in functional status, which should be firmly addressed.

Cited by 17 publications

References 37 publications

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

The Relationship Between Physical Housing Characteristics, Housing Accessibility and Different Aspects of Health Among Community-Dwelling Older People: A Systematic Review

Social Network and Risk of Poor Sleep Outcomes in Older Adults: Results from a Spanish Prospective Cohort Study

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