Factors associated with going outdoors frequently: a cross-sectional study among Swiss community-dwelling older adults.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_6A2978C5E1BA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Factors associated with going outdoors frequently: a cross-sectional study among Swiss community-dwelling older adults.
Périodique
BMJ open
Auteur⸱e⸱s
Spaltenstein J., Bula C., Santos-Eggimann B., Krief H., Seematter-Bagnoud L.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Statut éditorial
Publié
Date de publication
24/08/2020
Peer-reviewed
Oui
Volume
10
Numéro
8
Pages
e034248
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
This study examines potential risk and protective factors associated with going outdoors frequently among older persons, and whether these factors vary according to physical limitations.
Cross-sectional analysis.
Community-dwelling participants of the Lausanne cohort Lc65+ in 2016, aged 68-82 years (n=3419).
Associations between going outdoors frequently and physical limitations, sociodemographic, health, psychological and social variables were examined using logistic regression models. Subgroup analyses were performed according to the severity of physical limitations.
'Going outdoors frequently' was defined as going out ≥5 days/week and not spending most of the time sitting or lying down.
Three in four (73.9%) participants reported going outdoors frequently. Limitations in climbing stairs (adjusted OR (AdjOR) 0.61, 95% CI 0.47 to 0.80) and walking (AdjOR 0.24, 95% CI 0.18 to 0.31), as well as depressive symptoms (AdjOR 0.58, 95% CI 0.47 to 0.70), dyspnoea (AdjOR 0.60, 95% CI 0.48 to 0.75), age (AdjOR <sub>older age group</sub> 0.73, 95% CI 0.59 to 0.92) and fear of falling (AdjOR 0.75, 95% CI 0.62 to 0.91) reduced the odds of going outdoors frequently. In contrast, living alone (AdjOR 1.30, 95% CI 1.08 to 1.56), reporting a dense (AdjOR 1.57, 95% CI 1.26 to 1.96) and a high-quality (AdjOR 1.28, 95% CI 1.06 to 1.53) social network increased the odds of going outdoors frequently. Among participants with severe limitations, 44.6% still went outdoors frequently. Among this subgroup, a new emotional relationship (AdjOR 2.52, 95% CI 1.18 to 5.38) was associated with going outdoors, whereas cognitive complaints (AdjOR 0.66, 95% CI 0.47 to 0.93), urinary incontinence (AdjOR 0.67, 95% CI 0.46 to 0.97), dyspnea (AdjOR:0.67, 95%CI:0.48-0.93), and depressive symptoms (AdjOR 0.67, 95% CI 0.48 to 0.93) lowered the odds of going outdoors.
Physical limitations are associated with decreased odds of going outdoors frequently. However, social characteristics appear to mitigate this association, even among older persons with severe limitations. Further studies are needed to determine causality and help guide interventions to promote going outdoors as an important component of active ageing.
Mots-clé
active ageing, aged, physical limitations, social network, time spent out-of-home
Pubmed
Web of science
Open Access
Oui
Création de la notice
31/08/2020 15:41
Dernière modification de la notice
30/04/2021 7:11
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