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- Title
Outdoor Community Ambulation Interventions to Improve Physical and Mental Health in Older Adults: A Systematic Review and Meta-Analysis.
- Authors
Bhatia, Dominika; Salbach, Nancy M.; Akinrolie, Olayinka; Alsbury-Nealy, Kyla; dos Santos, Renato Barbosa; Eftekhar, Parvin; Loewen, Hal; Nekolaichuk, Erica; Scheller, Chelsea; Schorr, Rebecca; Scodras, Stephanie; Barclay, Ruth
- Abstract
Limited community ambulation, defined as independent mobility outside the home, predicts adverse outcomes in older adults. We performed a systematic review and meta-analysis to examine outdoor community ambulation intervention effectiveness in older adults. We searched six databases until October 2021. Studies with an evaluative research objective, older adult population, and outdoor community ambulation interventions were eligible. After reviewing 23,172 records, five studies were included. The meta-analysis found no significant difference in walking endurance and depression outcomes between outdoor community ambulation and comparison interventions. For outcomes not suitable for meta-analysis, studies showed no significant difference in walking activity, anxiety, and general and health-related quality of life, and possible improvements in gait speed and lower extremity function and strength. Most evidence was of low to very low certainty. Considering the limited evidence base, the design, implementation, and evaluation of outdoor community ambulation interventions in older adults should be prioritized in primary research.
- Subjects
META-analysis; SYSTEMATIC reviews; GAIT in humans; MENTAL health; PHYSICAL fitness; PHYSICAL activity; INDEPENDENT living; WALKING; MENTAL depression; QUALITY of life; RESEARCH funding; NATURE; OLD age
- Publication
Journal of Aging & Physical Activity, 2022, Vol 30, Issue 6, p1061
- ISSN
1063-8652
- Publication type
Article
- DOI
10.1123/japa.2021-0151