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

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9 Citations (Scopus)

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 (M age = 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 - 1 Mar 2021

Keywords

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

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