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Challenges and opportunity in mobility among older adults - key determinant identification

Background: Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness in older...

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Main Authors:	Maresova, Petra, Krejcar, Ondrej, Maskuriy, Raihan, Abu Bakar, Nor Azlina, Selamat, Ali, Truhlarova, Zuzana, Horak, Jiri, Joukl, Miroslav, Vítkova, Lucie
Format:	Article
Language:	English
Published:	BioMed Central Ltd 2023
Subjects:	T Technology (General)
Online Access:	http://eprints.utm.my/105567/1/AliSelamat2023_ChallengesAndOpportunityInMobilityAmongOlderAdults.pdf http://eprints.utm.my/105567/ http://dx.doi.org/10.1186/s12877-023-04106-7
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spelling	my.utm.1055672024-05-06T06:25:26Z http://eprints.utm.my/105567/ Challenges and opportunity in mobility among older adults - key determinant identification Maresova, Petra Krejcar, Ondrej Maskuriy, Raihan Abu Bakar, Nor Azlina Selamat, Ali Truhlarova, Zuzana Horak, Jiri Joukl, Miroslav Vítkova, Lucie T Technology (General) Background: Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness in older adults is limited mobility. Approximately one third of 70-year-olds and most 80-year-olds report restrictions on mobility in their apartments and immediate surroundings. Restriction or loss of mobility is a complex multifactorial process, which makes older adults prone to falls, injuries, and hospitalizations and worsens their quality of life while increasing overall mortality. Objective: The objective of the study is to identify the factors that have had a significant impact on mobility in recent years and currently, and to identify gaps in our understanding of these factors. The study aims to highlight areas where further research is needed and where new and effective solutions are required. Methods: The PRISMA methodology was used to conduct a scoping review in the Scopus and Web of Science databases. Papers published from 2007 to 2021 were searched in November 2021. Of these, 52 papers were selected from the initial 788 outputs for the final analysis. Results: The final selected papers were analyzed, and the key determinants were found to be environmental, physical, cognitive, and psychosocial, which confirms the findings of previous studies. One new determinant is technological. New and effective solutions lie in understanding the interactions between different determinants of mobility, addressing environmental factors, and exploring opportunities in the context of emerging technologies, such as the integration of smart home technologies, design of accessible and age-friendly public spaces, development of policies and regulations, and exploration of innovative financing models to support the integration of assistive technologies into the lives of seniors. Conclusion: For an effective and comprehensive solution to support senior mobility, the determinants cannot be solved separately. Physical, cognitive, psychosocial, and technological determinants can often be perceived as the cause/motivation for mobility. Further research on these determinants can help to arrive at solutions for environmental determinants, which, in turn, will help improve mobility. Future studies should investigate financial aspects, especially since many technological solutions are expensive and not commonly available, which limits their use. BioMed Central Ltd 2023 Article PeerReviewed application/pdf en http://eprints.utm.my/105567/1/AliSelamat2023_ChallengesAndOpportunityInMobilityAmongOlderAdults.pdf Maresova, Petra and Krejcar, Ondrej and Maskuriy, Raihan and Abu Bakar, Nor Azlina and Selamat, Ali and Truhlarova, Zuzana and Horak, Jiri and Joukl, Miroslav and Vítkova, Lucie (2023) Challenges and opportunity in mobility among older adults - key determinant identification. BMC Geriatrics, 23 (1). pp. 1-29. ISSN 1471-2318 http://dx.doi.org/10.1186/s12877-023-04106-7 DOI : 10.1186/s12877-023-04106-7
institution	Universiti Teknologi Malaysia
building	UTM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Teknologi Malaysia
content_source	UTM Institutional Repository
url_provider	http://eprints.utm.my/
language	English
topic	T Technology (General)
spellingShingle	T Technology (General) Maresova, Petra Krejcar, Ondrej Maskuriy, Raihan Abu Bakar, Nor Azlina Selamat, Ali Truhlarova, Zuzana Horak, Jiri Joukl, Miroslav Vítkova, Lucie Challenges and opportunity in mobility among older adults - key determinant identification
description	Background: Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining physical abilities, including safe walking and movement, significantly contributes to the perception of health in old age. One of the early signs of declining fitness in older adults is limited mobility. Approximately one third of 70-year-olds and most 80-year-olds report restrictions on mobility in their apartments and immediate surroundings. Restriction or loss of mobility is a complex multifactorial process, which makes older adults prone to falls, injuries, and hospitalizations and worsens their quality of life while increasing overall mortality. Objective: The objective of the study is to identify the factors that have had a significant impact on mobility in recent years and currently, and to identify gaps in our understanding of these factors. The study aims to highlight areas where further research is needed and where new and effective solutions are required. Methods: The PRISMA methodology was used to conduct a scoping review in the Scopus and Web of Science databases. Papers published from 2007 to 2021 were searched in November 2021. Of these, 52 papers were selected from the initial 788 outputs for the final analysis. Results: The final selected papers were analyzed, and the key determinants were found to be environmental, physical, cognitive, and psychosocial, which confirms the findings of previous studies. One new determinant is technological. New and effective solutions lie in understanding the interactions between different determinants of mobility, addressing environmental factors, and exploring opportunities in the context of emerging technologies, such as the integration of smart home technologies, design of accessible and age-friendly public spaces, development of policies and regulations, and exploration of innovative financing models to support the integration of assistive technologies into the lives of seniors. Conclusion: For an effective and comprehensive solution to support senior mobility, the determinants cannot be solved separately. Physical, cognitive, psychosocial, and technological determinants can often be perceived as the cause/motivation for mobility. Further research on these determinants can help to arrive at solutions for environmental determinants, which, in turn, will help improve mobility. Future studies should investigate financial aspects, especially since many technological solutions are expensive and not commonly available, which limits their use.
format	Article
author	Maresova, Petra Krejcar, Ondrej Maskuriy, Raihan Abu Bakar, Nor Azlina Selamat, Ali Truhlarova, Zuzana Horak, Jiri Joukl, Miroslav Vítkova, Lucie
author_facet	Maresova, Petra Krejcar, Ondrej Maskuriy, Raihan Abu Bakar, Nor Azlina Selamat, Ali Truhlarova, Zuzana Horak, Jiri Joukl, Miroslav Vítkova, Lucie
author_sort	Maresova, Petra
title	Challenges and opportunity in mobility among older adults - key determinant identification
title_short	Challenges and opportunity in mobility among older adults - key determinant identification
title_full	Challenges and opportunity in mobility among older adults - key determinant identification
title_fullStr	Challenges and opportunity in mobility among older adults - key determinant identification
title_full_unstemmed	Challenges and opportunity in mobility among older adults - key determinant identification
title_sort	challenges and opportunity in mobility among older adults - key determinant identification
publisher	BioMed Central Ltd
publishDate	2023
url	http://eprints.utm.my/105567/1/AliSelamat2023_ChallengesAndOpportunityInMobilityAmongOlderAdults.pdf http://eprints.utm.my/105567/ http://dx.doi.org/10.1186/s12877-023-04106-7
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score	13.211869

Challenges and opportunity in mobility among older adults - key determinant identification

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