of acute and long-term health care resources. 2 In addition, loss of muscle mass, impaired balance, and decline in muscle strength and endurance are attributed to the aging process. 3 Comorbidities influence mobility limitations, particularly cardiovascular disease and obesity. 4 Nevertheless
Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen and Neil B. Alexander
Johanna Eronen, Mikaela von Bonsdorff, Merja Rantakokko, Erja Portegijs, Anne Viljanen and Taina Rantanen
Life-space mobility describes the extent of community mobility of older persons. The aim of this cross-sectional study was to examine the relationship between socioeconomic status (SES) and life-space mobility and to investigate whether associations might be explained by SES-related disparities in health and functioning. The participants (n = 848) were community-dwelling adults aged 75–90. Education and occupation were used to indicate SES. Life-space assessment (range 0–120) was used to indicate distance and frequency of moving and assistance needed in moving. People with low education had lower life-space mobility scores than those with intermediate or high education: marginal means 63.5, 64.8, and 70.0 (p = .003), respectively. SES-related health disparities, i.e., higher body mass index, poorer cognitive capacity, and poorer physical performance explained the association, rendering it nonsignificant (marginal means 65.2, 65.3, and 67.5, p = .390). Low SES and restricted life-space mobility often coexist with overweight, reduced cognition, and poorer physical performance.
Bonnie Field, Tom Cochrane, Rachel Davey and Yohannes Kinfu
The aim of this study was to identify determinants of walking and whether walking maintained mobility among women as they transition from their mid-70s to their late 80s. We used 12 years of follow-up data (baseline 1999) from the Australian Longitudinal Study on Women’s Health (n = 10,322). Fifteen determinants of walking were included in the analysis and three indicators of mobility. Longitudinal data analyses techniques were employed. Thirteen of the 15 determinants were significant predictors of walking. Women in their mid-70s who walked up to 1 hr per week were less likely to experience loss of mobility in very old age, including reduced likelihood of using a mobility aid. Hence, older women who do no walking should be encouraged to walk to maintain their mobility and their independence as they age, particularly women in their 70s and 80s who smoke, are overweight, have arthritis, or who have had a recent fall.
Lotta Palmberg, Erja Portegijs, Taina Rantanen, Eeva Aartolahti, Anne Viljanen, Mirja Hirvensalo and Merja Rantakokko
symptoms ( Rantakokko et al., 2010 ), and accumulation of risk factors including lower socioeconomic status, poorer health and mobility limitations increase the risk for the development of unmet PA need ( Eronen, von Bonsdorff, Rantakokko, & Rantanen, 2012 ). An earlier study showed that older people
Mohammed M. Althomali and Susan J. Leat
Balance or postural control is a complex motor mechanism receiving input from various systems in the body. Balance is the ability to maintain position, undertake activities and retain good mobility (the ability to move safely and efficiently within the environment without falling). The three main
Odessa Addison, Monica C. Serra, Leslie Katzel, Jamie Giffuni, Cathy C. Lee, Steven Castle, Willy M. Valencia, Teresa Kopp, Heather Cammarata, Michelle McDonald, Kris A. Oursler, Chani Jain, Janet Prvu Bettger, Megan Pearson, Kenneth M. Manning, Orna Intrator, Peter Veazie, Richard Sloane, Jiejin Li and Miriam C. Morey
stroke ( Rillamas-Sun et al., 2014 ; van den Bussche et al., 2011 ). Furthermore, obesity is a leading cause of mobility limitations in older adults ( Samper-Ternent & Al Snih, 2012 ; Villareal et al., 2005 ; Villareal, Banks, Siener, Sinacore, & Klein, 2004 ). Obese older adults experience
Aftab E. Patla and Anne Shumway-Cook
Mobility, the ability to move independently, is critical to maintaining independence and quality of life. Among older adults, mobility disability results when an individual cannot meet the demands of the environment. Current approaches to defining mobility rely on distance and time measures, or decompose mobility into subtasks (e.g., climbing, sit to stand), but provide limited understanding of mobility in the elderly. In this paper, a new conceptual framework identifies the critical environmental factors, or dimensions, that operationally define mobility within a given community, such as ambient conditions (light levels, weather conditions) and terrain characteristics (stairs, curbs). Our premise is that the environment and the individual conjointly determine mobility disability. Mobility in the elderly is defined not by the number of tasks a person can or cannot perform, but by the range of environmental contexts in which tasks can be safely carried out: the more disabled, the more restrictive the dimensions.
Debra J. Rose
In recent years, a number of research investigations have been conducted in an effort to determine whether declining balance and mobility among older adults can be reversed or at least slowed. Unfortunately, the results of a number of these studies have not yielded positive outcomes. Three reasons are forwarded to account for these unsuccessful outcomes: the lack of a contemporary theory-based approach to the problem, the failure to use multiple and diverse measures of balance and mobility, and the failure to design multidimensional interventions that target the actual source(s) of the balance or mobility-related impairments. A model fall-risk-reduction program designed to address each of the shortcomings associated with previous research findings is presented. The program is group based and suitable for implementation in community-based and residential care facilities.
Jaclyn Megan Sions, Elisa Sarah Arch and John Robert Horne
. There has been less focus on modifiable factors that may predict physical activity, such as reduced functional mobility, suboptimal balance confidence, and lack of prosthetic use. Identifying modifiable factors that influence physical activity is critical to reduce morbidity and mortality for adults
Gareth R. Jones, Jennifer M. Jakobi, Albert W. Taylor, Rob J. Petrella and Anthony A. Vandervoort
Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 ± 6.0 years; 24 women; 71 ± 23 days post–hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity–strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post–hip fracture.