Association between built environment and the incidence of disability in basic and instrumental activities of daily living in the older adults: Results of a cohort study in southern Brazil

Preventive Medicine
Ana Lúcia DanielewiczAntonio Fernando Boing

Abstract

The aim of this study was to evaluate the association between subjective and objective characteristics of the built environment and the incidence of disability in the activities of daily living in the older adults. A cohort study was conducted with 1196 older adults from Florianopolis, Santa Catarina, Brazil. Incidences were evaluated after four years by the difficulty or inability to perform six basic and nine instrumental activities. The subjective built environment was evaluated by the adapted Neighborhood Environment Walkability Scale and the objective for variables related to the characteristics of streets, sidewalks and land uses in the census tracts. Multilevel Logistic Regression analyzes were performed, where significant positive associations were observed between the presence of hills, and negative associations between safety for walking at night, a high proportion of commercial area, intermediate mixed land use and the incidence of disability in basic activities. The built environment characteristics associated with disability point to the need for improvements in urban infrastructure to promote functional independence in the older adults.

Citations

Mar 26, 2021·Archives of Gerontology and Geriatrics·Jaquelini Betta CaneverNúbia Carelli Pereira de Avelar
Mar 7, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Shiyu LuTerry Y Lum
Apr 27, 2021·Gerontology & Geriatrics Education·Hakimah SallehuddinTahir Masud
Jun 3, 2021·International Journal of Environmental Research and Public Health·David Rojas-RuedaDaniel Buss
Sep 4, 2021·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Fernando GómezCarmen-Lucia Curcio
Dec 16, 2021·Journal of Aging and Physical Activity·Jaquelini Betta CaneverNúbia Carelli Pereira de Avelar

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