Purpose, Frequency, and Mode of Transport by Which Older Adults Leave Their Home—A Cross-Sectional Analysis

in Journal of Aging and Physical Activity
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Time spent out-of-home can increase physical activity (PA) levels. However, the association between the purpose for leaving home and the mode of transport on time out-of-home and PA are not straightforward. In a large sample of community-dwelling older adults (≥65 years), daily walking duration was measured prospectively over 1 week using body-fixed sensors and time-out-of-home questionnaires. Data from 1,277 participants yielded 6,500 full days for analysis. The following statistically significant associations were seen: public transport use increased the time spent out-of-home by 88 min and daily walking duration by 16 min. Social contacts or the use of a car increased the time out-of-home, but decreased PA. Shopping or “going by foot” decreased the time spent out-of-home by 19 and 62 min, respectively, while both increased the daily walking duration by 5 min. The association between time out-of-home and PA (daily walking duration) is strongly dependent on the activity and mode of transport.

Mikolaizak, Klenk, and Rapp are with the Department of Clinical Gerontology, Robert Bosch Hospital, Stuttgart, Germany. Klenk, Rothenbacher, and Rapp are with the Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.  Klenk is also with IB Hochschule Berlin, Studienzentrum Stuttgart, Germany. Denkinger is with the Agaplesion Bethesda Clinic Ulm, Geriatric Research Ulm University, and Geriatric Center Ulm/Alb-Donau, Ulm, Germany.

Mikolaizak (Stefanie.mikolaizak@rbk.de) is the corresponding author.
  • Barnett, A., Cerin, E., Cheung, M.C., & Chan, W.M. (2015). An in-depth pilot study on patterns, destinations, and purposes of walking in Hong Kong older adults. Journal of Aging and Physical Activity, 23(1), 144–152. doi:10.1123/JAPA.2013-0026

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cabrita, M., Lousberg, R., Tabak, M., Hermens, H.J., & Vollenbroek-Hutten, M.M. (2017). An exploratory study on the impact of daily activities on the pleasure and physical activity of older adults. European Review of Aging and Physical Activity, 14, 1. doi:10.1186/s11556-016-0170-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chudyk, A.M., McKay, H.A., Winters, M., Sims-Gould, J., & Ashe, M.C. (2017). Neighborhood walkability, physical activity, and walking for transportation: A cross-sectional study of older adults living on low income. BMC Geriatrics, 17(1), 82. doi:10.1186/s12877-017-0469-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Davis, M.G., Fox, K.R., Hillsdon, M., Coulson, J.C., Sharp, D.J., Stathi, A., & Thompson, J.L. (2011). Getting out and about in older adults: The nature of daily trips and their association with objectively assessed physical activity. International Journal of Behavioral Nutrition and Physical Activity, 8, 116. PubMed ID: 22018626 doi:10.1186/1479-5868-8-116

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dawson, J.D., Uc, E.Y., Anderson, S.W., Johnson, A.M., & Rizzo, M. (2010). Neuropsychological predictors of driving errors in older adults. Journal of the American Geriatrics Society, 58(6), 1090–1096. doi:10.1111/j.1532-5415.2010.02872.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Department of Transport. (2014). National travel survey: England 2013. London, UK: Gov.UK.

  • Groll, D.L., To, T., Bombardier, C., & Wright, J.G. (2005). The development of a comorbidity index with physical function as the outcome. Journal of Clinical Epidemiology, 58(6), 595–602. doi:10.1016/j.jclinepi.2004.10.018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Harada, K., Lee, S., Lee, S., Bae, S., Harada, K., Suzuki, T., & Shimada, H. (2017). Objectively-measured outdoor time and physical and psychological function among older adults. Geriatrics & Gerontology International, 17(10), 1455–1462. doi:10.1111/ggi.12895

    • Search Google Scholar
    • Export Citation
  • Kanning, M., Ebner-Priemer, U., & Schlicht, W. (2015). Using activity triggered e-diaries to reveal the associations between physical activity and affective states in older adult’s daily living. International Journal of Behavioral Nutrition and Physical Activity, 12, 111. doi:10.1186/s12966-015-0272-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kerr, J., Marshall, S., Godbole, S., Neukam, S., Crist, K., Wasilenko, K., … Buchner, D. (2012). The relationship between outdoor activity and health in older adults using GPS. International Journal of Environmental Research and Public Health, 9(12), 4615–4625. doi:10.3390/ijerph9124615

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Klenk, J., Buchele, G., Rapp, K., Franke, S., Peter, R., & ActiFE Study Group. (2012). Walking on sunshine: Effect of weather conditions on physical activity in older people. Journal of Epidemiology and Community Health, 66(5), 474–476. doi:10.1136/jech.2010.128090

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Klenk, J., Dallmeier, D., Denkinger, M.D., Rapp, K., Koenig, W., Rothenbacher, D., & ActiFE Study Group. (2016). Objectively measured walking duration and sedentary behaviour and four-year mortality in older people. PLoS ONE, 11(4), e0153779. PubMed ID: 27082963 doi:10.1371/journal.pone.0153779

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Koeneman, M.A., Verheijden, M.W., Chinapaw, M.J., & Hopman-Rock, M. (2011). Determinants of physical activity and exercise in healthy older adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 8, 142. PubMed ID: 22204444 doi:10.1186/1479-5868-8-142

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Landi, F., Russo, A., Cesari, M., Pahor, M., Liperoti, R., Danese, P., … Onder, G. (2008). Walking one hour or more per day prevented mortality among older persons: Results from ilSIRENTE study. Preventive Medicine, 47(4), 422–426. doi:10.1016/j.ypmed.2008.06.020

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lenz, B., Nobis, C., Köhler, K., Mehlin, M., Follmer, R., Gruschwitz, D., … Quandt, S. (2010). Mobilität in Deutschland DLR Forschungsbericht [Mobility in Germany]. Projektbericht, 1–136.

    • Search Google Scholar
    • Export Citation
  • Lubben, J., Blozik, E., Gillmann, G., Iliffe, S., von Renteln Kruse, W., Beck, J.C., & Stuck, A.E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist, 46(4), 503–513. PubMed ID: 16921004 doi:10.1093/geront/46.4.503

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Millward, H., Spinney, J.E., & Scott, D. (2013). Active-transport walking behavior: Destinations, durations, distances. Journal of Transport Geography, 28, 101–110. doi:10.1016/j.jtrangeo.2012.11.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mooney, S.J., Joshi, S., Cerda, M., Quinn, J.W., Beard, J.R., Kennedy, G.J., … Rundle, A.G. (2015). Patterns of physical activity among older adults in New York City: A latent class approach. American Journal of Preventive Medicine, 49(3), e13–e22. doi:10.1016/j.amepre.2015.02.015

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nelson, M.E., Rejeski, W.J., Blair, S.N., Duncan, P.W., Judge, J.O., King, A.C., … American Heart Association. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1094–1105. PubMed ID: 17671236 doi:10.1161/CIRCULATIONAHA.107.185650

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Newsom, J.T., & Schulz, R. (1996). Social support as a mediator in the relation between functional status and quality of life in older adults. Psychology and Aging, 11(1), 34–44. doi:10.1037/0882-7974.11.1.34

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petersen, J., Austin, D., Kaye, J.A., Pavel, M., & Hayes, T.L. (2014). Unobtrusive in-home detection of time spent out-of-home with applications to loneliness and physical activity. IEEE Journal of Biomedical and Health Informatics, 18(5), 1590–1596. doi:10.1109/JBHI.2013.2294276

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petersen, J., Austin, D., Mattek, N., & Kaye, J. (2015). Time out-of-home and cognitive, physical, and emotional wellbeing of older adults: A longitudinal mixed effects model. PLoS ONE, 10(10), e0139643. PubMed ID: 26437228 doi:10.1371/journal.pone.0139643

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Portegijs, E., Tsai, L.T., Rantanen, T., & Rantakokko, M. (2015). Moving through life-space areas and objectively measured physical activity of older people. PLoS ONE, 10(8), e0135308. PubMed ID: 26252537 doi:10.1371/journal.pone.0135308

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rantakokko, M., Portegijs, E., Viljanen, A., Iwarsson, S., Kauppinen, M., & Rantanen, T. (2016). Changes in life-space mobility and quality of life among community-dwelling older people: A 2-year follow-up study. Quality of Life Research, 25(5), 1189–1197. doi:10.1007/s11136-015-1137-x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rapp, K., Klenk, J., Benzinger, P., Franke, S., Denkinger, M.D., Peter, R., … ActiFE Study Group. (2012). Physical performance and daily walking duration: Associations in 1271 women and men aged 65–90 years. Aging Clinical and Experimental Research, 24(5), 455–460. PubMed ID: 22313581 doi:10.3275/8264

    • Search Google Scholar
    • Export Citation
  • Rapp, K., Mikolaizak, S., Rothenbacher, D., Denkinger, M.D., & Klenk, J. (2018). Prospective analysis of time out-of-home and objectively measured walking duration during a week in a large cohort of older adults. European Review of Aging and Physical Activity, 15, 8. PubMed ID: 29946372 doi:10.1186/s11556-018-0197-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ryan, C.G., Grant, P.M., Tigbe, W.W., & Granat, M.H. (2006). The validity and reliability of a novel activity monitor as a measure of walking. British Journal of Sports Medicine, 40(9), 779–784. doi:10.1136/bjsm.2006.027276

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Samitz, G., Egger, M., & Zwahlen, M. (2011). Domains of physical activity and all-cause mortality: Systematic review and dose-response meta-analysis of cohort studies. International Journal of Epidemiology, 40(5), 1382–1400. doi:10.1093/ije/dyr112

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shrestha, B.P., Millonig, A., Hounsell, N.B., & McDonald, M. (2017). Review of public transport needs of older people in European context. Journal of Population Ageing, 10(4), 343–361. doi:10.1007/s12062-016-9168-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Taraldsen, K., Chastin, S.F., Riphagen, II, Vereijken, B., & Helbostad, J.L. (2012). Physical activity monitoring by use of accelerometer-based body-worn sensors in older adults: A systematic literature review of current knowledge and applications. Maturitas, 71(1), 13–19. PubMed ID: 22134002 doi:10.1016/j.maturitas.2011.11.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thompson, C., Boddy, K., Stein, K., Whear, R., Barton, J., & Depledge, M. (2011). Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science and Technology, 45, 1761–1772. doi:10.1021/es102947t

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tsai, L.T., Portegijs, E., Rantakokko, M., Viljanen, A., Saajanaho, M., Eronen, J., & Rantanen, T. (2015). The association between objectively measured physical activity and life-space mobility among older people. Scandinavian Journal of Medicine & Science in Sports, 25(4), e368–e373. PubMed ID: 26152855 doi:10.1111/sms.12337

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tsai, L.T., Rantakokko, M., Viljanen, A., Saajanaho, M., Eronen, J., Rantanen, T., & Portegijs, E. (2016). Associations between reasons to go outdoors and objectively-measured walking activity in various life-space areas among older people. Journal of Aging and Physical Activity, 24(1), 85–91. doi:10.1123/japa.2014-0292

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Varma, V.R., Tan, E.J., Wang, T., Xue, Q.L., Fried, L.P., Seplaki, C.L., … Carlson, M.C. (2014). Low-intensity walking activity is associated with better health. Journal of Applied Gerontology, 33(7), 870–887. PubMed ID: 24652915 doi:10.1177/0733464813512896

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wahl, H.W., Wettstein, M., Shoval, N., Oswald, F., Kaspar, R., Issacson, M., … Heinik, J. (2013). Interplay of cognitive and motivational resources for out-of-home behavior in a sample of cognitively heterogeneous older adults: Findings of the SenTra project. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 68(5), 691–702. doi:10.1093/geronb/gbs106

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ward, D.S., Evenson, K.R., Vaughn, A., Rodgers, A.B., & Troiano, R.P. (2005). Accelerometer use in physical activity: Best practices and research recommendations. Medicine & Science in Sports & Exercise, 37(11 Suppl), S582–S588. doi:10.1249/01.mss.0000185292.71933.91

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Webber, S.C., Porter, M.M., & Menec, V.H. (2010). Mobility in older adults: A comprehensive framework. Gerontologist, 50(4), 443–450. PubMed ID: 20145017 doi:10.1093/geront/gnq013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Willett, W.C., Koplan, J.P., Nugent, R., Dusenbury, C., Puska, P., & Gaziano, T.A. (2006). Prevention of chronic disease by means of diet and lifestyle changes. In D.T. Jamison, J.G. Breman, A.R. Measham, G. Alleyne, M. Claeson, D.B. Evans, P. Jha, A. Mills, & P. Musgrove (Eds.), Disease control priorities in developing countries. Washington, DC: World Bank.

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2002). Active ageing: A policy framework. Retrieved from World Health Organization website: http://apps.who.int/iris/bitstream/10665/67215/1/WHO_NMH_NPH_02.8.pdf.

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2010). Global recommendations on physical activity for health.  Retrieved from World Health Organization website: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf.

    • Search Google Scholar
    • Export Citation
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