Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People : A Two-Year Follow-Up Study
Skantz, H., Rantanen, T., Rantalainen, T., Keskinen, K. E., Palmberg, L., Portegijs, E., Eronen, J., & Rantakokko, M. (2020). Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People : A Two-Year Follow-Up Study. Journal of Aging and Health, 32(10), 1538-1551. https://doi.org/10.1177/0898264320944289
Published inJournal of Aging and Health
© The Author(s) 2020
Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older people. Methods: Community-dwelling 75–90 -year-old persons (N = 848) reported environmental outdoor mobility facilitators and barriers at baseline. Modifications in walking 2 km (adaptive, maladaptive, or no) were assessed at baseline and one and two years later. Results: Outdoor mobility facilitators were more often reported by those not using modifications or using adaptive versus maladaptive walking modifications. Differences in health and physical capacity explained most of the associations between outdoor mobility barriers and walking modifications. Perceived outdoor environment did not systematically predict future adaptive or maladaptive walking modifications. Discussion: Facilitators may compensate the declined physical capacity and alleviate the strain of walking longer distances by enabling the use of adaptive walking modifications, while lack of such facilitators fuels avoidance of walking longer distances. ...
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- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland; European Commission
Funding program(s)Research costs of Academy Research Fellow, AoF; Academy Research Fellow, AoF
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 supported by the European Research Council (grant number 693045 to TaR); the Academy of Finland (grant number 255403 to TaR and grant numbers 321336 and 328818 to TiR); the Finnish Ministry of Education and Culture (to MR, TaR and EP); the Foundation for Municipal Development (to KEK); the Finnish Cultural Foundation (to KEK); the Paivikki and Sakari Sohlberg Foundation (to JE) and the University of Jyvaskylä The financial sponsors were not involved in the design, implementation, analyses, or reporting of the results. ...
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