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RESEARCH PRODUCT
Neighborhood environment, social participation, and physical activity in older adults with lower limb osteoarthritis: A mediation analysis
Paola SivieroSuzan Van Der PasSuzan Van Der PasÁNgel OteroDhayana DallmeierMaria Victoria CastellNicola VeroneseFlorian HerbolsheimerFederica LimongiBrendon StubbsBrendon StubbsDorly J. H. DeegElaine M. DennisonRichard PeterErja PortegijsLaura A. SchaapErik J. TimmermansNadine UngarNatasja M. Van SchoorToby O. SmithMark H. Edwardssubject
GerontologyMaleHealth (social science)Longitudinal dataGeography Planning and DevelopmentPhysical activityOsteoarthritisLower limbStructural equation modeling03 medical and health sciences0302 clinical medicineOlder adults.Residence CharacteristicsOsteoarthritismedicineEnvironmental factorsHumans030212 general & internal medicineExerciseAged030505 public healthMediation AnalysisPhysical activityPublic Health Environmental and Occupational HealthSocial environmentSDG 10 - Reduced InequalitiesSocial participationSocial engagementmedicine.diseaseSocial ParticipationEnvironmental factorCross-Sectional StudiesLower ExtremityOlder adults/dk/atira/pure/sustainabledevelopmentgoals/reduced_inequalitiesOsteoarthritiFemale0305 other medical sciencePsychologydescription
Older adults with lower limb osteoarthritis (LLOA) are highly dependent on their physical and social environment for being physically active. Longitudinal data from 2286 older adults (M age = 73.8 years; 50.3% female) in six European countries were analyzed using cross-lagged Structural Equation Modeling (SEM) and multi-group SEM. In cross-sectional analyses, neighborhood resources were associated with physical activity (r = 0.26;p <.001) and social participation (r = 0.13;p =.003). Physical activity at follow-up was associated with neighborhood resources, with this relationship mediated by social participation in people with LLOA (β = 0.018;p =.013). To promote future physical activity, opportunities to socially engage in neighborhoods need to be targeted primarily to people with LLOA.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-03-01 |