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Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults

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Eronen, J., von Bonsdorff, M., Rantakokko, M., & Rantanen, T. (2014). Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults. European Journal of Ageing, 11 (1), 67-75. doi:10.1007/s10433-013-0283-7
Published in
European Journal of Ageing
Authors
Eronen, Johanna |
von Bonsdorff, Mikaela |
Rantakokko, Merja |
Rantanen, Taina
Date
2014
Discipline
Gerontologia ja kansanterveys
Copyright
© Springer-Verlag Berlin Heidelberg 2013.

 
Older adults who report environmental barriers in their neighborhood have a higher risk for walking difficulty. However, environmental facilitators that protect against walking difficulty are not well known. The objective of this study was to identify the effect of environmental facilitators for outdoor walking on development of walking difficulty in community-dwelling older people. This was a prospective study with a 3.5-year follow-up time on 261 community dwelling people aged 75-81 years who at baseline were able to walk 0.5 km without difficulty. Environmental facilitators for outdoor walking were self-reported with standardized questionnaires, including having features in one’s home which make it easy to access the outdoors, having a park or other green area within a walking distance from home, having outdoor recreational facilities within a walking distance from home, having features in the nearby environment which attract for outdoor activities, and perceiving the surrounding environment or facilities nearby as motivating for physical activity. Self-reported difficulty in walking 0.5 km was assessed every six months. Of the participants, 46% developed walking difficulty during the follow-up. Having a park or other green area within a walking distance from home was the most frequently reported facilitator. Environmental facilitators decreased the risk for development of walking difficulty, hazard ratio per item 0.86, (95% confidence interval 0.73-1.02). The results indicate that the mobility of older community-dwelling people may be promoted with outdoor recreational facilities that are easy to access and located within a walking distance from home. ...
Publisher
Springer
ISSN Search the Publication Forum
1613-9372
Keywords
Environmental facilitators outdoor walking walking difficulty mobility ympäristö ulkona liikkuminen kävelyvaikeus liikkumiskyky
DOI
https://doi.org/10.1007/s10433-013-0283-7
URI

http://urn.fi/URN:NBN:fi:jyu-201412303586

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