Perception of parks and trails as mobility facilitators and transportation walking in older adults: a study using digital geographical maps

Hinrichs, Timo; Keskinen, Kirsi E.; Pavelka, Béla; Eronen, Johanna; Schmidt‐Trucksäss, Arno; Rantanen, Taina; Portegijs, Erja

doi:10.1007/s40520-018-01115-0

Cited by 12 publications

(10 citation statements)

References 52 publications

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“…natural diversity and facilities) have been associated with physical activity behavior (Keskinen, Rantakokko, Suomi, Rantanen, & Portegijs, 2018;, but are not captured by measures assessing presence only, but to some extent may be aligned with the ability to choose from multiple available options, suiting their preferences and capacity (Keskinen et al, 2018). This is further supported by a recent study showing that parks were relevant for active travel, but that it made no difference whether or not these parks were spatially located between the home and a frequently visited grocery store (Hinrichs et al, 2019).…”

Section: Discussionmentioning

confidence: 97%

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Neighborhood Resources Associated With Active Travel in Older Adults—A Cohort Study in Six European Countries

Portegijs¹,

Timmermans²,

Castell³

et al. 2020

Journal of Aging and Physical Activity

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Objectives: To study associations between perceived neighborhood resources and time spent by older adults in active travel. Methods: Respondents in six European countries, aged 65–85 years, reported on the perceived presence of neighborhood resources (parks, places to sit, public transportation, and facilities) with response options “a lot,” “some,” and “not at all.” Daily active travel time (total minutes of transport-related walking and cycling) was self-reported at the baseline (n = 2,695) and 12–18 months later (n = 2,189). Results: Reporting a lot of any of the separate resources (range B’s = 0.19–0.29) and some or a lot for all four resources (B = 0.22, 95% confidence interval [0.09, 0.35]) was associated with longer active travel time than reporting none or fewer resources. Associations remained over the follow-up, but the changes in travel time were similar, regardless of the neighborhood resources. Discussion: Perceiving multiple neighborhood resources may support older adults’ active travel. Potential interventions, for example, the provision of new resources or increasing awareness of existing resources, require further study.

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Section: Discussionmentioning

confidence: 97%

“…Covariates were selected because of previously reported associations with the study outcome (Ding et al, 2014;Hinrichs et al, 2019;Klenk et al, 2012;Lubs, Peplies, Drell, & Bammann, 2018;Van Cauwenberg et al, 2012). Participants' age, sex and country of residence were obtained from the cohort registers.…”

Section: Covariatesmentioning

confidence: 99%

Neighborhood Resources Associated With Active Travel in Older Adults—A Cohort Study in Six European Countries

Portegijs¹,

Timmermans²,

Castell³

et al. 2020

Journal of Aging and Physical Activity

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“…Another complex field of risk factors on mobility are, of course, environmental barriers (Levasseur et al, 2015;Cerin et al, 2017;Hinrichs et al, 2019). Reviews confirm the positive and negative impacts of a built environment, or the perceived environment by older persons on mobility.…”

Section: Psychological Risk Factors For Mobility Limitationmentioning

confidence: 99%

Mobility in Older Community-Dwelling Persons: A Narrative Review

2020

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Due to the demographic changes and the increasing awareness of the role of physical function, mobility in older age is becoming an important topic. Mobility limitations have been reported as increasingly prevalent in older persons affecting about 35% of persons aged 70 and the majority of persons over 85 years. Mobility limitations have been associated with increased fall risk, hospitalization, a decreased quality of life, and even mortality. As concepts of mobility are multifactorial and complex, in this narrative review, definitions, physical factors, and their age-related changes associated with mobility will be presented. Also, areas of cognitive decline and their impact on mobility, as well as neuromuscular factors related to mobility will be addressed. Another section will relate psychological factors such as Fall-related psychological concerns and sedentary behavior to mobility. Assessment of mobility as well as effective exercise interventions are only shortly addressed. In the last part, gaps and future work on mobility in older persons are discussed.

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“…Additional semantic information, e.g. on the purpose of visiting a certain location, on the use of transportation, on the need for personal assistance or on environmental facilitators of mobility, can be collected by interactive digital maps [ 41 – 43 ]. Despite its relevance for personal health and social interaction, life-space after stroke has scarcely been examined: a single cross-sectional questionnaire-based Korean study of 34 people after stroke showed that life-space was positively associated with functional ambulation and independence [ 44 ].…”

Section: Introductionmentioning

confidence: 99%

Recovery of mobility function and life-space mobility after ischemic stroke: the MOBITEC-Stroke study protocol

et al. 2020

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Background Stroke is a major cause of disability and stroke incidence increases with age. Stroke frequently results in permanent limitations of mobility, and, consequently, the need for the help of others in activities of daily living. In order to optimize rehabilitative efforts and their functional outcomes, detailed knowledge of the functional recovery process, regarding mobility, is needed. Objectives of the MOBITEC-Stroke study are: 1.) To characterize mobility, including lower extremity physical function (LEPF) and life space (the geospatial extent of all of a person’s movements), and changes in mobility within the first year after stroke. 2.) To identify and characterize subgroups with different mobility trajectories. 3.) To evaluate whether changes in LEPF are associated with changes in life-space. 4.) To evaluate participants’ reasons for going outdoors, transportation use, and assistance needed for outdoor movement. Methods Patients with incident first stroke who live in their own homes (target N = 59, based on sample size calculation) will be included in this cohort study. At 3, 6, 9, and 12 months after stroke a battery of mobility tests will be performed at the study centre, including laboratory-based tests of balance and strength, and quantitative gait analysis. Life-space assessment (including 1-week GPS measurements) will be performed in participants’ real life. Semantic information on visited locations (reasons for going outdoors, transportation use, assistance needed) will be collected by using interactive digital maps. Linear mixed effects models will be used to model the trajectories of mobility measures for the total sample and for predefined subgroups. As an exploratory analysis, growth mixture models (GMMs) will be used to identify relevant subgroups with different trajectories. Linear mixed effect models will be used to test whether changes in LEPF parameters are associated with changes in life-space. Participants’ motivation for going outdoors, transportation use, and assistance needed for outdoor mobility will be analysed descriptively. Discussion A comprehensive and detailed knowledge of recovery patterns will enable the planning of targeted and adaptively tailored rehabilitation measures. Information about patients’ reasons for outdoor mobility will provide the opportunity to define individualized and patient-oriented rehabilitation goals. Trial registration ISRCTN85999967 (on 13 August 2020; retrospectively).

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Perception of parks and trails as mobility facilitators and transportation walking in older adults: a study using digital geographical maps

Cited by 12 publications

References 52 publications

Neighborhood Resources Associated With Active Travel in Older Adults—A Cohort Study in Six European Countries

Neighborhood Resources Associated With Active Travel in Older Adults—A Cohort Study in Six European Countries

Mobility in Older Community-Dwelling Persons: A Narrative Review

Recovery of mobility function and life-space mobility after ischemic stroke: the MOBITEC-Stroke study protocol

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