Neighbourhood destinations and barriers for outdoor mobility and older adults’ physical activity
ISPAH ePoster Library. Portegijs E. Oct 15, 2018; 225111
Erja Portegijs
Erja Portegijs
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Abstract Aim. To study associations between older adults’ physical activity and locations of neighbourhood destinations and environmental barriers for outdoor mobility. Methods. Cross-sectional analyses of the MIIA study comprising 196 participants aged 79-94 years living independently in Central Finland. Level of physical activity was self-reported using one seven-category question and categorized into low and high (≥4h moderate or intensive activity). Neighbourhood destinations perceived to facilitate outdoor mobility (PENFOM questionnaire; items parks, trails, nature, scenic, services) and environmental barriers for outdoor mobility (PENBOM questionnaire) were located on an online map. Euclidean distances between homes and locations were calculated using geographic information system. Logistic regression models were adjusted for age, sex, chronic conditions, Short Physical Performance Battery score, and years of education.Results. 19% of participants reported one, 52% multiple destinations facilitating outdoor mobility. About half of participants reported one or more barriers. Barriers were generally located closer to the home (range 3-2691m; median 119m) than destinations (range 19-6100m, median 343m). Longer maximal distances to destinations were associated with higher odds for reporting high physical activity (OR=2.8, 95%CI=1.1-6.6). The presence of barriers was associated with lower odds (OR=0.28, 95%CI=0.12-0.66) and longer maximal distances to barriers were associated with higher odds (OR=6.2, 95%CI=1.4-27.7) for reporting high physical activity. Conclusions. Self-reported locations of perceived environmental attributes reflect the size of an individual’s activity-space. Consequently, longer distances to neighbourhood destinations and longer distances to barriers for outdoor mobility were both associated with higher physical activity. External funding details Funding. Ministry of Education; Academy of Finland (grant 255403)
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