ArticlePloS one2016
Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Association between relative free-living sit-to-stand transition thigh angular velocities and difficulties in mobility and daily functioning.Aging clinical and experimental research · 2026Article
- Aging towards walkable futures: insights from a multidisciplinary workshop held in Barcelona, Spain.BMC public health · 2025Article
- Development of an evaluation list for older adult community-based rehabilitation needs through a Delphi method.Scientific reports · 2024Article
- Neighborhood Walkability, Walking Difficulties, and Participation in Leisure Activities Among Older People: A Cross-Sectional Study and 4-Year Follow-Up of a Subsample.Journal of aging and health · 2024Article
- Associations between walking limitations and reported activity destinations among older adults.European journal of ageing · 2024Article
- Predictors of basic and instrumental activities of daily living among older adults with multiple chronic conditions.BMC geriatrics · 2024Article
- Development of the Polish Version of the ICF Core Set for the Environment of Older People.International journal of environmental research and public health · 2022Article
- Use of walking modifications, perceived walking difficulty and changes in outdoor mobility among community-dwelling older people during COVID-19 restrictions.Aging clinical and experimental research · 2021Article
- Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People: A Two-Year Follow-Up Study.Journal of aging and health · 2020Article
- Older Adults' Physical Activity and the Relevance of Distances to Neighborhood Destinations and Barriers to Outdoor Mobility.Frontiers in public health · 2020Article
- Determinants of ADL and IADL disability in older adults in southeastern Poland.BMC geriatrics · 2019Article
- Association of tenacious goal pursuit and flexible goal adjustment with out-of-home mobility among community-dwelling older people.Aging clinical and experimental research · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnvironmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through mobility modification. We studied whether perceived environmental mobility barriers outdoors correlate with mobility modification and mobility difficulty, predict development of mobility difficulty over a two-year follow-up, and whether mobility modification alleviates the risk for difficulty.
methodsAt baseline, 848 people aged 75-90 were interviewed face-to-face. Telephone follow-up interviews were conducted one (n = 816) and two years (n = 761) later. Environmental barriers to mobility were self-reported using a15-item structured questionnaire at baseline, summed and divided into tertiles (0, 1 and 2 or more barriers). Mobility difficulty was assessed as self-reported ability to walk 2 km at all assessment points and categorized into 'no difficulty', 'no difficulty but mobility modifications' (reducing frequency, stopping walking, using an aid, slowing down or resting during the performance) and 'difficulty'.
resultsAt baseline, 212 participants reported mobility modifications and 356 mobility difficulties. Those reporting one or multiple environmental barriers had twice the odds for mobility modifications and up to five times the odds for mobility difficulty compared to those reporting no environmental barriers. After multiple adjustments for health and functioning, reporting multiple environmental barriers outdoors continued to predict the development of incident mobility difficulty over the two-year follow-up. Mobility modifications attenuated the association.
conclusionFor older people who successfully modify their performance, environmental influence on incident mobility difficulty can be diminished. Older people use mobility modification to alleviate environmental press on mobility.
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