The urban built environment and mobility in older adults: a comprehensive review.
The urban built environment and mobility in older adults: a comprehensive review.
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DOI：
10.4061/2011/816106
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发表时间：
2011
影响因子：
4.7
通讯作者：
Michael YL
中科院分区：
文献类型：
--
作者：
Rosso AL;Auchincloss AH;Michael YL
老年人的行动受限很常见，增加了负面健康结果和过早死亡的可能性。建筑环境对老年人口流动性的影响，其中环境影响可能是最强的，是越来越多的文献的重点。我们回顾了最近的研究（1990-2010），研究了60岁或以上成年人的建筑环境与流动性和残疾的客观测量的关联。确定了17篇经验性文章。现有文献表明，流动性与较高的街道连通性相关，从而缩短行人距离、街道和交通条件（如安全措施）以及与零售场所、公园和绿色空间等目的地的接近程度。现有的研究受到暴露和结局评估差异以及使用横断面研究设计的限制。这项研究可能会导致政策干预，使老年人在社区中过上更健康和积极的生活。
Mobility restrictions in older adults are common and increase the likelihood of negative health outcomes and premature mortality. The effect of built environment on mobility in older populations, among whom environmental effects may be strongest, is the focus of a growing body of the literature. We reviewed recent research (1990–2010) that examined associations of objective measures of the built environment with mobility and disability in adults aged 60 years or older. Seventeen empirical articles were identified. The existing literature suggests that mobility is associated with higher street connectivity leading to shorter pedestrian distances, street and traffic conditions such as safety measures, and proximity to destinations such as retail establishments, parks, and green spaces. Existing research is limited by differences in exposure and outcome assessments and use of cross-sectional study designs. This research could lead to policy interventions that allow older adults to live more healthy and active lives in their communities.