Hilliness and the Development of Walking Difficulties Among Community-Dwelling Older People
Keskinen, K. E., Rantakokko, M., Suomi, K., Rantanen, T., & Portegijs, E. (2020). Hilliness and the Development of Walking Difficulties Among Community-Dwelling Older People. Journal of Aging and Health, 32(5-6), 278-284. https://doi.org/10.1177/0898264318820448
Published inJournal of Aging and Health
© 2018 the Authors
Objective: The objective of this study is to study the associations of objectively defined hilliness with the prevalence and incidence of walking difficulties among community-dwelling older adults, and to explore whether behavioral, health, or socioeconomic factors would fully or partially explain these associations. Method: Baseline interviews (n = 848, 75-90 years) on difficulties in walking 500 m, frequency of moving through the neighborhood, and perceived hilliness as a barrier to outdoor mobility were conducted. Two-year follow-up interviews (n = 551) on difficulties in walking 500 m were conducted among participants without baseline walking difficulties. Hilliness objectively defined as the mean slope in 500-m road network. Results: Logistic regression showed that hilliness was associated with incident walking difficulties at the 2-year follow-up (odds ratio [OR] = 1.66, 95% confidence interval [CI] = [1.09, 2.51]) but not with the prevalence of walking difficulties at baseline. Adding behavioral, health, or socioeconomic factors to the models did not markedly change the results. Discussion: Greater hilliness should be considered a risk factor for developing walking difficulties among older adults. ...
PublisherSage Publications, Inc.
Dataset(s) related to the publicationhttps://doi.org/10.17011/jyx/dataset/77740
Portegijs, Erja; Keskinen, Kirsi (2021). Geographic characteristics, outdoor mobility and physical activity in old age (GEOage). V. 5.5.2021. https://doi.org/10.17011/jyx/dataset/77740. https://urn.fi/URN:NBN:fi:jyu-202109104844
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Related funder(s)Academy of Finland; European Commission; Ministry of Education and Culture
Funding program(s)Postdoctoral Researcher, AoF; Others
The content of the publication reflects only the author’s view. The funder is not responsible for any use that may be made of the information it contains.
Additional information about fundingThe authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was financially supported by grants from the Foundation for Municipal Development and the Finnish Cultural Foundation (K.K.); the Finnish Ministry of Education and Culture (M.R., T.R., and E.P.); the Academy of Finland (Grants 255403 [T.R.] and 285747 [M.R.]); and the European Research Council (Advanced Grant 693045 [T.R]). The Gerontology Research Center is a joint effort between the University of Jyväskylä and the University of Tampere. ...
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