Neighborhood environment, social participation, and physical activity in older adults with lower limb osteoarthritis: A mediation analysis

Herbolsheimer, Florian and Ungar, Nadine and Portegijs, Erja and Dallmeier, Dhayana and Schaap, Laura and Smith, Toby and Stubbs, Brendon and Deeg, Dorly and Peter, Richard and Castell, Maria V. and Otero, Ángel and Edwards, Mark and Siviero, Paola and Limongi, Federica and Dennison, Elaine and van Schoor, Natasja and Veronese, Nicola and Timmermans, Erik J. and van der Pas, Suzan (2021) Neighborhood environment, social participation, and physical activity in older adults with lower limb osteoarthritis: A mediation analysis. Health & Place, 68. p. 102513. ISSN 1873-2054

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Official URL: https://doi.org/10.1016/j.healthplace.2021.102513

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.

Item Type: Journal Article
Keywords: Social participation, Osteoarthritis, Physical activity, Environmental factors, Older adults
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 18 Mar 2021 11:26
Last Modified: 28 Apr 2021 12:23
URI: https://arro.anglia.ac.uk/id/eprint/706422

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