Evidence map›Paper›PMID 25033118›Full record

ArticleAmerican journal of public health2014

Utilitarian walking, neighborhood environment, and risk of outdoor falls among older adults.

Wenjun Li, Elizabeth Procter-Gray, Lewis A Lipsitz, Suzanne G Leveille, Holly Hackman, Madeleine Biondolillo, Marian T Hannan

Abstract read
In one paragraph

Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A participatory virtual audit of the built environment for age-friendliness.International journal of health geographics · 2025
    Observational
  3. Article
  4. Article
  5. Article
  6. Predictors of falls in older adults with and without dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
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  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wenjun LiWenjun Li and Elizabeth Procter-Gray are with the Health Statistics and Geography Lab, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester. Lewis A. Lipsitz and Marian T. Hannan are with the Institute for Aging Research, Hebrew SeniorLife/Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston, MA. Suzanne G. Leveille is with the College of Nursing and Health Sciences, University of Massachusetts, Boston. Holly Hackman and Madeleine Biondolillo are with the Massachusetts Department of Public Health, Boston.
Elizabeth Procter-Gray
Lewis A Lipsitz
Suzanne G Leveille
Holly Hackman
Madeleine Biondolillo
Marian T Hannan

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI COLLINS, JAMES J · 1985 to 2008
$13.2M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Attention Demands of Chronic Pain and Risk for Falls in Older AdultsR01AG041525 · NIA · UNIVERSITY OF MASSACHUSETTS BOSTON · PI LEVEILLE, SUZANNE G. · 2011 to 2015
$3.0M
Cerebrovascular Mechanisms of Slow Gait and FallsR01AG041785 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2013 to 2017
$2.4M
Foot Disorders and Falls in a Population-Based CohortR01AG026316 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI HANNAN, MARIAN T. · 2005 to 2009
$1.6M
Nonlinear Dynamics of Frailty in AgingR37AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2006 to 2013
$1.6M
Neighborhood Risk Factors for Falls in the ElderlyR01AG028738 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LI, WENJUN · 2008 to 2011
$1.4M
NIA NIH HHS 5P01AG004390NIA NIH HHS 5R01AG026316NIA NIH HHS 5R01AG028738NIA NIH HHS 5R37AG025037NIA NIH HHS P01 AG004390NIA NIH HHS R01 AG026316NIA NIH HHS R01 AG028738NIA NIH HHS R01 AG041525NIA NIH HHS R01 AG041785NIA NIH HHS R37 AG025037NIA NIH HHS T32 AG023480
6 · The paper itself

Abstract

objectivesWe examined the roles of utilitarian and recreational walking in relation to occurrence of outdoor falls in older adults.

methodsWe analyzed data on walking habits, falls, and fall injuries among participants of MOBILIZE Boston, a prospective cohort study of 765 community-dwelling women and men, mainly aged 70 years or older, in Boston, Massachusetts. Neighborhood socioeconomic status (SES) indicators were assessed at census block group level. Falls were recorded during a total of 2066.5 person-years of follow-up (September 2005-December 2009), and the median length of follow-up was 2.9 years (range = 0.04-4.3).

results. Lower neighborhood SES indicators were associated with more utilitarian walking and higher rates of falls on sidewalks, streets, and curbs. Falls on sidewalks and streets were more likely to result in an injury than were falls in recreational areas. Utilitarian-only walkers tended to live in neighborhoods with the lowest neighborhood SES and had the highest rate of outdoor falls despite walking 14 and 25 fewer blocks per week than the recreational-only and dual walkers, respectively.

conclusions. Improving the safety of walking environments in areas where older adults shop and do other errands of necessity is an important component of fall prevention.

Indexed as

EnvironmentAccidental FallsAgedAged, 80 and overBody Mass IndexBostonFemaleHealth BehaviorHumansMaleProspective StudiesRecreationResidence CharacteristicsRisk FactorsSocial ClassWalking

Identifiers

PMID25033118
PMCPMC4151909

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.