PDF(Pubmed)
Abstract：
In old age, walking difficulty may reduce opportunities to reach valued activity destinations. Walking modifications, e.g., slower pace or using a walking aid, may enable individuals to continue going where they wish, and hence postpone the consequences of the onset of walking difficulties. We studied visited activity destinations (type, distance) among older people with varying degrees of walking limitations. Community-dwelling 75-85-year-old people living in Jyväskylä (N = 901) were asked to state whether they had no difficulty walking 2 km, had modified their walking, or had difficulty walking. On a digital map, participants located physical exercise, attractive, and regular destinations they had visited during the past month. Destination counts and median distance to destinations from home were computed. Participants with intact walking reported higher counts of physical exercise (IRR = 1.45, 95% CI [1.31, 1.61]) and attractive destinations (IRR = 1.23, 95% CI [1.10, 1.40]) than those with walking difficulty and also visited these destinations further away from home than the others (b = 0.46, 95% CI [0.20, 0.71]). Those with walking modifications reported higher counts of physical exercise destinations than those with walking difficulty (IRR = 1.23, 95% CI [1.09, 1.40]). Counts of regular destinations and distance traveled were not associated with walking limitations. Walking modifications may help people with walking difficulty reach destinations further away from home, potentially contributing to their sense of autonomy. For those with walking difficulty, a low count of destinations other than regular destinations, e.g., shops or healthcare facilities, may signal their abandonment of recreational activities and a decrease in their life space, potentially leading to reduced well-being.
摘要：
在老年，步行困难可能会减少到达有价值的活动目的地的机会。步行修改，例如，放慢速度或使用助行器，可以让个人继续去他们想去的地方，从而推迟了行走困难的后果。我们研究了访问过的活动目的地(类型，距离)在具有不同程度步行限制的老年人中。居住在于依韦斯基莱的75-85岁的社区居民（N=901）被要求说明他们步行2公里是否没有困难，改变了他们的行走方式，或者走路有困难。在数字地图上,参与者定位体育锻炼，有吸引力,以及他们在过去一个月访问过的定期目的地。计算目的地计数和从家中到目的地的中值距离。完整行走的参与者报告的体育锻炼次数（IRR=1.45，95％CI[1.31，1.61]）和有吸引力的目的地（IRR=1.23，95％CI[1.10，1.40]）高于行走困难的参与者，并且这些目的地也比其他目的地更远（b=0.46，95％CI[0.20，0.71]）。那些有行走能力的人报告的体育锻炼目的地计数高于那些有行走困难的人(IRR=1.23,95%CI[1.09,1.40])。常规目的地和行驶距离的计数与步行限制无关。步行改造可以帮助有行走困难的人到达离家更远的目的地，可能有助于他们的自主意识。对于那些有行走困难的人来说，除常规目的地外，目的地数量少，例如，商店或医疗保健设施，可能预示着他们放弃娱乐活动和生活空间的减少，可能导致幸福感下降。
