Challenges and opportunity in mobility among older adults – key determinant identification
Abstract Background Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04106-7 |
| _version_ | 1797773948464660480 |
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| author | Petra Maresova Ondrej Krejcar Raihan Maskuriy Nor Azlina Abu Bakar Ali Selamat Zuzana Truhlarova Jiri Horak Miroslav Joukl Lucie Vítkova |
| author_facet | Petra Maresova Ondrej Krejcar Raihan Maskuriy Nor Azlina Abu Bakar Ali Selamat Zuzana Truhlarova Jiri Horak Miroslav Joukl Lucie Vítkova |
| author_sort | Petra Maresova |
| collection | DOAJ |
| description | Abstract Background Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness in older adults is limited mobility. Approximately one third of 70-year-olds and most 80-year-olds report restrictions on mobility in their apartments and immediate surroundings. Restriction or loss of mobility is a complex multifactorial process, which makes older adults prone to falls, injuries, and hospitalizations and worsens their quality of life while increasing overall mortality. Objective The objective of the study is to identify the factors that have had a significant impact on mobility in recent years and currently, and to identify gaps in our understanding of these factors. The study aims to highlight areas where further research is needed and where new and effective solutions are required. Methods The PRISMA methodology was used to conduct a scoping review in the Scopus and Web of Science databases. Papers published from 2007 to 2021 were searched in November 2021. Of these, 52 papers were selected from the initial 788 outputs for the final analysis. Results The final selected papers were analyzed, and the key determinants were found to be environmental, physical, cognitive, and psychosocial, which confirms the findings of previous studies. One new determinant is technological. New and effective solutions lie in understanding the interactions between different determinants of mobility, addressing environmental factors, and exploring opportunities in the context of emerging technologies, such as the integration of smart home technologies, design of accessible and age-friendly public spaces, development of policies and regulations, and exploration of innovative financing models to support the integration of assistive technologies into the lives of seniors. Conclusion For an effective and comprehensive solution to support senior mobility, the determinants cannot be solved separately. Physical, cognitive, psychosocial, and technological determinants can often be perceived as the cause/motivation for mobility. Further research on these determinants can help to arrive at solutions for environmental determinants, which, in turn, will help improve mobility. Future studies should investigate financial aspects, especially since many technological solutions are expensive and not commonly available, which limits their use. |
| first_indexed | 2024-03-12T22:13:40Z |
| format | Article |
| id | doaj.art-5066dc5fd5e44499bb0cfd640aa986f0 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-12T22:13:40Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-5066dc5fd5e44499bb0cfd640aa986f02023-07-23T11:26:11ZengBMCBMC Geriatrics1471-23182023-07-0123112910.1186/s12877-023-04106-7Challenges and opportunity in mobility among older adults – key determinant identificationPetra Maresova0Ondrej Krejcar1Raihan Maskuriy2Nor Azlina Abu Bakar3Ali Selamat4Zuzana Truhlarova5Jiri Horak6Miroslav Joukl7Lucie Vítkova8Faculty of Informatics and Management, University of Hradec KraloveFaculty of Informatics and Management, University of Hradec KraloveUniversiti Putra MalaysiaUniversiti Putra MalaysiaFaculty of Informatics and Management, University of Hradec KraloveFaculty of Education, University of Hradec KraloveFaculty of Mining and Geology, VSB—Technical University of OstravaPhilosophical Faculty, University of Hradec KralovePhilosophical Faculty, University of Hradec KraloveAbstract Background Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness in older adults is limited mobility. Approximately one third of 70-year-olds and most 80-year-olds report restrictions on mobility in their apartments and immediate surroundings. Restriction or loss of mobility is a complex multifactorial process, which makes older adults prone to falls, injuries, and hospitalizations and worsens their quality of life while increasing overall mortality. Objective The objective of the study is to identify the factors that have had a significant impact on mobility in recent years and currently, and to identify gaps in our understanding of these factors. The study aims to highlight areas where further research is needed and where new and effective solutions are required. Methods The PRISMA methodology was used to conduct a scoping review in the Scopus and Web of Science databases. Papers published from 2007 to 2021 were searched in November 2021. Of these, 52 papers were selected from the initial 788 outputs for the final analysis. Results The final selected papers were analyzed, and the key determinants were found to be environmental, physical, cognitive, and psychosocial, which confirms the findings of previous studies. One new determinant is technological. New and effective solutions lie in understanding the interactions between different determinants of mobility, addressing environmental factors, and exploring opportunities in the context of emerging technologies, such as the integration of smart home technologies, design of accessible and age-friendly public spaces, development of policies and regulations, and exploration of innovative financing models to support the integration of assistive technologies into the lives of seniors. Conclusion For an effective and comprehensive solution to support senior mobility, the determinants cannot be solved separately. Physical, cognitive, psychosocial, and technological determinants can often be perceived as the cause/motivation for mobility. Further research on these determinants can help to arrive at solutions for environmental determinants, which, in turn, will help improve mobility. Future studies should investigate financial aspects, especially since many technological solutions are expensive and not commonly available, which limits their use.https://doi.org/10.1186/s12877-023-04106-7MobilityDeterminantsOlder adultsFinancial aspectsTechnological solutions |
| spellingShingle | Petra Maresova Ondrej Krejcar Raihan Maskuriy Nor Azlina Abu Bakar Ali Selamat Zuzana Truhlarova Jiri Horak Miroslav Joukl Lucie Vítkova Challenges and opportunity in mobility among older adults – key determinant identification BMC Geriatrics Mobility Determinants Older adults Financial aspects Technological solutions |
| title | Challenges and opportunity in mobility among older adults – key determinant identification |
| title_full | Challenges and opportunity in mobility among older adults – key determinant identification |
| title_fullStr | Challenges and opportunity in mobility among older adults – key determinant identification |
| title_full_unstemmed | Challenges and opportunity in mobility among older adults – key determinant identification |
| title_short | Challenges and opportunity in mobility among older adults – key determinant identification |
| title_sort | challenges and opportunity in mobility among older adults key determinant identification |
| topic | Mobility Determinants Older adults Financial aspects Technological solutions |
| url | https://doi.org/10.1186/s12877-023-04106-7 |
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