Walking to the bus: perceived versus actual walking distance to bus stops for older adults

2011 ◽  
Vol 39 (2) ◽  
pp. 247-266 ◽  
Author(s):  
Daniel Baldwin Hess
Keyword(s):  
Older Adults ◽  
Walking Distance ◽  
Bus Stops

Individual Differences in Response to Supervised Exercise Therapy for Peripheral Artery Disease

2020 ◽  
pp. 019394592097747
Author(s):  
Mary O. Whipple ◽  
Erica N. Schorr ◽  
Kristine M.C. Talley ◽  
Julian Wolfson ◽  
Ruth Lindquist ◽  
...  
Keyword(s):  
Older Adults ◽  
Peripheral Artery Disease ◽  
Exercise Therapy ◽  
Poor Response ◽  
Walking Distance ◽  
Peripheral Artery ◽  
Meaningful Improvement ◽  
Supervised Exercise ◽  
Patient Reported ◽  
Artery Disease

Nonresponse to exercise has been extensively examined in young athletes but is seldom reported in studies of aerobic exercise interventions in older adults. This study examined the prevalence of nonresponse and poor response to exercise in functional and quality of life outcomes and response patterns between and among older adults undergoing 12-weeks of supervised exercise therapy for the management of peripheral artery disease ( N = 44, mean age 72.3 years, 47.7% female). The prevalence of nonresponse (no change/decline in performance) in walking distance was 31.8%. The prevalence of poor response (lack of a clinically meaningful improvement) was 43.2%. Similar patterns of response were observed in both objective and patient-reported measures of physical function. All participants improved in at least one outcome; only two participants improved in all measured outcomes. Additional research should examine modifiable predictors of response to inform programming and maximize an individual’s potential benefit from exercise therapy.

Six Versus 12 Weeks of Outpatient Physical Therapy Including Progressive Resistance Training in Cognitively Intact Older Adults After Hip Fracture: A Multicenter Randomized Controlled Trial

2021 ◽  
Author(s):  
Jan A Overgaard ◽  
Thomas Kallemose ◽  
Kathleen K Mangione ◽  
Morten T Kristensen
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Hip Fracture ◽  
Physical Therapy ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Walking Distance ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial ◽  
Cognitively Intact

Abstract Background Recovery of function and regaining muscle strength are challenging after hip fracture. We compared the effectiveness of a 12- versus 6-week outpatient physical therapy program with progressive resistive training (PRT) to increase strength and physical performance. Methods This parallel, superiority, 2-group randomized controlled trial was conducted in 4 clinics that enrolled community-dwelling, cognitively intact older adults (+60 years) with a surgical repair of a hip fracture and no major medical conditions. Participants received 12 or 6 weeks of PRT and standardized physical therapy, twice weekly. Pain was monitored throughout. Primary outcome was the change in the 6-minute walk test (6MWT) from baseline to 12-week follow-up. Randomization via a computer-generated allocation sequence was implemented using sealed, sequentially numbered opaque envelopes and assessors were blinded to group assignment. Results Participants (81% women) with a mean (SD) age of 77 (8.1) years were enrolled at an average of 18 days after hip fracture surgery and randomized into a 12-week group (n = 50) or a 6-week group (n = 50). Mean (SD) change scores in the 6MWT were 143.8 (81.1) and 161.5 (84.1) m in the 12- and 6-week groups, respectively (both exceeding the minimal clinically important difference of 55 m). The mean between-group difference was −17.7 m (95% CI −50.1, 14.8). Pain during training did not exceed moderate levels nor increase as training intensity increased. Conclusion Twelve weeks of physical therapy with PRT was not superior to 6 weeks in improving walking distance. Hip fracture-related pain was relatively low and indicated strength testing and training was well tolerated. Clinical Trials Registration Number: NCT01174589

scholarly journals Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults

2015 ◽  
pp. 643 ◽  
Author(s):  
Kenichi Hirashima ◽  
Yumi Higuchi ◽  
Masakazu Imaoka ◽  
Emiko Todo ◽  
Tomomi Kitagawa ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Walking Distance ◽  
Dual Tasking ◽  
Community Dwelling Older Adults

scholarly journals Functional Limitations and Perceived Neighborhood Walkability Among Urban Dwelling Older Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Rie Suzuki ◽  
Jennifer Blackwood ◽  
Noah J. Webster ◽  
Shailee Shah
Keyword(s):  
Older Adults ◽  
General Education ◽  
Functional Limitations ◽  
Walking Distance ◽  
Lower Income ◽  
Cross Sectional Survey ◽  
General Education Development ◽  
Education Development ◽  
Cross Sectional ◽  
Neighborhood Walkability

Older adults with functional limitations (FLs) often experience obstacles to walking. Although health promotion programs targeting physical activity are available in lower-income areas, few studies have compared the walking experiences of older adults who have FLs with those who do not in the community. The purpose of this cross-sectional survey was to compare perceptions of neighborhood walkability among older adults living in lower-income communities with and without FLs. Participants (N = 132) were recruited in 2018 at regional health clinics in Flint, Michigan. To be eligible, participants had to be 65 years of age or older, report no cognitive decline, and be Flint residents. Of the 132 participants, the mean age was 69.74 (SD = 4.97). The majority were female (66%); African American (77%); single, divorced, or widowed (72%); educated below the General Education Development level (57%), and had a FL (67%). Older adults with FLs were significantly (p < 0.05) less likely than those without to visit many places within walking distance, to have well-lit neighborhoods at night, and to reside in neighborhoods where sidewalks were separated from the road and traffic. Multiple regression analyses revealed that having a FL was associated with poorer neighborhood perceptions of mixed-land-use (b = −0.19, p < 0.05) and more walking hazards (b = −0.26, p < 0.05). Findings suggest that a FL is associated with perceptions of walkability. It is essential to develop disability-friendly support systems and accommodations to encourage walking in lower-income communities.

scholarly journals THE BUILT ENVIRONMENT INFLUENCED THE INCIDENCE OF FALLS IN OLDER ADULTS LIVING IN THE UNDERSERVED COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S292-S292
Author(s):  
Rie Suzuki ◽  
Jennifer Blackwood ◽  
Shailee Shah ◽  
Sabah Ganai ◽  
Kimberly Warden
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Built Environment ◽  
Walking Distance ◽  
Health Clinic ◽  
Cross Sectional Survey ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
The Past ◽  
Underserved Community

Abstract The built environment is commonly cited as a facilitator to local walking. Although health promotion programs targeting physical activity are available, few studies have investigated the associations of the perceived neighborhoods with the incidence of falls in the minority communities. Hence, the purpose of this preliminary study was to understand whether the perceived built environment influenced the fall experiences in older adults living in the underserved community. The preliminary cross-sectional survey was conducted at the regional health clinic in Flint, MI. Descriptive statistics and analysis of variance (ANOVA) were performed using SAS v8.4. The eligibility criteria included over 65 years old and Flint residents. Of 132 participants, the mean age was 69.75 (SD=5.00). The majority were female (68%), African Americans (80%), single, divorced or widowed (80%), and > GED (84%). The ANOVAs supported that “had fallen in the past year” was associated with “stores are within easy walking distance,” “easy to walk to a transit stop” and “there is a dirt strip that separates the streets from the sidewalks.” The fall experience was more likely to associate with the sedentary lifestyle and the comorbidities such as diabetes, fatigues, muscle spasms, and chronic pain. To summarize, the built environment increased the incidence of falls in the past year. Those who had fallen had poor health conditions. Further studies are needed for older adults to engage in physical activity. It is essential to develop the age-friendly support systems and accommodations to local walking in this community.

scholarly journals Proximity to Facilities and Its Association with the Health-Related Habits of Functionally Independent Older Adults

2020 ◽  
Vol 17 (22) ◽  
pp. 8677
Author(s):  
Mónica Machón ◽  
Kalliopi Vrotsou ◽  
Isabel Larrañaga ◽  
Itziar Vergara
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Life ◽  
Basque Country ◽  
Community Dwelling ◽  
Green Spaces ◽  
Walking Distance ◽  
Residential Areas ◽  
Cross Sectional ◽  
Health Related

The aim was to examine how proximity to facilities, as a component of community determinants, is associated with the health-related habits of functionally independent community-dwelling older adults. This was a cross-sectional study. Data were collected by face-to-face interviews. Participants were >65 years old, living in 15 municipalities of Gipuzkoa (Basque Country, Spain). Proximity to park-green spaces, cultural-sport centers, market-food stores, retirement associations, religious centers, primary care centers and hospitals was explored. Sociodemographic variables and health-related habits (diet, physical activity and self-perceived social life) were collected. Logistic regression models were performed. The sample comprised of 634 individuals (55% women; mean age: 74.8, SD 6.7 years). Older age (odds ratio-OR: 0.94, 95% CI: 0.91–0.97) was associated with lower physical activity, while being male (OR: 1.71, 95% CI: 1.08–2.68) and proximity to park-green spaces (OR: 1.64, 95% CI: 1.03–2.61) were related to more physical activity. Individuals with good self-perceived health (OR: 3.50, 95% CI: 1.82–6.74) and religious centers within walking distance (OR: 2.66, 95% CI: 1.40–5.04) had higher odds of a satisfactory social life. Encouraging the creation of park-green spaces and leisure centers near residential areas can assist in promoting physical activity and improving the social life of older adults.

A Comparison of Cardiopulmonary Exercise Testing and Field Walking Tests in Community-Dwelling Older Adults With Mild-to-Moderate Alzheimer’s Dementia

2020 ◽  
Vol 28 (6) ◽  
pp. 911-919
Author(s):  
Dereck L. Salisbury ◽  
Fang Yu
Keyword(s):  
Older Adults ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Alzheimer’S Dementia ◽  
Community Dwelling ◽  
Rating Of Perceived Exertion ◽  
Walking Distance ◽  
Walk Test ◽  
Alzheimer's Dementia ◽  
Cardiopulmonary Exercise

The purpose of this study was to investigate the relationships among peak exercise parameters on 6-min walk test, shuttle walk test, and laboratory-based cardiopulmonary exercise testing in persons with Alzheimer’s dementia. This study is a cross-sectional analysis of the baseline data of 90 participants (age 77.1 [6.6] years, 43% female) from the FIT-AD trial. Cardiopulmonary exercise testing produced significantly higher peak heart rate (118.6 [17.5] vs. 106 [22.8] vs. 106 [18.8] beats/min), rating of perceived exertion (16 [2.1] vs. 12 [2.3] vs. 11 [2.1]), and systolic blood pressure (182 [23.7] vs. 156 [18.9] vs. 150 [16.9] mmHg) compared with the shuttle walk test and 6-min walk test, respectively. Peak walking distance on shuttle walk test (241.3 [127.3] m) and 6-min walk test (365.0 [107.9] m) significantly correlated with peak oxygen consumption (17.1 [4.3] ml·kg−1·min−1) on cardiopulmonary exercise testing (r = .449, p ≤ .001 and r = .435, p ≤ .001), respectively, which is considerably lower than what is seen in older adults and persons with cardiopulmonary diseases.

scholarly journals How do passenger and trip attributes affect walking distances to bus public transport stops? Evidence from university students in Greece

Spatium ◽  
2020 ◽  
pp. 12-21
Author(s):  
Christos Tsioulianos ◽  
Socrates Basbas ◽  
Georgios Georgiadis
Keyword(s):  
Public Transport ◽  
Spatial Arrangement ◽  
Walking Distance ◽  
Transport Systems ◽  
University Campuses ◽  
Spatial Design ◽  
Transport Services ◽  
User Expectations ◽  
Bus Stops ◽  
Inference Methods

The spatial arrangement of public transport systems seriously affects their ridership and thus the fulfillment of sustainable transport goals. This paper examines the case of students at Aristotle University of Thessaloniki and investigates their perceptions regarding a critical spatial attribute of public transport, that is, the walking distance they have to cover to/from bus stops when they commute by bus to their campus. A questionnaire survey was conducted to collect relevant data from 300 students and a set of statistical inference methods was employed to explore whether student-specific attributes relate to the walking distances they consider to be acceptable. Empirical findings highlighted weak relationships between user/trip specific attributes with regard to students, and their walking distance preferences for the bus public transport services they use. The majority of students consider that the maximum acceptable walking distance can be higher than the standard value of 400 meters. Moreover, they would be willing to walk more than they currently do in order to reach a bus stop with higher service frequencies to their campus. The study concept and findings could assist in delivering a more successful spatial design of bus public transport systems which serve university campuses. A more sparsely positioned network of bus stops would provide better opportunities for personal physical activity but should not yield increased total travel times; and they should incorporate local user expectations. Public transport agencies could also benefit from achieving higher service speeds which, in turn, would reduce energy consumption and operating costs.

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