G5 Doctoral dissertation (article)
Features of the physical environment, walking difficulty, and physical activity in old age (2021)
Fyysisen ympäristön piirteet, kävelyvaikeudet ja fyysinen aktiivisuus iäkkäillä ihmisillä


Keskinen, K. E. (2021). Features of the physical environment, walking difficulty, and physical activity in old age [Doctoral dissertation]. University of Jyväskylä. JYU Dissertations, 391. http://urn.fi/URN:ISBN:978-951-39-8682-7


JYU authors or editors


Publication details

All authors or editors: Keskinen, Kirsi E.

eISBN: 978-951-39-8682-7

Journal or series: JYU Dissertations

eISSN: 2489-9003

Publication year: 2021

Number in series: 391

Number of pages in the book: 1 verkkoaineisto (101 sivua, 65 sivua useina numerointijaksoina, 9 numeroimatonta sivua)

Publisher: University of Jyväskylä

Place of Publication: Jyväskylä

Publication country: Finland

Publication language: English

Persistent website address: http://urn.fi/URN:ISBN:978-951-39-8682-7

Publication open access: Openly available

Publication channel open access: Open Access channel


Abstract

Mobility enables engagement in out-of-home activities and thus is important for the well-being of older adults. Walking difficulty may limit mobility, and low physical activity is one risk factor for walking difficulty. Environmental features close to home may hinder or encourage physical activity in older adults. This study aimed to contribute knowledge on features of the physical environment that support the physical functioning and physical activity (PA) of older adults, and to investigate whether the associations between environmental features and PA may differ by perceived walking difficulty, type of residential neighbourhood, and day of the week. The data were collected as part of the Life- Space Mobility in Older People (n=848) project in structured interviews, performance tests, and accelerometer measurements (n=167) among community dwelling 75- to 90-year-olds living in Central Finland. The data on environmental features were retrieved from open sources of geospatial data. The results showed that a more steeply sloping road network and lower PA were risk factors for developing walking difficulty. The supportiveness of the infrastructure for outdoor mobility and diversity of large natural, green areas were positively, and slope negatively, associated with PA. Perceived infrastructure-based facilitators in dispersed areas and nature-based destinations in city centres and densely populated areas outside centres were associated with higher PA. Perceived nature was a more important PA facilitator for older adults with than without walking difficulty. Among those with walking difficulty, the presence of waterside areas increased while higher diversity in large natural and green areas decreased the odds for higher PA. Among those without walking difficulty, higher diversity in large natural and green area increased the odds for higher PA and for perceiving nature as a facilitator for outdoor mobility. Nature based features were associated with PA consistently throughout the week but infrastructure-based features only on weekdays. Depending on the home location, environmental features appear to support older adults’ engagement in outdoor PA. At the greatest, when converted to PA volumes, the difference in supportiveness might correspond to the difference in PA accumulation between older adults with and without walking difficulty.


Keywords: physical activeness; ability to move; physical training; motivation (mental objects); older people; pensioners; outdoor recreation; environment; nature; outdoor recreation areas; residential areas; waters (areas); outdoor exercise in nature; environmental factors; walking (motion)

Free keywords: outdoor mobility; mobility limitation; neighbourhood; |infrastructure; nature; older adults


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Ministry reporting: Yes

Reporting Year: 2021


Last updated on 2022-19-08 at 19:40