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Wang GM, Teng MY, Yu WJ, Ren H, Cui XS. Life-space mobility among community-dwelling older persons: A scoping review. Geriatr Nurs 2023; 54:108-117. [PMID: 37722235 DOI: 10.1016/j.gerinurse.2023.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/24/2023] [Accepted: 08/24/2023] [Indexed: 09/20/2023]
Abstract
To describe and analyze the current research status of life-space mobility of the older persons in community. The literature in PubMed, Web of Science, Cochrane Library, Embase, EBSCOhost, Scopus, OpenGrey, SinoMed, CNKI, WanFang, and VIP databases was computer searched, and the time frame was build to May 23, 2023. A total of 42 literatures were included, including 35 in English and 7 in Chinese, 30 of which were cross-sectional studies. Theoretical models related to spatial mobility included the "concentric circles" model and the "cone" model. 33 literatures reported the prevalence or level of spatial mobility limitations, and 9 assessment instruments were used, The influencing factors can be divided into four categories. 9 literatures reported on the adverse effects, and 9 literatures reported on the prevention and intervention. The limitation of life-space mobility is a common and under-recognized phenomenon among the older persons in the community,with serious adverse effects, complex and diverse influencing factors.
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Affiliation(s)
- Gui-Meng Wang
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Meng-Yuan Teng
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Wen-Jing Yu
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Hui Ren
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Xiang-Shu Cui
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China.
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Perchoux C, Brondeel R, Klein S, Klein O, Thierry B, Kestens Y, Chaix B, Gerber P. Does the built environment influence location- and trip-based sedentary behaviors? Evidence from a GPS-based activity space approach of neighborhood effects on older adults. ENVIRONMENT INTERNATIONAL 2023; 180:108184. [PMID: 37783123 DOI: 10.1016/j.envint.2023.108184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 08/18/2023] [Accepted: 09/02/2023] [Indexed: 10/04/2023]
Abstract
OBJECTIVE Evidence on the influence of built environments on sedentary behaviors remains unclear and is often contradictory. The main limitations encompass the use of self-reported proxies of sedentary time (ST), the scarce consideration of the plurality of sedentary behaviors, and environmental exposures limited to the residential neighborhood. We investigated the relationships between GPS-based activity space measures of environmental exposures and accelerometer-based ST measured in total, at the place of residence, at all locations, and during trips. METHODS This study is part of the CURHA project, based on 471 older adults residing in Luxembourg, who wore a GPS receiver and a tri-axial accelerometer during 7 days. Daily ST was computed in total, at the residence, at all locations and during trips. Environmental exposures included exposure to green spaces, walking, biking, and motorized transportation infrastructures. Associations between environments and ST were examined using linear and negative binomial mixed models, adjusted for demographics, self-rated health, residential self-selection, weather conditions and wear time. RESULTS Participants accumulated, on average, 8 h and 14 min of ST per day excluding sleep time. ST spent at locations accounted for 83 % of the total ST. ST spent at the residence accounted for 87 % of the location-based ST and 71 % of the total ST. Trip-based ST represents 13 % of total ST, and 4 % remained unclassified. Higher street connectivity was negatively associated with total ST, while the density of parking areas correlated positively with total and location-based ST. Stronger associations were observed for sedentary bouts (uninterrupted ST over 20 and 30 min). CONCLUSION Improving street connectivity and controlling the construction of new parking, while avoiding the spatial segregation of populations with limited access to public transport, may contribute to limit ST. Such urban planning interventions may be especially efficient in limiting the harmful uninterrupted bouts of ST among older adults.
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Affiliation(s)
- C Perchoux
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg.
| | - R Brondeel
- Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | - S Klein
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg
| | - O Klein
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg
| | - B Thierry
- Université de Montréal/Centre de Recherche du CHUM, Pavillon S, 850 rue St-Denis, Montréal, QC H2X 0A9, Canada
| | - Y Kestens
- Université de Montréal/Centre de Recherche du CHUM, Pavillon S, 850 rue St-Denis, Montréal, QC H2X 0A9, Canada
| | - B Chaix
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique IPLESP, Nemesis Team, Faculté de Médecine Saint-Antoine, Paris, France
| | - P Gerber
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg
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Emish M, Kelani Z, Hassani M, Young SD. A Mobile Health Application Using Geolocation for Behavioral Activity Tracking. SENSORS (BASEL, SWITZERLAND) 2023; 23:7917. [PMID: 37765972 PMCID: PMC10537358 DOI: 10.3390/s23187917] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 08/30/2023] [Accepted: 09/05/2023] [Indexed: 09/29/2023]
Abstract
The increasing popularity of mHealth presents an opportunity for collecting rich datasets using mobile phone applications (apps). Our health-monitoring mobile application uses motion detection to track an individual's physical activity and location. The data collected are used to improve health outcomes, such as reducing the risk of chronic diseases and promoting healthier lifestyles through analyzing physical activity patterns. Using smartphone motion detection sensors and GPS receivers, we implemented an energy-efficient tracking algorithm that captures user locations whenever they are in motion. To ensure security and efficiency in data collection and storage, encryption algorithms are used with serverless and scalable cloud storage design. The database schema is designed around Mobile Advertising ID (MAID) as a unique identifier for each device, allowing for accurate tracking and high data quality. Our application uses Google's Activity Recognition Application Programming Interface (API) on Android OS or geofencing and motion sensors on iOS to track most smartphones available. In addition, our app leverages blockchain and traditional payments to streamline the compensations and has an intuitive user interface to encourage participation in research. The mobile tracking app was tested for 20 days on an iPhone 14 Pro Max, finding that it accurately captured location during movement and promptly resumed tracking after inactivity periods, while consuming a low percentage of battery life while running in the background.
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Affiliation(s)
- Mohamed Emish
- Department of Informatics, University of California, Irvine, CA 92697-3100, USA; (Z.K.); (M.H.); (S.D.Y.)
| | - Zeyad Kelani
- Department of Informatics, University of California, Irvine, CA 92697-3100, USA; (Z.K.); (M.H.); (S.D.Y.)
| | - Maryam Hassani
- Department of Informatics, University of California, Irvine, CA 92697-3100, USA; (Z.K.); (M.H.); (S.D.Y.)
| | - Sean D. Young
- Department of Informatics, University of California, Irvine, CA 92697-3100, USA; (Z.K.); (M.H.); (S.D.Y.)
- Department of Emergency Medicine, University of California, Irvine, CA 92697-3100, USA
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Klein S, Brondeel R, Chaix B, Klein O, Thierry B, Kestens Y, Gerber P, Perchoux C. What triggers selective daily mobility among older adults? A study comparing trip and environmental characteristics between observed path and shortest path. Health Place 2023; 79:102730. [PMID: 34955424 DOI: 10.1016/j.healthplace.2021.102730] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 11/19/2021] [Accepted: 11/29/2021] [Indexed: 10/19/2022]
Abstract
Interest is growing in neighborhood effects on health beyond individual's home locations. However, few studies accounted for selective daily mobility bias. Selective mobility of 470 older adults (aged 67-94) living in urban and suburban areas of Luxembourg, was measured through detour percentage between their observed GPS-based paths and their shortest paths. Multilevel negative binomial regression tested associations between detour percentage, trips characteristics and environmental exposures. Detour percentage was higher for walking trips (28%) than car trips (16%). Low-speed areas and connectivity differences between observed and shortest paths vary by transport mode, indicating a potential selective daily mobility bias. The positive effects of amenities, street connectivity, low-speed areas and greenness on walking detour reinforce the existing evidence on older adults' active transportation. Urban planning interventions favoring active transportation will also promote walking trips with longer detours, helping older adults to increase their physical activity levels and ultimately promote healthy aging.
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Affiliation(s)
- Sylvain Klein
- Luxembourg Institute of Socio-Economic Research, Urban and Mobility Department, Esch/Alzette, L-4366, Luxembourg.
| | - Ruben Brondeel
- Scientific Directorate of Epidemiology and Public Health, Sciensano, J. Wytsmanstraat 14, 1050, Brussels, Belgium
| | - Basile Chaix
- INSERM, Sorbonne Université, Institut Pierre Louis d'épidémiologie et de Santé Publique, IPLESP UMR-S1136, F75012, Paris, France
| | - Olivier Klein
- Luxembourg Institute of Socio-Economic Research, Urban and Mobility Department, Esch/Alzette, L-4366, Luxembourg
| | - Benoit Thierry
- Centre de Recherche de l'université de Montréal (CRCHUM), Université de Montréal, QCL, Canada
| | - Yan Kestens
- Centre de Recherche de l'université de Montréal (CRCHUM), Université de Montréal, QCL, Canada
| | - Philippe Gerber
- Luxembourg Institute of Socio-Economic Research, Urban and Mobility Department, Esch/Alzette, L-4366, Luxembourg
| | - Camille Perchoux
- Luxembourg Institute of Socio-Economic Research, Urban and Mobility Department, Esch/Alzette, L-4366, Luxembourg
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Kim EK, Conrow L, Röcke C, Chaix B, Weibel R, Perchoux C. Advances and challenges in sensor-based research in mobility, health, and place. Health Place 2023; 79:102972. [PMID: 36740543 DOI: 10.1016/j.healthplace.2023.102972] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/21/2022] [Accepted: 01/13/2023] [Indexed: 02/05/2023]
Affiliation(s)
- Eun-Kyeong Kim
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg; Department of Geography, University of Zurich, Zurich, Switzerland; University Research Priority Program (URPP) Dynamics of Healthy Aging, University of Zurich, Zurich, Switzerland.
| | - Lindsey Conrow
- Department of Geography, University of Canterbury, New Zealand
| | - Christina Röcke
- University Research Priority Program (URPP) Dynamics of Healthy Aging, University of Zurich, Zurich, Switzerland; Center for Gerontology, University of Zurich, Zurich, Switzerland
| | - Basile Chaix
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Nemesis research team, Paris, France
| | - Robert Weibel
- Department of Geography, University of Zurich, Zurich, Switzerland; University Research Priority Program (URPP) Dynamics of Healthy Aging, University of Zurich, Zurich, Switzerland
| | - Camille Perchoux
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg
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Ho CWL. Operationalizing "One Health" as "One Digital Health" Through a Global Framework That Emphasizes Fair and Equitable Sharing of Benefits From the Use of Artificial Intelligence and Related Digital Technologies. Front Public Health 2022; 10:768977. [PMID: 35592084 PMCID: PMC9110679 DOI: 10.3389/fpubh.2022.768977] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 04/11/2022] [Indexed: 12/16/2022] Open
Abstract
The operationalization of One Health (OH) through digitalization is a means to deploy digital technologies (including Artificial Intelligence (AI), big data and related digital technologies) to better capacitate us to deal with growing climate exigency and related threats to human, animal and plant health. With reference to the concept of One Digital Health (ODH), this paper considers how digital capabilities can help to overcome ‘operational brakes’ in OH through new and deeper insights, better predictions, and more targeted or precise preventive strategies and public health countermeasures. However, the data landscape is fragmented and access to certain types of data is increasingly restrictive as individuals, communities and countries seek to assert greater control over data taken from them. This paper proposes for a dedicated global ODH framework—centered on fairness and equity—to be established to promote data-sharing across all the key knowledge domains of OH and to devise data-driven solutions to challenges in the human-animal-ecosystems interface. It first considers the data landscape in relation to: (1) Human and population health; (2) Pathogens; (3) Animal and plant health; and (4) Ecosystems and biodiversity. The complexification from the application of advance genetic sequencing technology is then considered, with focus on current debates over whether certain types of data like digital (genetic) sequencing information (DSI) should remain openly and freely accessible. The proposed ODH framework must augment the existing access and benefit sharing (ABS) framework currently prescribed under the Nagoya Protocol to the Convention on Biological Diversity (CBD) in at least three different ways. First, the ODH framework should apply to all genetic resources and data, including DSI, whether from humans or non-humans. Second, the FAIRER principles should be implemented, with focus on fair and equitable benefit-sharing. Third, the ODH framework should adopt multilateral approaches to data sharing (such as through federated data systems) and to ABS. By operationalizing OH as ODH, we are more likely to be able to protect and restore natural habitats, secure the health and well-being of all living things, and thereby realize the goals set out in the post-2020 Global Biodiversity Framework under the CBD.
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Affiliation(s)
- Calvin Wai-Loon Ho
- Department of Law and Centre for Medical Ethics and Law, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
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Wasfi R, Poirier Stephens Z, Sones M, Laberee K, Pugh C, Fuller D, Winters M, Kestens Y. Recruiting Participants for Population Health Intervention Research: Effectiveness and Costs of Recruitment Methods for a Cohort Study. J Med Internet Res 2021; 23:e21142. [PMID: 34587586 PMCID: PMC8663714 DOI: 10.2196/21142] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 12/26/2020] [Accepted: 09/29/2021] [Indexed: 01/24/2023] Open
Abstract
Background Public health research studies often rely on population-based participation and draw on various recruitment methods to establish samples. Increasingly, researchers are turning to web-based recruitment tools. However, few studies detail traditional and web-based recruitment efforts in terms of costs and potential biases. Objective This study aims to report on and evaluate the cost-effectiveness, time effectiveness, and sociodemographic representation of diverse recruitment methods used to enroll participants in 3 cities of the Interventions, Research, and Action in Cities Team (INTERACT) study, a cohort study conducted in Canadian cities. Methods Over 2017 and 2018 in Vancouver, Saskatoon, and Montreal, the INTERACT study used the following recruitment methods: mailed letters, social media (including sponsored Facebook advertisements), news media, partner communications, snowball recruitment, in-person recruitment, and posters. Participation in the study involved answering web-based questionnaires (at minimum), activating a smartphone app to share sensor data, and wearing a device for mobility and physical activity monitoring. We describe sociodemographic characteristics by the recruitment method and analyze performance indicators, including cost, completion rate, and time effectiveness. Effectiveness included calculating cost per completer (ie, a participant who completed at least one questionnaire), the completion rate of a health questionnaire, and the delay between completion of eligibility and health questionnaires. Cost included producing materials (ie, printing costs), transmitting recruitment messages (ie, mailing list rental, postage, and sponsored Facebook posts charges), and staff time. In Montreal, the largest INTERACT sample, we modeled the number of daily recruits through generalized linear models accounting for the distributed lagged effects of recruitment campaigns. Results Overall, 1791 participants were recruited from 3 cities and completed at least one questionnaire: 318 in Vancouver, 315 in Saskatoon, and 1158 in Montreal. In all cities, most participants chose to participate fully (questionnaires, apps, and devices). The costs associated with a completed participant varied across recruitment methods and by city. Facebook advertisements generated the most recruits (n=687), at a cost of CAD $15.04 (US $11.57; including staff time) per completer. Mailed letters were the costliest, at CAD $108.30 (US $83.3) per completer but served to reach older participants. All methods resulted in a gender imbalance, with women participating more, specifically with social media. Partner newsletters resulted in the participation of younger adults and were cost-efficient (CAD $5.16 [US $3.97] per completer). A generalized linear model for daily Montreal recruitment identified 2-day lag effects on most recruitment methods, except for the snowball campaign (4 days), letters (15 days), and reminder cards (5 days). Conclusions This study presents comprehensive data on the costs, effectiveness, and bias of population recruitment in a cohort study in 3 Canadian cities. More comprehensive documentation and reporting of recruitment efforts across studies are needed to improve our capacity to conduct inclusive intervention research.
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Affiliation(s)
- Rania Wasfi
- Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada.,Centre de recherche du CHUM, Université de Montréal, Montréal, QC, Canada.,École de Santé Publique, Université de Montréal, Montreal, QC, Canada
| | | | - Meridith Sones
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Karen Laberee
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Caitlin Pugh
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Daniel Fuller
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St John's, NL, Canada
| | - Meghan Winters
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Yan Kestens
- Centre de recherche du CHUM, Université de Montréal, Montréal, QC, Canada.,École de Santé Publique, Université de Montréal, Montreal, QC, Canada
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Sturge J, Meijering L, Jones CA, Garvelink M, Caron D, Nordin S, Elf M, Légaré F. Technology to Improve Autonomy and Inform Housing Decisions for Older Adults With Memory Problems Who Live at Home in Canada, Sweden, and the Netherlands: Protocol for a Multipronged Mixed Methods Study. JMIR Res Protoc 2021; 10:e19244. [PMID: 33475512 PMCID: PMC7861998 DOI: 10.2196/19244] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 10/20/2020] [Accepted: 12/08/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Understanding the mobility patterns and experiences of older adults with memory problems living at home has the potential to improve autonomy and inform shared decision making (SDM) about their housing options. OBJECTIVE We aim to (1) assess the mobility patterns and experiences of older adults with memory problems, (2) co-design an electronic decision support intervention (e-DSI) that integrates users' mobility patterns and experiences, (3) explore their intention to use an e-DSI to support autonomy at home, and (4) inform future SDM processes about housing options. METHODS Informed by the Good Reporting of A Mixed Methods Study (GRAMMS) reporting guidelines, we will conduct a 3-year, multipronged mixed methods study in Canada, Sweden, and the Netherlands. For Phase 1, we will recruit a convenience sample of 20 older adults living at home with memory problems from clinical and community settings in each country, for a total of 60 participants. We will ask participants to record their mobility patterns outside their home for 14 days using a GPS tracker and a travel diary; in addition, we will conduct a walking interview and a final debrief interview after 14 days. For Phase 2, referring to results from the first phase, we will conduct one user-centered co-design process per country with older adults with memory issues, caregivers, health care professionals, and information technology representatives informed by the Double Diamond method. We will ask participants how personalized information about mobility patterns and experiences could be added to an existing e-DSI and how this information could inform SDM about housing options. For Phase 3, using online web-based surveys, we will invite 210 older adults with memory problems and/or their caregivers, split equally across the three countries, to use the e-DSI and provide feedback on its strengths and limitations. Finally, in Phase 4, we will triangulate and compare data from all phases and countries to inform a stakeholder meeting where an action plan will be developed. RESULTS The study opened for recruitment in the Netherlands in November 2018 and in Canada and Sweden in December 2019. Data collection will be completed by April 2021. CONCLUSIONS This project will explore how e-DSIs can integrate the mobility patterns and mobility experiences of older adults with memory problems in three countries, improve older adults' autonomy, and, ultimately, inform SDM about housing options. TRIAL REGISTRATION ClinicalTrials.gov NCT04267484; https://clinicaltrials.gov/ct2/show/NCT04267484. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/19244.
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Affiliation(s)
- Jodi Sturge
- Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, Netherlands
| | - Louise Meijering
- Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, Netherlands
| | - C Allyson Jones
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
| | - Mirjam Garvelink
- VITAM - Centre de recherche en santé durable, Quebec, QC, Canada
| | - Danielle Caron
- VITAM - Centre de recherche en santé durable, Quebec, QC, Canada
| | - Susanna Nordin
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
| | - Marie Elf
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
| | - France Légaré
- VITAM - Centre de recherche en santé durable, CIUSSS de la Capitale-Nationale, Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, QC, Canada
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Pedell S, Borda A, Keirnan A, Aimers N. Combining the Digital, Social and Physical Layer to Create Age-Friendly Cities and Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18010325. [PMID: 33466259 PMCID: PMC7794683 DOI: 10.3390/ijerph18010325] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 12/28/2020] [Accepted: 12/28/2020] [Indexed: 02/05/2023]
Abstract
This qualitative investigation makes suggestions about creating age-friendly cities for older adults focusing on three domains of the World Health Organization (WHO) age-friendly city framework namely “Communication and Information”, “Outdoor Spaces and Buildings” and “Social Participation”. The authors present two case studies, the first one focusing on older adults using activity wearables for health self-management in the neighborhood, and the second one focusing on older adults engaged in social prescribing activities in the community. The authors then reflect on the relationships of the domains and future opportunities for age-friendly cities. These case studies apply a co-design and citizen-based approach focusing within these larger frameworks on emotions, values and motivational goals of older adults. Results suggest how the convergence of the often siloed age-friendly city components based on older adults’ goals and input can lead to better social participation and longer-term health outcomes. The authors propose that the digital, physical and social aspects need to be considered in all domains of age-friendly cities to achieve benefits for older adults. Further work involving older adults in the future shaping of age-friendly neighborhoods and cities, and identifying barriers and opportunities is required.
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Affiliation(s)
- Sonja Pedell
- School of Design, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
- Correspondence: ; Tel.: +61-3-9214-6079
| | - Ann Borda
- Centre for Digital Transformation of Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, VIC 3010, Australia;
| | - Alen Keirnan
- Life Without Barriers, Richmond, VIC 3121, Australia;
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Wu YT, Clare L, Jones IR, Nelis SM, Quinn C, Martyr A, Victor CR, Lamont RA, Rippon I, Matthews FE. Perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme. Soc Psychiatry Psychiatr Epidemiol 2021; 56:1601-1610. [PMID: 33484297 PMCID: PMC8429369 DOI: 10.1007/s00127-021-02030-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 01/06/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. METHODS This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer's Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. RESULTS Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors. CONCLUSIONS Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.
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Affiliation(s)
- Yu-Tzu Wu
- Social Epidemiology Research Group, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, SE5 8AF, UK. .,Population Health Sciences Institute, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE4 5PL, UK.
| | - Linda Clare
- College of Medicine and Health, University of Exeter, St Luke’s Campus, Exeter, EX1 2LU UK
| | - Ian Rees Jones
- Wales Institute of Social and Economic Research and Data, Cardiff University, Cardiff, CF10 3BB UK
| | - Sharon M. Nelis
- College of Medicine and Health, University of Exeter, St Luke’s Campus, Exeter, EX1 2LU UK
| | - Catherine Quinn
- Centre for Applied Dementia Studies, University of Bradford, Bradford, BD7 1DP UK
| | - Anthony Martyr
- College of Medicine and Health, University of Exeter, St Luke’s Campus, Exeter, EX1 2LU UK
| | - Christina R. Victor
- Department of Clinical Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, UB8 3PH UK
| | - Ruth A. Lamont
- College of Medicine and Health, University of Exeter, St Luke’s Campus, Exeter, EX1 2LU UK
| | - Isla Rippon
- Department of Clinical Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, UB8 3PH UK
| | - Fiona E. Matthews
- Population Health Sciences Institute, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE4 5PL UK
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Alexandre N, Cédric S, Chaix B, Yan K. Combining social network and activity space data for health research: tools and methods. Health Place 2020; 66:102454. [PMID: 33032243 PMCID: PMC7534796 DOI: 10.1016/j.healthplace.2020.102454] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 09/08/2020] [Accepted: 09/14/2020] [Indexed: 01/09/2023]
Abstract
Contextual factors influencing population health have received substantial attention, especially with regard to people's social networks and the roles of built environments in their activity spaces. Yet little health research has considered spatial and social contexts simultaneously, often because of a lack of existing data. This paper presents a tool for collecting relational data on social network and activity space that extends an existing map-based questionnaire with the addition of a name generator. We then illustrate how network analysis provides a useful framework for studying connections between social and spatial contexts using data collected in the Contrasted Urban settings for Healthy Aging research project.
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Affiliation(s)
- Naud Alexandre
- Ecole de Sante Publique, Département de Médecine Sociale et Préventive, Université de Montréal, 7101, Avenue du Parc, Montréal, Qc, H3N 1X9, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Axe de Recherche Santé des Populations, Pavillon S, 900 Rue Saint-Denis, Montréal, QC H2X 0A9, Canada; Universite de Strasbourg, CNRS, IPHC UMR 7178, 23 Rue du Loess, 67200, Strasbourg, France.
| | - Sueur Cédric
- Universite de Strasbourg, CNRS, IPHC UMR 7178, 23 Rue du Loess, 67200, Strasbourg, France; Institut Universitaire de France, Ministère de l'Enseignement Supérieur, de la Recherche et de l'Innovation, 1 Rue Descartes, 75231 PARIS CEDEX 05, France.
| | - Basile Chaix
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Nemesis Research Team, 6 Boulevard Vincent Auriol, 75646 Paris, France.
| | - Kestens Yan
- Ecole de Sante Publique, Département de Médecine Sociale et Préventive, Université de Montréal, 7101, Avenue du Parc, Montréal, Qc, H3N 1X9, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Axe de Recherche Santé des Populations, Pavillon S, 900 Rue Saint-Denis, Montréal, QC H2X 0A9, Canada.
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Wu YT, Brayne C, Liu Z, Huang Y, Sosa AL, Acosta D, Prina M. Neighbourhood environment and dementia in older people from high-, middle- and low-income countries: results from two population-based cohort studies. BMC Public Health 2020; 20:1330. [PMID: 32873275 PMCID: PMC7465327 DOI: 10.1186/s12889-020-09435-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 08/24/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A growing number of studies have explored how features of the neighbourhood environment can be related to cognitive health in later life. Yet few have focused on low- and middle-income countries and compared the results across different settings. The aim of this study is to investigate the cross-sectional associations between neighbourhood amenities and dementia in older people from high-, middle- and low-income countries. METHODS This study was based on two population-based cohort studies of people aged≥65: the Cognitive Function and Ageing Study II (CFAS II) in UK (N = 4955) and a subset of the 10/66 study in China, Dominican Republic and Mexico (N = 3386). In both cohorts, dementia was assessed using the Geriatric Mental State-Automated Geriatric Examination for Computer Assisted Taxonomy (GMS-AGECAT) algorithm. The 10/66 dementia diagnostic algorithm was also used as an additional criterion in the 10/66 study. Publicly accessible databases, Google Maps and Open Street Map, were used to obtain geographic information system data on distance to neighbourhood amenities, including lifestyle (cafés, libraries, movie theatres, parks), daily life (post offices, convenience stores), healthcare (hospitals, pharmacies) and percentages of local green and blue spaces within 400 and 800 m of participants' residences. Multilevel logistic regression was used to investigate the associations between these environmental features and dementia adjusting for sociodemographic factors and self-rated health. RESULTS Living far from daily life amenities was associated with higher odds of dementia in both CFAS II (1.47; 95% CI: 0.96, 2.24) and the 10/66 study (1.53; 95% CI: 1.15, 2.04), while living far from lifestyle (1.50; 95% CI: 1.13, 1.99) and healthcare amenities (1.32; 95% CI: 0.93, 1.87) was associated with higher odds of dementia only in the 10/66 study. A high availability of local green and blue spaces was not associated with dementia in either cohort yet living far from public parks was associated with lower odds of dementia in CFAS II (0.64; 95% CI: 0.41, 1.00). CONCLUSIONS The different relationships across cohorts may indicate a varying role for local amenities in diverse settings. Future research may investigate mechanisms related to these differences and social, cultural and historical influences on the interaction between neighbourhood amenities and older people.
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Affiliation(s)
- Yu-Tzu Wu
- Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, London, SE5 8AF, UK.
| | - Carol Brayne
- Department of Public Health and Primary Care, Cambridge Institute of Public Health, University of Cambridge, Cambridge, CB2 0SR, UK
| | - Zhaorui Liu
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China
| | - Yueqin Huang
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China
| | - Ana Luisa Sosa
- National Institute of Neurology and Neurosurgery of Mexico, National Autonomous University of Mexico, Mexico City, Mexico
| | - Daisy Acosta
- Internal Medicine Department, Geriatric Section, Universidad Nacional Pedro Henriquez Ureña (UNPHU), Santo Domingo, Dominican Republic
| | - Matthew Prina
- Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, London, SE5 8AF, UK.,King's Global Health Institute, King's College London, London, SE5 8AF, UK
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Spaltenstein J, Bula C, Santos-Eggimann B, Krief H, Seematter-Bagnoud L. Factors associated with going outdoors frequently: a cross-sectional study among Swiss community-dwelling older adults. BMJ Open 2020; 10:e034248. [PMID: 32843514 PMCID: PMC7449269 DOI: 10.1136/bmjopen-2019-034248] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 03/17/2020] [Accepted: 06/18/2020] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE 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. DESIGN Cross-sectional analysis. SETTING AND PARTICIPANTS Community-dwelling participants of the Lausanne cohort Lc65+ in 2016, aged 68-82 years (n=3419). METHODS 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. MAIN OUTCOME MEASURES 'Going outdoors frequently' was defined as going out ≥5 days/week and not spending most of the time sitting or lying down. RESULTS 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 (AdjORolder age group 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. CONCLUSION 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.
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Affiliation(s)
- Julia Spaltenstein
- Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland
| | - Christophe Bula
- Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland
| | - Brigitte Santos-Eggimann
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Helene Krief
- Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland
| | - Laurence Seematter-Bagnoud
- Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
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FAKA A, CHALKIAS C, MAGRIPLIS E, GEORGOUSOPOULOU E, TRIPITSIDIS A, PITSAVOS C, PANAGIOTAKOS D. The influence of socio-environmental determinants on hypertension. A spatial analysis in Athens metropolitan area, Greece. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2020; 61:E76-E84. [PMID: 32490272 PMCID: PMC7225657 DOI: 10.15167/2421-4248/jpmh2020.61.1.988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 01/10/2020] [Indexed: 11/17/2022]
Abstract
INTRODUCTION While epidemiological and pathophysiological aspects of hypertension are still being investigated, there is an increased global interest between hypertension and social health determinants and environmental factors that this study aims to examine. METHODS The sample size used in this work included 2,445 individuals, from Athens metropolitan area, who were randomly enrolled in ATTICA study, during 2001 to 2002. Principal component analysis (PCA), Poisson regression modeling and geographical analysis, based on Geographic Information Systems (GIS) technology, were applied. RESULTS Geographical analysis and thematic mapping revealed that the West municipalities of Athens had the lowest socio-environmental status. Three components were derived from PCA: high, low and mixed socio-environmental status. Poisson regression analysis showed that high socio-environmental status, educational and economic level were negatively correlated with hypertension in some sectors of Athens (p < 0.05, for all). CONCLUSIONS Through the use of geospatial surveillance the underlying epidemiology of hypertension, and those at greater risk, can be more precisely determined. This study underlines the need to account for environmental factors when developing public health policies and programs for effective hypertension prevention or reduction.
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Affiliation(s)
- A. FAKA
- Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece
| | - C. CHALKIAS
- Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece
| | - E. MAGRIPLIS
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - E.N. GEORGOUSOPOULOU
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
- Faculty of Health, University of Canberra, Canberra, Australia
| | - A. TRIPITSIDIS
- Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece
| | - C. PITSAVOS
- First Cardiology Clinic, School of Medicine, University of Athens, Greece
| | - D.B. PANAGIOTAKOS
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
- Faculty of Health, University of Canberra, Canberra, Australia
- Correspondence: Demosthenes B. Panagiotakos, Harokopio University, 70 El. Venizelou St., 176 71 Athens, Greece - Tel. +30 210-9549332 - E-mail:
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Vegi ASF, Fernandes Filho EI, Pessoa MC, Ramos KL, Ribeiro AQ. [Walkability and healthy aging: an analytical proposal for small and medium-sized Brazilian cities]. CAD SAUDE PUBLICA 2020; 36:e00215218. [PMID: 32187294 DOI: 10.1590/0102-311x00215218] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 09/03/2019] [Indexed: 11/21/2022] Open
Abstract
Evidence has shown that urban environments that discourage walking contribute to functional incapacity in the elderly. Various indices have been proposed to describe an area's walkability, combining different aspects of the built environment that promote (or inhibit) walking. However, due to problems with the quality and availability of data in Brazil, there is no walkability index to date applies to all cities of the country and that has been properly tested in the population. The current study aimed to propose a walkability index based on geographic information systems for a medium-sized city, with open-access data, and to test its association with functional incapacity in the elderly. The study used data from the urban area of a medium-sized Brazilian city to select a parsimonious set of variables through factor analysis. The resulting index was tested for its association with the capacity to perform activities of daily living that require more movement, in 499 elderly, using generalized estimating equations. The resulting walkability index consists of residential density, commercial density, street connectivity, presence of sidewalks, and public lighting. These variables comprised the first factor in the factor analysis, excluding only arborization which was retained in the second factor. The worst walkability score was associated with the highest functional incapacity score. Based on the results and their validation, the study suggests an easily applicable walkability index with great potential for use in action plans to adapt environments.
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Fillekes MP, Kim EK, Trumpf R, Zijlstra W, Giannouli E, Weibel R. Assessing Older Adults' Daily Mobility: A Comparison of GPS-Derived and Self-Reported Mobility Indicators. SENSORS 2019; 19:s19204551. [PMID: 31635100 PMCID: PMC6833043 DOI: 10.3390/s19204551] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 10/12/2019] [Accepted: 10/15/2019] [Indexed: 12/24/2022]
Abstract
Interest in global positioning system (GPS)-based mobility assessment for health and aging research is growing, and with it the demand for validated GPS-based mobility indicators. Time out of home (TOH) and number of activity locations (#ALs) are two indicators that are often derived from GPS data, despite lacking consensus regarding thresholds to be used to extract those as well as limited knowledge about their validity. Using 7 days of GPS and diary data of 35 older adults, we make the following three main contributions. First, we perform a sensitivity analysis to investigate how using spatial and temporal thresholds to compute TOH and #ALs affects the agreement between self-reported and GPS-based indicators. Second, we show how daily self-reported and GPS-derived mobility indicators are compared. Third, we explore whether the type and duration of self-reported activity events are related to the degree of correspondence between reported and GPS event. Highest indicator agreement was found for temporal interpolation (Tmax) of up to 5 h for both indicators, a radius (Dmax) to delineate home between 100 and 200 m for TOH, and for #ALs a spatial extent (Dmax) between 125 and 200 m, and temporal extent (Tmin) between 5 and 6 min to define an activity location. High agreement between self-reported and GPS-based indicators is obtained for TOH and moderate agreement for #ALs. While reported event type and duration impact on whether a reported event has a matching GPS event, indoor and outdoor events are detected at equal proportions. This work will help future studies to choose optimal threshold settings and will provide knowledge about the validity of mobility indicators.
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Affiliation(s)
- Michelle Pasquale Fillekes
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.
- University Research Priority Program "Dynamics of Healthy Aging", University of Zurich, Andreasstrasse 15, 8050 Zurich, Switzerland.
| | - Eun-Kyeong Kim
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.
- University Research Priority Program "Dynamics of Healthy Aging", University of Zurich, Andreasstrasse 15, 8050 Zurich, Switzerland.
| | - Rieke Trumpf
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany.
- Department of Geriatric Psychiatry and Psychotherapy, LVR Hospital Cologne, Wilhelm-Griesinger-Straße 23, 51109 Cologne, Germany.
| | - Wiebren Zijlstra
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany.
| | - Eleftheria Giannouli
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany.
| | - Robert Weibel
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.
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Fillekes MP, Giannouli E, Kim EK, Zijlstra W, Weibel R. Towards a comprehensive set of GPS-based indicators reflecting the multidimensional nature of daily mobility for applications in health and aging research. Int J Health Geogr 2019; 18:17. [PMID: 31340812 PMCID: PMC6657041 DOI: 10.1186/s12942-019-0181-0] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 07/04/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND GPS tracking is increasingly used in health and aging research to objectively and unobtrusively assess individuals' daily-life mobility. However, mobility is a complex concept and its thorough description based on GPS-derived mobility indicators remains challenging. METHODS With the aim of reflecting the breadth of aspects incorporated in daily mobility, we propose a conceptual framework to classify GPS-derived mobility indicators based on their characteristic and analytical properties for application in health and aging research. In order to demonstrate how the classification framework can be applied, existing mobility indicators as used in existing studies are classified according to the proposed framework. Then, we propose and compute a set of selected mobility indicators based on real-life GPS data of 95 older adults that reflects diverse aspects of individuals' daily mobility. To explore latent dimensions that underlie the mobility indicators, we conduct a factor analysis. RESULTS The proposed framework enables a conceptual classification of mobility indicators based on the characteristic and analytical aspects they reflect. Characteristic aspects inform about the content of the mobility indicator and comprise categories related to space, time, movement scope, and attribute. Analytical aspects inform how a mobility indicator is aggregated with respect to temporal scale and statistical property. The proposed categories complement existing studies that often underrepresent mobility indicators involving timing, temporal distributions, and stop-move segmentations of movements. The factor analysis uncovers the following six dimensions required to obtain a comprehensive view of an older adult's daily mobility: extent of life space, quantity of out-of-home activities, time spent in active transport modes, stability of life space, elongation of life space, and timing of mobility. CONCLUSION This research advocates incorporating GPS-based mobility indicators that reflect the multi-dimensional nature of individuals' daily mobility in future health- and aging-related research. This will foster a better understanding of what aspects of mobility are key to healthy aging.
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Affiliation(s)
- Michelle Pasquale Fillekes
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057, Zurich, Switzerland.
- University Research Priority Program "Dynamics of Healthy Aging", University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland.
| | - Eleftheria Giannouli
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
| | - Eun-Kyeong Kim
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057, Zurich, Switzerland
- University Research Priority Program "Dynamics of Healthy Aging", University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland
| | - Wiebren Zijlstra
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
| | - Robert Weibel
- Department of Geography, University of Zurich, Winterthurerstrasse 190, 8057, Zurich, Switzerland
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Gough C, Weber H, George S, Maeder A, Lewis L. Location monitoring of physical activity and participation in community dwelling older people: a scoping review. Disabil Rehabil 2019; 43:270-283. [PMID: 31131649 DOI: 10.1080/09638288.2019.1618928] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Background: Community participation and physical activity are important for the health of older adults. This review aimed to identify studies which have measured physical activity and community participation in older adults using Global positioning systems.Materials and methods: This scoping review searched key databases using predetermined subject headings and keywords. Two independent reviewers selected studies based on a systematic procedure following current guidelines. Inclusion criteria for studies were: participants aged over 50 years living independently in the community that reported on physical activity and/or participation inclusive of physical and social activity, and including a quantitative measure of location. All searches were limited to English. The primary review question was; "What studies have monitored the location of physical activity in an older population?" with secondary enquiries investigating the types of global positioning system devices, barriers and facilitators for activity and community participation.Results: The search returned 3723 articles (following duplicate removal) and 45 met the inclusion criteria. Studies from 12 countries published over a 12-year period were included. Participants were mainly healthy (n = 23) followed by having a cognitive impairment (n = 10). There were 14 different global positioning system devices used, assessing a variety of outcomes (n = 24). Seventeen studies identified facilitators and barriers to participation and physical activity in an older population. The most common facilitators were safety, weather and access to multi-purpose facilities. The most common barriers were weather, safety, low income/high deprivation areas and use of motor vehicles.Conclusion: This scoping review identified a variety of locational monitoring of older people using global positioning devices. Global positioning systems are a valuable tool to obtain accurate activity locations of older people. There is a need for clear guidelines regarding the use of global positioning system devices and specified outcomes in primary research to enable comparison across studies.Implications for rehabilitationPhysical activity and community participation are vital for healthy ageing.The environment can act as a facilitator or barrier to physical activity and community participation for older adults.Interventions need to target facilitators (weather, safety, facility access and social components) to maximize physical activity and community participation in older people.Interventions should be designed to reduce the barriers (weather, safety, low income and motor vehicle dependency) that prevent older adults from actively participating in their community.
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Affiliation(s)
- Claire Gough
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Heather Weber
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Stacey George
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Anthony Maeder
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Lucy Lewis
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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Schmidt T, Kerr J, Kestens Y, Schipperijn J. Challenges in using wearable GPS devices in low-income older adults: Can map-based interviews help with assessments of mobility? Transl Behav Med 2019; 9:99-109. [PMID: 29554353 DOI: 10.1093/tbm/iby009] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Daily mobility, defined as the ability to move oneself within one's neighborhood and regions beyond, is an important construct, which affects people as they age. Having a feasible and valid measure of daily mobility is essential to understand how it affects older adults' everyday life. Given the limitations of existing measures, new tools may be needed. The purpose of the study is to assess the feasibility and practicality of using the map-based questionnaire system VERITAS and GPS devices to measure daily mobility in older adults living in a deprived neighborhood in Denmark. Older adults were recruited from two senior housing areas, completed an interview using VERITAS and wore a GPS for 7 days. Feasibility of both methods was assessed by looking at practicalities, recruitment and compliance, and ability to measure daily mobility.Thirty-four older adults completed the VERITAS questionnaire, of which 23 wore the GPS device. Remembering to wear and charge the GPS was difficult for 48% participants, whereas remembering street names and drawing routes in VERITAS was difficult for two. Both the GPS and VERITAS were able to measure 10 out of the 13 identified components of mobility; however, VERITAS seemed more qualified at measuring daily mobility for this target population. The feasibility of assessing mobility may vary by specific context and study population being investigated. Wearable technology like a GPS may not be acceptable to low socioeconomic older adults, whereas interview led self-reported measurements like VERITAS might be more suitable for a low socioeconomic elderly population.
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Affiliation(s)
- Tanja Schmidt
- Research Unit for Active Living, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
| | - Jacqueline Kerr
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, USA
| | - Yan Kestens
- Montreal University Hospital Research Center (CRCHUM), Montréal, Québec, Canada
| | - Jasper Schipperijn
- Research Unit for Active Living, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
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How Does the Urban Environment Affect Health and Well-Being? A Systematic Review. URBAN SCIENCE 2018. [DOI: 10.3390/urbansci2010021] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Destoumieux-Garzón D, Mavingui P, Boetsch G, Boissier J, Darriet F, Duboz P, Fritsch C, Giraudoux P, Le Roux F, Morand S, Paillard C, Pontier D, Sueur C, Voituron Y. The One Health Concept: 10 Years Old and a Long Road Ahead. Front Vet Sci 2018; 5:14. [PMID: 29484301 PMCID: PMC5816263 DOI: 10.3389/fvets.2018.00014] [Citation(s) in RCA: 289] [Impact Index Per Article: 48.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Accepted: 01/22/2018] [Indexed: 02/05/2023] Open
Abstract
Over the past decade, a significant increase in the circulation of infectious agents was observed. With the spread and emergence of epizootics, zoonoses, and epidemics, the risks of pandemics became more and more critical. Human and animal health has also been threatened by antimicrobial resistance, environmental pollution, and the development of multifactorial and chronic diseases. This highlighted the increasing globalization of health risks and the importance of the human-animal-ecosystem interface in the evolution and emergence of pathogens. A better knowledge of causes and consequences of certain human activities, lifestyles, and behaviors in ecosystems is crucial for a rigorous interpretation of disease dynamics and to drive public policies. As a global good, health security must be understood on a global scale and from a global and crosscutting perspective, integrating human health, animal health, plant health, ecosystems health, and biodiversity. In this study, we discuss how crucial it is to consider ecological, evolutionary, and environmental sciences in understanding the emergence and re-emergence of infectious diseases and in facing the challenges of antimicrobial resistance. We also discuss the application of the "One Health" concept to non-communicable chronic diseases linked to exposure to multiple stresses, including toxic stress, and new lifestyles. Finally, we draw up a list of barriers that need removing and the ambitions that we must nurture for the effective application of the "One Health" concept. We conclude that the success of this One Health concept now requires breaking down the interdisciplinary barriers that still separate human and veterinary medicine from ecological, evolutionary, and environmental sciences. The development of integrative approaches should be promoted by linking the study of factors underlying stress responses to their consequences on ecosystem functioning and evolution. This knowledge is required for the development of novel control strategies inspired by environmental mechanisms leading to desired equilibrium and dynamics in healthy ecosystems and must provide in the near future a framework for more integrated operational initiatives.
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Affiliation(s)
- Delphine Destoumieux-Garzón
- CNRS, Interactions Hôtes-Pathogènes-Environnements (IHPE), UMR5244, Université de Perpignan Via Domitia, Université de Montpellier, Ifremer, Montpellier, France
| | - Patrick Mavingui
- Université de La Reunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM 1187, CNRS 9192, IRD 249, Sainte-Clotilde, La Réunion, France
- UMR Ecologie Microbienne, CNRS, INRA, VetAgro Sup, Claude Bernard University Lyon 1, Université de Lyon, Villeurbanne, France
| | - Gilles Boetsch
- UMI 3189 “Environnement, Santé, Sociétés”, Faculty of Medicine, Cheikh Anta Diop University, Dakar-Fann, Senegal
- Téssékéré International Human-Environment Observatory Labex DRIIM, CNRS and Cheikh Anta Diop University, Dakar, Senegal
| | - Jérôme Boissier
- Université de Perpignan Via Domitia, Interactions Hôtes-Pathogènes-Environnements (IHPE), UMR5244, CNRS, Ifremer, Université de Montpellier, Perpignan, France
| | - Frédéric Darriet
- Institut de Recherche pour le Développement, Maladies Infectieuses et Vecteurs, Ecologie, Génétique, Evolution et Contrôle (MIVEGEC), IRD, CNRS, Université de Montpellier, Montpellier, France
| | - Priscilla Duboz
- UMI 3189 “Environnement, Santé, Sociétés”, Faculty of Medicine, Cheikh Anta Diop University, Dakar-Fann, Senegal
- Téssékéré International Human-Environment Observatory Labex DRIIM, CNRS and Cheikh Anta Diop University, Dakar, Senegal
| | - Clémentine Fritsch
- Laboratoire Chrono-Environnement, UMR 6249 CNRS/Université Bourgogne Franche-Comté Usc, INRA, Besançon, France
| | - Patrick Giraudoux
- Laboratoire Chrono-Environnement, UMR 6249 CNRS/Université Bourgogne Franche-Comté Usc, INRA, Besançon, France
- Institut Universitaire de France, Paris, France
| | - Frédérique Le Roux
- Ifremer, Unité Physiologie Fonctionnelle des Organismes Marins, Plouzané, France
| | - Serge Morand
- Institut des Sciences de l’Évolution (ISEM), UMR 5554, CNRS, Université de Montpellier, CIRAD, IRD, EPHE, Montpellier, France
- UPR ASTRE, CIRAD, Montpellier, France
| | - Christine Paillard
- Laboratoire des Sciences de l’Environnement Marin (LEMAR), Institut Universitaire Européen de la Mer, Université de Bretagne Occidentale, UMR 6539, CNRS, UBO, IRD, Ifremer, Plouzané, France
| | - Dominique Pontier
- Laboratoire de Biométrie et Biologie Evolutive UMR5558, CNRS, Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne, France
- LabEx Ecofect, Eco-Evolutionary Dynamics of Infectious Diseases, University of Lyon, Lyon, France
| | - Cédric Sueur
- Université de Strasbourg, CNRS, IPHC, UMR 7178, Strasbourg, France
| | - Yann Voituron
- Laboratoire d’Ecologie des Hydrosystèmes Naturels et Anthropisés, UMR 5023, CNRS, Université Claude Bernard Lyon1, Université de Lyon, Villeurbanne, France
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Garvelink MM, Jones CA, Archambault PM, Roy N, Blair L, Légaré F. Deciding How to Stay Independent at Home in Later Years: Development and Acceptability Testing of an Informative Web-Based Module. JMIR Hum Factors 2017; 4:e32. [PMID: 29242178 PMCID: PMC5746619 DOI: 10.2196/humanfactors.8387] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Revised: 10/18/2017] [Accepted: 10/29/2017] [Indexed: 01/03/2023] Open
Abstract
Background Seniors with loss of autonomy may face decisions about whether they should stay at home or move elsewhere. Most seniors would prefer to stay home and be independent for as long as possible, but most are unaware of options that would make this possible. Objective The study aimed to develop and test the acceptability of an interactive website for seniors, their caregivers, and health professionals with short interlinked videos presenting information about options for staying independent at home. Methods The approach for design and data collection varied, involving a multipronged, user-centered design of the development process, qualitative interviews, and end-user feedback to determine content (ie, needs assessment) in phase I; module development (in English and French) in phase II; and survey to test usability and acceptability with end users in phase III. Phase I participants were a convenience sample of end users, that is, seniors, caregivers, and professionals with expertise in modifiable factors (eg, day centers, home redesign, equipment, community activities, and finances), enabling seniors to stay independent at home for longer in Quebec and Alberta, Canada. Phase II participants were bilingual actors; phase III participants included phase I participants and new participants recruited through snowballing. Qualitative interviews were thematically analyzed in phase II to determine relevant topics for the video-scripts, which were user-checked by interview participants. In phase III, the results of a usability questionnaire were analyzed using descriptive statistics. Results In phase I, interviews with 29 stakeholders, including 4 seniors, 3 caregivers, and 22 professionals, showed a need for a one-stop information resource about options for staying independent at home. They raised issues relating to 6 categories: cognitive autonomy, psychological or mental well-being, functional autonomy, social autonomy, financial autonomy, and people involved. A script was developed and evaluated by participants. In phase II, after 4 days in a studio with 15 bilingual actors, 30 videos were made of various experts (eg, family doctor, home care nurse, and social worker) presenting options and guidance for the decision-making process. These were integrated into an interactive website, which included a comments tool for visitors to add information. In phase III (n=21), 8 seniors (7 women, mean age 75 years), 7 caregivers, and 6 professionals evaluated the acceptability of the module and suggested improvements. Clarity of the videos scored 3.6 out of 4, length was considered right by 17 (separate videos) and 13 participants (all videos together), and 18 participants considered the module acceptable. They suggested that information should be tailored more, and that seniors may need someone to help navigate it. Conclusions Our interactive website with interlinked videos presenting information about options for staying independent at home was deemed acceptable and potentially helpful by a diverse group of stakeholders.
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Affiliation(s)
- Mirjam Marjolein Garvelink
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale, Québec City, QC, Canada
| | - C Allyson Jones
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
| | - Patrick M Archambault
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale, Québec City, QC, Canada.,Centre intégré de santé et de services sociaux de Chaudière-Appalaches, Centre hospitalier affilié universitaire Hôtel-Dieu de Lévis, Lévis, QC, Canada.,Population Health and Optimal Health Practice Research Unit, Centre hospitalier universitaire de Québec, Université Laval, Québec City, QC, Canada.,Division of Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Université Laval, Québec City, QC, Canada
| | - Noémie Roy
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale, Québec City, QC, Canada.,School of Architecture, Faculty of Planning, Architecture, Arts and Design, Université Laval, Québec City, QC, Canada
| | - Louisa Blair
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale, Québec City, QC, Canada
| | - France Légaré
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale, Québec City, QC, Canada.,Population Health and Optimal Health Practice Research Unit, Centre hospitalier universitaire de Québec, Université Laval, Québec City, QC, Canada.,Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Québec City, QC, Canada
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23
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Enhancing Support for Physical Activity in Older Adults: A Public Health Call to Action. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2017; 24:e26-e29. [PMID: 28257410 DOI: 10.1097/phh.0000000000000559] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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24
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Kestens Y, Chaix B, Gerber P, Desprès M, Gauvin L, Klein O, Klein S, Köppen B, Lord S, Naud A, Patte M, Payette H, Richard L, Rondier P, Shareck M, Sueur C, Thierry B, Vallée J, Wasfi R. Erratum to: Understanding the role of contrasting urban contexts in healthy aging: an international cohort study using wearable sensor devices (the CURHA study protocol). BMC Geriatr 2016; 16:127. [PMID: 27381027 PMCID: PMC4934006 DOI: 10.1186/s12877-016-0301-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Accepted: 06/13/2016] [Indexed: 11/10/2022] Open
Affiliation(s)
- Yan Kestens
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada. .,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada.
| | - Basile Chaix
- Inserm, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Faculté de médecine Saint-Antoine, 27 rue Chaligny, cedex 12, Paris, 75571, France
| | - Philippe Gerber
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Michel Desprès
- École d'urbanisme et d'architecture de paysage, Université de Montréal, 2940, chemin de la Côte-Sainte-Catherine, Montréal, QC, H3C 3J7, Canada
| | - Lise Gauvin
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
| | - Olivier Klein
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Sylvain Klein
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Bernhard Köppen
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Sébastien Lord
- École d'urbanisme et d'architecture de paysage, Université de Montréal, 2940, chemin de la Côte-Sainte-Catherine, Montréal, QC, H3C 3J7, Canada
| | - Alexandre Naud
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
| | - Marion Patte
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg.,UMR Géographie-Cités, 13 rue du Four, Paris, 75006, France
| | - Hélène Payette
- Canada Research Center on Aging, CIUSSS de l'Estrie-CHUS, Faculty of Medicine & Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada
| | - Lucie Richard
- Faculty of Nursing, Université de Montréal, Montreal, QC, H3C 3J7, Canada
| | - Pierre Rondier
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada
| | | | - Cédric Sueur
- Département d'Ecologie, Physiologie et Ethologie; Institut Pluridisciplinaire Hubert Curien, 23, rue Becquerel, Strasbourg, 67087, France
| | - Benoit Thierry
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada
| | - Julie Vallée
- UMR Géographie-Cités, 13 rue du Four, Paris, 75006, France
| | - Rania Wasfi
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
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