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Patte M, Chaix B, Gerber P, Klein O, Perchoux C, Vallée J. [Environnement résidentiel et vieillissement en santé : le rôle de l'activité physique et de la participation sociale]. Can J Aging 2022; 41:348-362. [PMID: 35512791 DOI: 10.1017/s0714980821000593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Le vieillissement démographique est un des défis majeurs du 21e siècle. Il pose directement la question du « vieillissement en santé », un processus aidant les personnes âgées à rester en bonne santé et indépendantes le plus longtemps possible. L'influence des facteurs environnementaux sur ce processus peut varier selon les individus et leurs comportements. L'enchevêtrement de ces facteurs représente un défi autant théorique que méthodologique. Cet article a pour objectifs i) de quantifier les associations entre l'environnement physique et social du quartier des personnes âgées et leur vieillissement en santé et ii) d'examiner si leur activité physique et leur participation sociale jouent un rôle de médiation dans ces associations. Si certaines caractéristiques du quartier relatives à la réputation, l'accès aux services, et la cohésion sociale sont associées au vieillissement en santé, il existe un soutien limité à l'idée que les comportements tiennent un rôle d'intermédiaire dans cette relation.
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Affiliation(s)
- Marion Patte
- Géographie-Cités - UMR 8504, Campus Condorcet 5, Cours des Humanités 93322 Aubervilliers Cedex, 75006, France
| | - Basile Chaix
- Inserm, UMR-S 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique - Faculté de Médecine Site Saint-Antoine - 27, rue Chaligny 75012 Paris, France
| | - Philippe Gerber
- Luxembourg Institute of Socio-Economic Research, Maison des Sciences Humaines, 11, Porte des Sciences L-4366Esch-sur-Alzette / Belval, Luxembourg
| | - Olivier Klein
- Luxembourg Institute of Socio-Economic Research, Maison des Sciences Humaines, 11, Porte des Sciences L-4366Esch-sur-Alzette / Belval, Luxembourg
| | - Camille Perchoux
- Luxembourg Institute of Socio-Economic Research, Maison des Sciences Humaines, 11, Porte des Sciences L-4366Esch-sur-Alzette / Belval, Luxembourg
| | - Julie Vallée
- Géographie-Cités - UMR 8504, Campus Condorcet 5, Cours des Humanités 93322 Aubervilliers Cedex, 75006, France
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Kowitt SD, Aiello AE, Callahan LF, Fisher EB, Gottfredson NC, Jordan JM, Muessig KE. How Are Neighborhood Characteristics Associated With Mental and Physical Functioning Among Older Adults With Radiographic Knee Osteoarthritis? Arthritis Care Res (Hoboken) 2021; 73:308-317. [PMID: 31841258 DOI: 10.1002/acr.24125] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Accepted: 12/10/2019] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To examine how neighborhood characteristics are associated with health outcomes among older adults with osteoarthritis. METHODS In multilevel, cross-sectional, and longitudinal analyses we examined whether 4 neighborhood characteristics were associated with depressive symptoms and reported knee impact scores, and whether the neighborhood characteristics interacted with race/ethnicity among older adults with radiographic knee osteoarthritis (n = 656 for cross-sectional analyses and n = 434 for longitudinal analyses). The data came from the Johnston County Osteoarthritis Project, a prospective cohort study in North Carolina designed to examine risk factors for osteoarthritis. RESULTS Although few longitudinal associations were found, cross-sectional results suggested that greater perceived neighborhood social cohesion (B = -0.04, P < 0.001) and perceived neighborhood resources for physical activity and walking (B = -0.03, P < 0.001) were associated with fewer depressive symptoms, and that greater perceived neighborhood resources for physical activity and walking were associated with higher (better) knee impact scores (B = 0.48, P = 0.008). We also observed 2 significant interactions among neighborhood characteristics and race/ethnicity related to depressive symptoms (P < 0.01); for African American adults, greater perceived neighborhood resources for physical activity and walking were associated with fewer depressive symptoms (B = -0.03, P < 0.001), but for White adults, greater perceived neighborhood safety was associated with fewer depressive symptoms (B = -0.04, P = 0.003). CONCLUSION In a sample of older adults with radiographic knee osteoarthritis, neighborhood context mattered, but in nuanced ways. Interventions aiming to improve mental and physical functioning of older adults with knee osteoarthritis can look to this study as evidence for the importance of neighborhood characteristics.
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Affiliation(s)
- Sarah D Kowitt
- Gillings School of Global Public Health and School of Medicine, University of North Carolina, Chapel Hill
| | - Allison E Aiello
- Gillings School of Global Public Health, University of North Carolina, Chapel Hill
| | - Leigh F Callahan
- Gillings School of Global Public Health and School of Medicine, University of North Carolina, Chapel Hill
| | - Edwin B Fisher
- Gillings School of Global Public Health, University of North Carolina, Chapel Hill
| | - Nisha C Gottfredson
- Gillings School of Global Public Health, University of North Carolina, Chapel Hill
| | - Joanne M Jordan
- Gillings School of Global Public Health and School of Medicine, University of North Carolina, Chapel Hill
| | - Kathryn E Muessig
- Gillings School of Global Public Health, University of North Carolina, Chapel Hill
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Herbolsheimer F, Ungar N, Portegijs E, Dallmeier D, Schaap L, Smith T, Stubbs B, Deeg D, Peter R, Castell MV, Otero Á, Edwards M, Siviero P, Limongi F, Dennison E, van Schoor N, Veronese N, Timmermans EJ, van der Pas S. Neighborhood environment, social participation, and physical activity in older adults with lower limb osteoarthritis: A mediation analysis. Health Place 2021; 68:102513. [PMID: 33508711 DOI: 10.1016/j.healthplace.2021.102513] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 11/04/2020] [Accepted: 01/12/2021] [Indexed: 01/03/2023]
Abstract
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 (Mage = 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.
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Affiliation(s)
| | - Nadine Ungar
- Institute of Psychology, Heidelberg University, Heidelberg, Germany
| | - Erja Portegijs
- Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyvaskyla, Finland
| | - Dhayana Dallmeier
- Research Unit on Aging, AGAPLESION Bethesda Clinic Ulm, Ulm, Germany; Dept. of Epidemiology, Boston University, School of Public Health, Boston, USA
| | - Laura Schaap
- Vrije Universiteit Amsterdam, Department of Health Sciences, Amsterdam Public Health Research Institute, Faculty of Sciences, Amsterdam, the Netherlands
| | - Toby Smith
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Positive Ageing Research Institute, Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Dorly Deeg
- Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Richard Peter
- Institute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany
| | - Maria Victoria Castell
- Department of Preventive Medicine and Public Health, Unit of Primary Care and Family Medicine, Faculty of Medicine, Universidad Autonoma de Madrid, Madrid, Spain
| | - Ángel Otero
- Department of Preventive Medicine and Public Health, Unit of Primary Care and Family Medicine, Faculty of Medicine, Universidad Autonoma de Madrid, Madrid, Spain
| | - Mark Edwards
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK
| | - Paola Siviero
- National Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy
| | - Federica Limongi
- National Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy
| | - Elaine Dennison
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK
| | - Natasja van Schoor
- Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Nicola Veronese
- National Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy
| | - Erik J Timmermans
- Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Suzan van der Pas
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands; Faculty of Social Work & Applied Psychology, University of Applied Sciences Leiden, the Netherlands
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Bowden JL, Hunter DJ, Feng Y. How can neighborhood environments facilitate management of osteoarthritis: A scoping review. Semin Arthritis Rheum 2020; 51:253-265. [PMID: 33387921 DOI: 10.1016/j.semarthrit.2020.09.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 09/09/2020] [Accepted: 09/11/2020] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The association between neighborhood environments and health outcomes has long been recognized, but the importance of environmental factors is less well examined in osteoarthritis (OA). We aimed to give an overview of the literature examining the role of neighborhood built environments in the context of OA self-management. MATERIAL AND METHODS A literature search between 2000 and 2019 was performed using a scoping methodology. Literature examining the influence of neighborhood built environments on health and other outcomes in people with OA, mixed or unspecified arthritis were screened by two independent reviewers. Seven domains were pre-determined based on the World Health Organization European Healthy Cities Framework. Sub-domains and themes were synthesized from the literature. RESULTS We included 27 studies across seven pre-determined domains, 23 sub-domains. We identified 6 key outcomes of physical activity, quality of life, community participation, resource use, psychological health, and other physical health. The majority of studies emphasized the importance of neighborhood built environment on supporting OA self-management, particularly for facilitating physical activity. The impacts on other outcomes were also considered important but were less well studied, especially access to healthy food. CONCLUSIONS This review highlights the potential of better using the built environment to support OA management to address many different outcomes. Understanding the impacts of different environments is the first step, and designing new and novel ways to utilize neighborhoods is needed. Implementing strategies and public policies at a neighborhood level may be a more viable way to curb further increases in the OA epidemic than addressing individual factors alone.
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Affiliation(s)
- Jocelyn L Bowden
- Institute of Bone and Joint Research, the Kolling Institute, The University of Sydney, and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia.
| | - David J Hunter
- Institute of Bone and Joint Research, the Kolling Institute, The University of Sydney, and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia
| | - Yingyu Feng
- Institute of Bone and Joint Research, The Kolling Institute, The University of Sydney, Australia
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Lai DW, Li J, Lee VW, Dong X. Environmental Factors Associated with Chinese Older Immigrants' Social Engagement. J Am Geriatr Soc 2019; 67:S571-S576. [DOI: 10.1111/jgs.15899] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 02/26/2019] [Accepted: 02/28/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Daniel W.L. Lai
- Department of Applied Social SciencesThe Hong Kong Polytechnic University Kowloon Hong Kong
| | - Jia Li
- Department of Applied Social SciencesThe Hong Kong Polytechnic University Kowloon Hong Kong
| | - Vincent W.P. Lee
- Department of Applied Social SciencesThe Hong Kong Polytechnic University Kowloon Hong Kong
| | - XinQi Dong
- Institute for Health, Health Care Policy and Aging ResearchRutgers University, The State University of New Jersey New Brunswick New Jersey
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Syddall HE, Simmonds SJ, Carter SA, Robinson SM, Dennison EM, Cooper C. The Hertfordshire Cohort Study: an overview. F1000Res 2019; 8:82. [PMID: 30828442 PMCID: PMC6381804 DOI: 10.12688/f1000research.17457.1] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/21/2018] [Indexed: 12/24/2022] Open
Abstract
The Hertfordshire Cohort Study is a nationally unique study of men and women born in the English county of Hertfordshire in the early part of the 20
th century. Records that detail their health in infancy and childhood have been preserved, their sociodemographic, lifestyle, medical and biological attributes have been characterised in later life, and routinely collected data on their hospital use and mortality have been acquired. This paper provides an overview of the study since its inception in the 1980s, including its methods, findings, and plans for its future.
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Affiliation(s)
- Holly E Syddall
- MRC Lifecourse Epidemiology Unit, Southampton, Hampshire, SO16 6YD, UK
| | | | - Sarah A Carter
- MRC Lifecourse Epidemiology Unit, Southampton, Hampshire, SO16 6YD, UK
| | - Sian M Robinson
- MRC Lifecourse Epidemiology Unit, Southampton, Hampshire, SO16 6YD, UK.,NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, Hampshire, SO16 6YD, UK
| | - Elaine M Dennison
- MRC Lifecourse Epidemiology Unit, Southampton, Hampshire, SO16 6YD, UK
| | - Cyrus Cooper
- MRC Lifecourse Epidemiology Unit, Southampton, Hampshire, SO16 6YD, UK.,NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, Hampshire, SO16 6YD, UK.,NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, Oxfordshire, OX3 7LD, UK
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