Mobility Limitation in the Older Patient

Brown, Cynthia J.; Flood, Kellie L.

doi:10.1001/jama.2013.276566

Cited by 236 publications

(174 citation statements)

References 61 publications

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…Mobility is recognized as a basic living activity often compromised in older people 6,27,28 . Disability for walking independently has been related to several negative outcomes, including higher risk of mortality 29 .…”

Section: ▄ Discussionmentioning

confidence: 99%

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

Pinto

Néri

2017

Cad. saúde colet.

View full text Add to dashboard Cite

Objective: To investigate the factors related to low social participation in older adults. Method: A hierarchical model was drawn using data from 2,251 participants of the Fibra study, aged 65 years or more, without cognitive impairment suggestive of dementia, who were living in seven Brazilian cities. Older adults with those conditions have higher odds to be less socially engaged than their counterparts. Conclusion: Personal conditions, such as socioeconomic and health status were predictors of low social participation in older adults. Initiatives aiming at active aging promotion should focus primarily on vulnerable elderly, especially those with health and/or social disadvantages.Keywords: health of the elderly; aging; social behavior; socioeconomic factors; social support.

show abstract

Section: ▄ Discussionmentioning

confidence: 99%

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

Pinto

Néri

2017

Cad. saúde colet.

View full text Add to dashboard Cite

show abstract

“…Stress is also associated with cardiovascular risk factors, such as higher smoking rates and metabolic indicators including higher blood cholesterol and glucose levels (Vrijkotte et al 1999), and thus consequently with incident cardiovascular disease (Greenwood et al 1996) and diabetes (Nyberg et al 2013). These chronic conditions significantly influence mobility (Brown and Flood 2013). Also, higher inflammation levels and impaired immunity functions have been observed among stressed individuals (Emeny et al 2013).…”

Section: Discussionmentioning

confidence: 99%

“…In the International Classification of Functioning, Disability and Health (ICF), components of mobility include walking and moving; changing and maintaining body position; carrying, moving, and handling objects; and moving around using transportation (World Health Organisation 2001). Mobility declines with increasing age, and both intrapersonal and environmental risk factors for incident mobility limitations have been identified, including chronic diseases, physical inactivity, poor muscle strength, sensory impairments, and indoor and outdoor environment (Brown and Flood 2013;Rantakokko et al 2013;Yeom et al 2008). Also, psychosocial symptoms, such as depression earlier in life (Hybels et al 2009) and lower social participation (Avlund et al 2004), are linked to old age mobility limitations.…”

Section: Introductionmentioning

confidence: 99%

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Kulmala

Hinrichs

Törmäkangas

et al. 2014

AGE

View full text Add to dashboard Cite

The aim of this study is to investigate whether work-related stress symptoms in midlife are associated with a number of mobility limitations during three decades from midlife to late life. Data for the study come from the Finnish Longitudinal Study of Municipal Employees (FLAME). The study includes a total of 5429 public sector employees aged 44-58 years at baseline who had information available on work-related stress symptoms in 1981 and 1985 and mobility limitation score during the subsequent 28-year follow-up. Four midlife work-related stress profiles were identified: negative reactions to work and depressiveness, perceived decrease in cognition, sleep disturbances, and somatic symptoms. People with a high number of stress symptoms in 1981 and 1985 were categorized as having constant stress. The number of self-reported mobility limitations was computed based on an eight-item list of mobility tasks presented to the participants in 1992, 1997, and 2009. Data were analyzed using joint Poisson regression models. The study showed that depending on the stress profile, persons suffering from constant stress in midlife had a higher risk of 30-70 % for having one more mobility limitation during the following 28 years compared to persons without stress after adjusting for mortality, several lifestyle factors, and chronic conditions. A less pronounced risk increase (20-40 %) was observed for persons with occasional symptoms. The study suggests that effective interventions aiming to reduce work-related stress should focus on both primary and secondary prevention. AGE (2014) 36:9722

show abstract

“…Bivariate analyses included t-tests for dichotomous data and Pearson's correlation coefficients for continuous data. We chose sociodemographic and mobility characteristic variables based on their known association with travel behavior and mobility (Brown and Flood, 2013;Moniruzzaman et al, 2013;Turcotte, 2012). In order to test the effect of the exclusion of walking trips that were clearly for leisure on our estimates of effect, we also ran sensitivity analyses with "all walking trips" as the outcome and obtained similar results, with the exception that the variable "lives alone" was not significantly associated with "all walking trips" in the fully adjusted model (data not shown).…”

Section: Statistical Analysesmentioning

confidence: 99%

Destinations matter: The association between where older adults live and their travel behavior

Chudyk

Winters

Moniruzzaman

et al. 2015

Journal of Transport & Health

126

105

View full text Add to dashboard Cite

The positive effect of physical activity in the prevention and treatment of many chronic diseases and age-related disabilities, such as mobility-disability, are widely accepted. Mobility is broadly defined as the ability of individuals to move themselves within community environments. These two concepts -physical activity and mobility -are closely linked and together contribute to older adults living healthy, independent lives. Neighborhood destinations may encourage mobility, as older adults typically leave their homes to travel to specific destinations. Thus, neighborhoods with a high prevalence of destinations may provide older adults an attractive opportunity to walk, instead of drive, and thereby obtain incidental physical activity. We know surprisingly little about the specific types of destinations older adults deem relevant and even less about destinations that support the mobility of older adults with low income. Accessible neighborhood destinations may be especially important to older adults with low income as they are more likely to walk as a primary travel mode. Conversely, this population may also be at increased risk of functional impairments that negatively affect their ability to walk. As a means to fill this information gap we aimed to better understand the mobility habits of older adults with low income. Thus, our specific objectives were to: (1) describe the types of destinations older adults with low income most commonly travel to in one week; and (2) determine the association between the prevalence of neighborhood destinations and the number of transportation walking trips these individuals make (average per day). We conducted a cross-sectional study of community-dwelling older adults with low income residing within Metro Vancouver, Canada. We assessed participant travel behavior (frequency, purpose, mode, destination) using seven-day travel diaries and measured the prevalence of neighborhood destinations using the Street Smart Walk Score. We also assessed participants' sociodemographic characteristics and mobility (physical function, car access, CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript confidence walking). We used a negative binomial model to determine the association between Street Smart Walk Score and number of transportation walking trips (average per day). Our sample was comprised of 150 participants (median age 74 years; 51 men) from who we acquired at least one day of travel diary data (range = 1-7 days). Participants made three trips per day (2, 5; median P 25 , P 75 ) and travelled to six different destination types per week (5, 9; median P 25 , P 75 ).Destinations most relevant to older adults were grocery stores, malls, and restaurants/cafés. Each 10-point increase in Street Smart Walk Score was associated with a 20% increase in the number of transportation walking trips (average per day, incidence rate ratio = 1.20, 95% CI = 1.12, 1.29). Our findings provide preliminary evidence regarding destinations that may be most relevant to older adults. ...

show abstract

Mobility Limitation in the Older Patient

Cited by 236 publications

References 61 publications

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Destinations matter: The association between where older adults live and their travel behavior

Contact Info

Product

Resources

About