Risk Factors for Mobility Decline in Community-Dwelling Older Adults: A Systematic Literature Review

Philippa J.A. Nicolson*, Maria T. Sanchez-Santos, Julie Bruce, Shona Kirtley, Lesley Ward, Esther Williamson, Sarah E. Lamb

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
4 Downloads (Pure)

Abstract

Mobility is essential to maintaining independence for older adults. This systematic review aimed to summarize evidence about self-reported risk factors for self-reported mobility decline; and to provide an overview of published prognostic models for self-reported mobility decline among community-dwelling older adults. Databases were searched from inception to June 2, 2020. Studies were screened by two independent reviewers who extracted data and assessed study quality. Sixty-one studies (45,187 participants) were included, providing information on 107 risk factors. High-quality evidence and moderate/large effect sizes for the association with mobility decline were found for older age beyond 75 years, the presence of widespread pain, and mobility modifications. Moderate-high quality evidence and small effect sizes were found for a further 21 factors. Three model development studies demonstrated acceptable model performance, limited by high risk of bias. These findings should be considered in intervention development, and in developing a prediction instrument for practical application.

Original languageEnglish
Pages (from-to)1053-1066
Number of pages14
JournalJournal of Aging and Physical Activity
Volume29
Issue number6
Early online date4 Aug 2021
DOIs
Publication statusPublished - 1 Dec 2021

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