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dc.contributor.authorPortegijs, Erja
dc.contributor.authorKeskinen, Kirsi
dc.contributor.authorTsai, Li-Tang
dc.contributor.authorRantanen, Taina
dc.contributor.authorRantakokko, Merja
dc.date.accessioned2017-04-04T07:21:56Z
dc.date.available2017-04-04T07:21:56Z
dc.date.issued2017
dc.identifier.citationPortegijs, E., Keskinen, K., Tsai, L.-T., Rantanen, T., & Rantakokko, M. (2017). Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland. <em>International Journal of Environmental Research and Public Health</em>, 14 (3), 333. <a href="https://doi.org/10.3390/ijerph14030333">doi:10.3390/ijerph14030333</a>
dc.identifier.otherTUTKAID_73370
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/53469
dc.description.abstractThe aim was to study objectively assessed walkability of the environment and participant perceived environmental facilitators for outdoor mobility as predictors of physical activity in older adults with and without physical limitations. 75–90-year-old adults living independently in Central Finland were interviewed (n = 839) and reassessed for self-reported physical activity one or two years later (n = 787). Lower-extremity physical limitations were defined as Short Physical Performance Battery score ≤9. Number of perceived environmental facilitators was calculated from a 16-item checklist. Walkability index (land use mix, street connectivity, population density) of the home environment was calculated from geographic information and categorized into tertiles. Accelerometer-based step counts were registered for one week (n = 174). Better walkability was associated with higher numbers of perceived environmental facilitators (p < 0.001) and higher physical activity (self-reported p = 0.021, step count p = 0.010). Especially among those with physical limitations, reporting more environmental facilitators was associated with higher odds for reporting at least moderate physical activity (p < 0.001), but not step counts. Perceived environmental facilitators only predicted self-reported physical activity at follow-up. To conclude, high walkability of the living environment provides opportunities for physical activity in old age, but among those with physical limitations especially, awareness of environmental facilitators may be needed to promote physical activity.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesInternational Journal of Environmental Research and Public Health
dc.subject.otherwalking
dc.subject.otherphysical function
dc.subject.otherwalk-friendly environment
dc.subject.othermobility limitation
dc.subject.otherage-friendly environment
dc.subject.otherphysical activity
dc.subject.otherperceived environment
dc.subject.otherGIS
dc.subject.otheraging
dc.titlePhysical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201703291805
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveys
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-03-29T15:15:19Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn1661-7827
dc.relation.volume14
dc.type.versionpublishedVersion
dc.rights.copyright© the Authors, 2017. This is an open access article distributed under the Creative Commons Attribution License.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.3390/ijerph14030333


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© the Authors, 2017. This is an open access article distributed under the Creative Commons Attribution License.
Except where otherwise noted, this item's license is described as © the Authors, 2017. This is an open access article distributed under the Creative Commons Attribution License.