Skip header and navigation

Refine By

3 records – page 1 of 1.

Fear of moving outdoors and development of outdoor walking difficulty in older people.

https://arctichealth.org/en/permalink/ahliterature151341
Source
J Am Geriatr Soc. 2009 Apr;57(4):634-40
Publication Type
Article
Date
Apr-2009
Author
Merja Rantakokko
Minna Mänty
Susanne Iwarsson
Timo Törmäkangas
Raija Leinonen
Eino Heikkinen
Taina Rantanen
Author Affiliation
Department of Health Sciences, Finnish Centre for Interdisciplinary Gerontology, University of Jyväskylä, Jyväskylä, Finland. merja.rantakokko@sport.jyu.fi
Source
J Am Geriatr Soc. 2009 Apr;57(4):634-40
Date
Apr-2009
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Chi-Square Distribution
Cross-Sectional Studies
Environment
Fear
Female
Finland
Geriatric Assessment
Humans
Interviews as Topic
Logistic Models
Male
Mobility Limitation
Musculoskeletal Diseases - complications
Prospective Studies
Residence Characteristics
Risk factors
Socioeconomic Factors
Abstract
To study which individual characteristics and environmental factors correlate with fear of moving outdoors and whether fear of moving outdoors predicts development of mobility limitation.
Observational prospective cohort study and cross-sectional analyses.
Community and research center.
Seven hundred twenty-seven community-living people aged 75 to 81 were interviewed at baseline, of whom 314 took part in a 3.5-year follow-up.
Fear of moving outdoors and its potential individual and environmental correlates were assessed at baseline. Perceived difficulties in walking 0.5 km and 2 km were assessed twice a year over a 3.5-year period.
At baseline, 65% of the women and 29% of the men reported fear of moving outdoors. Poor socioeconomic status; musculoskeletal diseases; slow walking speed; and the presence of poor street conditions, hills in the nearby environment, and noisy traffic correlated with fear of moving outdoors. At the first 6-month follow-up, participants with fear of moving outdoors had more than four times the adjusted risk (odds ratio (OR)=4.6, 95% confidence interval (CI)=1.92-11.00) of developing difficulties in walking 0.5 km and a three times greater adjusted risk (OR=3.10, 95% CI=1.49-6.46) for developing difficulty in walking 2 km compared with those without fear. The difference in the prevalence of walking difficulties remained statistically significant over the 3.5-year follow-up (P=.02 and P=.009, respectively).
Fear of moving outdoors is common in older adults and increases the risk of developing self-reported difficulties in walking 0.5 km and 2 km. Knowledge about individual and environmental factors underlying fear of moving outdoors and finding ways to alleviate fear of moving outdoors are important for community planning and prevention of disability.
PubMed ID
19392955 View in PubMed
Less detail

Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland.

https://arctichealth.org/en/permalink/ahliterature286530
Source
Int J Environ Res Public Health. 2017 Mar 22;14(3)
Publication Type
Article
Date
Mar-22-2017
Author
Erja Portegijs
Kirsi E Keskinen
Li-Tang Tsai
Taina Rantanen
Merja Rantakokko
Source
Int J Environ Res Public Health. 2017 Mar 22;14(3)
Date
Mar-22-2017
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Architectural Accessibility - statistics & numerical data
Cross-Sectional Studies
Environment Design
Exercise
Female
Finland - epidemiology
Geriatric Assessment
Health promotion
Housing for the Elderly - standards
Humans
Male
Mobility Limitation
Quality of Life
Residence Characteristics
Socioeconomic Factors
Walking
Abstract
The 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
Notes
Cites: Am J Phys Med Rehabil. 2014 Oct;93(10):876-8324800719
Cites: J Aging Res. 2012;2012:62575822162808
Cites: Scand J Med Sci Sports. 2015 Aug;25(4):e368-7326152855
Cites: Int J Health Geogr. 2014 Mar 04;13:724588848
Cites: Soc Sci Med. 2007 Nov;65(9):1898-91417644231
Cites: J Gerontol A Biol Sci Med Sci. 2016 Aug;71(8):1039-4826957472
Cites: Int J Behav Nutr Phys Act. 2013 May 14;10:5723672435
Cites: Arch Phys Med Rehabil. 1999 Feb;80(2):130-510025485
Cites: Health Place. 2011 Mar;17(2):458-6921257333
Cites: Am J Prev Med. 2004 Aug;27(2):87-9615261894
Cites: J Urban Health. 2015 Apr;92(2):242-5225539783
Cites: Health Place. 2014 May;27:127-3324603010
Cites: Int J Health Geogr. 2012 Jun 27;11:2222738807
Cites: J Aging Health. 2015 Jun;27(4):606-2125326130
Cites: Ann Behav Med. 2009 Apr;37(2):228-3819396503
Cites: Lancet. 2012 Jul 21;380(9838):247-5722818937
Cites: Health Place. 2014 Jan;25:43-624239702
Cites: BMC Public Health. 2012 Nov 22;12:101823170987
Cites: Health Place. 2016 Jul;40:116-2227261634
Cites: PLoS One. 2015 Aug 07;10(8):e013530826252537
Cites: J Gerontol A Biol Sci Med Sci. 2017 Jan 19;:null28329074
Cites: Scand J Med Sci Sports. 2016 Oct 17;:null27747944
Cites: Int J Behav Nutr Phys Act. 2012 Apr 03;9:4022472295
Cites: Clin Rehabil. 2009 Jun;23(6):558-6719403554
Cites: J Gerontol. 1994 Mar;49(2):M85-948126356
Cites: Qual Life Res. 2016 May;25(5):1189-9726407605
Cites: J Urban Health. 2010 Sep;87(5):782-9520814757
Cites: Int J Health Geogr. 2014 Oct 25;13:4325343966
Cites: J Am Geriatr Soc. 2003 Mar;51(3):393-812588584
Cites: Am J Epidemiol. 2014 Oct 15;180(8):799-80925234431
Cites: Arch Gerontol Geriatr. 2017 Mar - Apr;69:69-7627889590
Cites: Soc Sci Med. 2016 Jan;149:104-1326708246
Cites: Am J Prev Med. 2013 Jun;44(6):e51-523683990
Cites: Soc Sci Med. 2011 Apr;72(8):1266-7321470735
Cites: Int J Aging Hum Dev. 2008;66(2):131-5418453180
Cites: J Am Geriatr Soc. 2014 Apr;62(4):615-2124655124
Cites: Prev Med. 2015 Dec;81:163-726348450
Cites: Br J Sports Med. 2010 Oct;44(13):924-3319406732
Cites: Soc Sci Med. 2013 Jan;77:20-3023206559
Cites: BMC Public Health. 2015 Aug 11;15:76826260474
Cites: J Gerontol B Psychol Sci Soc Sci. 2012 Jan;67(1):76-8822227735
PubMed ID
28327543 View in PubMed
Less detail

Unmet physical activity need in old age.

https://arctichealth.org/en/permalink/ahliterature144173
Source
J Am Geriatr Soc. 2010 Apr;58(4):707-12
Publication Type
Article
Date
Apr-2010
Author
Merja Rantakokko
Susanne Iwarsson
Mirja Hirvensalo
Raija Leinonen
Eino Heikkinen
Taina Rantanen
Author Affiliation
Department of Health Sciences, Finnish Centre for Interdisciplinary Gerontology, University of Jyväskylä, Jyväskylä, Finland. merja.rantakokko@jyu.fi
Source
J Am Geriatr Soc. 2010 Apr;58(4):707-12
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Aged - psychology
Attitude to Health
Cross-Sectional Studies
Depression - psychology
Exercise - psychology
Exercise Test
Fear
Female
Finland
Geriatric Assessment
Health Services Accessibility
Health Services Needs and Demand - organization & administration
Humans
Life Style
Logistic Models
Male
Mobility Limitation
Multivariate Analysis
Musculoskeletal Diseases - psychology
Prospective Studies
Questionnaires
Residence Characteristics
Socioeconomic Factors
Walking
Abstract
To examine which individual and environmental factors correlate with unmet physical activity need in old age and predict development of unmet physical activity need (the feeling that one's level of physical activity is inadequate and thus distinct from the recommended amount of physical activity) over a 2-year follow-up.
Observational prospective cohort study and cross-sectional analyses.
Community and research center.
A total of 643 community-living ambulatory people aged 75 to 81 took part in face-to-face interviews and examinations at baseline and 314 at the 2-year follow-up.
Unmet physical activity need and its potential individual and environmental correlates were assessed at baseline. Development of unmet physical activity need was assessed over the 2-year follow-up period.
At baseline, all participants were able to walk at least 500 m outdoors, but 14% perceived unmet physical activity need. Unmet physical activity need was more prevalent in those with musculoskeletal diseases, depressive symptoms, and mobility limitations. Hills in the nearby environment, lack of resting places, and dangerous crossroads correlated with unmet physical activity need at baseline; the association was especially strong in those with walking difficulties. Significant baseline predictors for incident unmet physical activity need (15%) included fear of moving outdoors, hills in the nearby environment, and noisy traffic.
Unmet physical activity need is common in ambulatory community-living older people who have health and mobility problems and report negative environmental features in their neighborhood. Solutions to overcome barriers to physical activity need to be developed to promote equal opportunities for physical activity participation.
PubMed ID
20398151 View in PubMed
Less detail