Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy.
National Research Council, Neuroscience Institute, Padova, Italy.
Maturitas. 2018 Sep;115:84-91. doi: 10.1016/j.maturitas.2018.06.018. Epub 2018 Jul 3.
To identify the determinants of mobility among people aged 50+ from Finland, Spain and Poland.
Observational cross-sectional population study.
A mobility score was based on responses to items referring to body movements, walking, moving around and using transportation. Determinants of mobility were entered in hierarchical regression models in the following order: sociodemographic characteristics, health habits, chronic conditions, description of general state of health, vision and hearing, social networks, built environment.
Complete data were available for 3902 participants (mean age 65.1, SD 9.8). The final model explained 64.7% of the variation in mobility. The most relevant predictors were: pain, age and living in Finland, presence of arthritis, stroke and diabetes, high-risk waist circumference, physical inactivity, and perceiving the neighborhood environment as more exploitable.
Our results provide public health indications that could support concrete actions to address the modifiable determinants of mobility. These include the identification and treatment of pain-related problems, increasing the level of physical activity and the improvement of neighborhood features in terms of presence of general utility places or means of transportation. These factors can be modified with short- to medium-term interventions and such a change could improve the mobility of ageing population, with evident benefits for health.
确定芬兰、西班牙和波兰 50 岁以上人群的流动性决定因素。
观察性横断面人群研究。
基于对身体运动、行走、移动和使用交通工具等项目的回答，得出流动性评分。按照以下顺序将流动性决定因素输入分层回归模型：社会人口特征、健康习惯、慢性疾病、一般健康状况描述、视力和听力、社交网络、建筑环境。
共有 3902 名参与者（平均年龄 65.1，标准差 9.8）完成了完整的数据收集。最终模型解释了 64.7%的流动性变化。最相关的预测因素包括：疼痛、年龄和居住在芬兰、关节炎、中风和糖尿病的存在、高风险腰围、缺乏身体活动以及认为邻里环境更具可开发性。
我们的研究结果为公共卫生提供了一些指示，可以支持采取具体行动来解决流动性的可调节决定因素。这些措施包括识别和治疗与疼痛相关的问题、提高身体活动水平以及改善邻里环境的功能，增加一般公用设施或交通工具的存在。这些因素可以通过短期到中期干预来改变，这一变化可以提高老年人口的流动性，对健康有明显的益处。
