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

Florian Herbolsheimer*, Nadine Ungar, Erja Portegijs, Dhayana Dallmeier, Laura Schaap, Toby Smith, Brendon Stubbs, Dorly Deeg, Richard Peter, Maria Victoria Castell, Ángel Otero, Mark Edwards, Paola Siviero, Federica Limongi, Elaine Dennison, Natasja van Schoor, Nicola Veronese, Erik J. Timmermans, Suzan van der Pas

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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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.

Original languageEnglish
Article number102513
Pages (from-to)1-7
Number of pages7
JournalHealth and Place
Volume68
Early online date25 Jan 2021
DOIs
Publication statusPublished - Mar 2021

Funding

Germany: European Union (No.:2005121) and Ministry of Science, Baden-W?rttemberg; Italy: National Research Council; The Netherlands: Dutch Ministry of Health, Welfare and Sports (project number 321175); Spain: National Fund for Health Research (05/1898; FIS_RETICEF_RD06/0013/1013; FIS_PS09/02143); Sweden: the Swedish Ministry of Higher Education; UK: The Medical Research Council of Great Britain and the Arthritis Research UK (project numbers 20665 and 4050502589); The German Research Foundation founded Florian Herbolsheimer (No. 398948032) and Nadine Ungar (No. 396651852); Toby Smith: National Institute for Health Research, UK.

FundersFunder number
German Research Foundation founded Florian Herbolsheimer398948032
Ministry of Science, Baden-Württemberg
Nadine Ungar396651852
National Fund for Health Research05/1898, FIS_RETICEF_RD06/0013/1013, FIS_PS09/02143
Swedish Ministry of Higher Education
Medical Research Council
Arthritis Research UK20665, 4050502589
European Commission
Ministerie van Volksgezondheid, Welzijn en Sport321175
Consiglio Nazionale delle Ricerche

    Keywords

    • Environmental factors
    • Older adults
    • Osteoarthritis
    • Physical activity
    • Social participation

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