Skip to main content
Top
Published in: European Journal of Ageing 4/2007

01-12-2007 | Original Investigation

Very old people’s use of the pedestrian environment: functional limitations, frequency of activity and environmental demands

Authors: Pia Hovbrandt, Agneta Ståhl, Susanne Iwarsson, Vibeke Horstmann, Gunilla Carlsson

Published in: European Journal of Ageing | Issue 4/2007

Login to get access

Abstract

Due to decreased functional capacity as well as high environmental demands there is a risk of diminishing activity outside home in very old age (age 80+). In order to explore differences according to functional limitations (FL) among very old people with respect to frequency of activity, perceived health, overall perception of neighbourhood environment, and perceived problems in the pedestrian environment, data derived from a postal questionnaire survey to very old people living in an urban area in Sweden were used. This explorative study is based on the sub-sample of people aged 80+ who reported outdoor activities (n = 97). Four groups of respondents with different types of FL were identified: with no FL (n = 23), with only movement-related FL (n = 26), with only perception/cognition-related FL (n = 16), and with both movement- and perception/ cognition-related FL (n = 32). The majority of the respondents reported rather high frequency of activity outside home. When examining differences between the four groups, the analysis indicated how the complexity of FL and perceived problems in the pedestrian environment impacted on their activity performance. Persons with both movement- and perception/cognition-related FL were less satisfied with their frequency of activity, experienced their health more negatively and experienced more problems in the pedestrian environment than in the other groups. The findings from this study indicate the importance of considering combinations of FL in creating supportive environments for activity and health.
Literature
go back to reference Agahi N, Parker MG (2005) Are today’s older people more active than their predecessors? Participation in leisure-time activities in Sweden in 1992 and 2002. Ageing Soc 25(6):925–942CrossRef Agahi N, Parker MG (2005) Are today’s older people more active than their predecessors? Participation in leisure-time activities in Sweden in 1992 and 2002. Ageing Soc 25(6):925–942CrossRef
go back to reference Agüero-Torres H, Thomas V, Winblad B, Fratiglioni L (2002) The impact of somatic disorders on the functional status of the elderly. J Clin Epidemiol 55:1007–1012CrossRef Agüero-Torres H, Thomas V, Winblad B, Fratiglioni L (2002) The impact of somatic disorders on the functional status of the elderly. J Clin Epidemiol 55:1007–1012CrossRef
go back to reference Andersson Svidén G, Tham K, Borell L (2004) Elderly participants of social and rehabilitative day centres. Scand J Caring Sci 18:402–409CrossRef Andersson Svidén G, Tham K, Borell L (2004) Elderly participants of social and rehabilitative day centres. Scand J Caring Sci 18:402–409CrossRef
go back to reference Atchley R (1998) Activity adaptations to the development of functional limitations and results for subjective well-being in later adulthood: a qualitative analysis of longitudinal panel data over a 16-year period. J Aging Stud 12(1):19–39CrossRef Atchley R (1998) Activity adaptations to the development of functional limitations and results for subjective well-being in later adulthood: a qualitative analysis of longitudinal panel data over a 16-year period. J Aging Stud 12(1):19–39CrossRef
go back to reference Banister D, Bowling A (2004) Quality of life for the elderly: the transport dimension. Trans Policy 11:105–115CrossRef Banister D, Bowling A (2004) Quality of life for the elderly: the transport dimension. Trans Policy 11:105–115CrossRef
go back to reference Bowling A (1995) What things are important in people’s lives? A survey of the public’s judgements to inform scales of health related quality of life. Soc Sci Med 41(10):1447–1462CrossRef Bowling A (1995) What things are important in people’s lives? A survey of the public’s judgements to inform scales of health related quality of life. Soc Sci Med 41(10):1447–1462CrossRef
go back to reference Brandt Å, Iwarsson S, Ståhl A (2003) User satisfaction with rollators. Disabil Rehabil 25(7):343–353CrossRef Brandt Å, Iwarsson S, Ståhl A (2003) User satisfaction with rollators. Disabil Rehabil 25(7):343–353CrossRef
go back to reference Carlsson G (2002) Catching the bus in old age. Methodological aspects of accessibility assessments in public transport. Doctoral Dissertation. Lund University, Lund, Sweden Carlsson G (2002) Catching the bus in old age. Methodological aspects of accessibility assessments in public transport. Doctoral Dissertation. Lund University, Lund, Sweden
go back to reference Carlsson G (2004) Travelling by urban public transport. Exploration of usability problems in a travel chain perspective. Scand J Occup Ther 11(2):78–89CrossRef Carlsson G (2004) Travelling by urban public transport. Exploration of usability problems in a travel chain perspective. Scand J Occup Ther 11(2):78–89CrossRef
go back to reference Carlsson G, Iwarsson S, Ståhl A (2002) The personal component of accessibility at group level: exploring the complexity of functional capacity. Scand J Occup Ther 9(3):100–108CrossRef Carlsson G, Iwarsson S, Ståhl A (2002) The personal component of accessibility at group level: exploring the complexity of functional capacity. Scand J Occup Ther 9(3):100–108CrossRef
go back to reference Chan L, Shumway-Cook A, Yorkston K, Ciol M, Dudgeon B, Hoffman J (2005) Design and validation of a methodology using the International Classification of Diseases, 9th Revision, to identify secondary conditions in people with disabilities. Arch Phys Med Rehabil 86:1065–1069CrossRef Chan L, Shumway-Cook A, Yorkston K, Ciol M, Dudgeon B, Hoffman J (2005) Design and validation of a methodology using the International Classification of Diseases, 9th Revision, to identify secondary conditions in people with disabilities. Arch Phys Med Rehabil 86:1065–1069CrossRef
go back to reference Christiansen C, Baum C (eds) (2005) Occupational therapy performance participation, and well-being, 3rd edn. Slack Incorporated, Thorofare Christiansen C, Baum C (eds) (2005) Occupational therapy performance participation, and well-being, 3rd edn. Slack Incorporated, Thorofare
go back to reference Crews J, Campbell A (2001) Health conditions, activity limitations, and participation restrictions among older people with visual impairments. J Vis Impair Blind 95(8):453–468 Crews J, Campbell A (2001) Health conditions, activity limitations, and participation restrictions among older people with visual impairments. J Vis Impair Blind 95(8):453–468
go back to reference Crombie I, Irvine L, Williams B, McGinnis A, Slane P, Alder E et al (2004) Why older people do not participate in leisure time physical activity: a survey of activity levels, beliefs and deterrents. Age Ageing 33(3):287–292CrossRef Crombie I, Irvine L, Williams B, McGinnis A, Slane P, Alder E et al (2004) Why older people do not participate in leisure time physical activity: a survey of activity levels, beliefs and deterrents. Age Ageing 33(3):287–292CrossRef
go back to reference Dahlin-Ivanoff S, Sonn U (2005) Changes in the use of assistive devices among 90-year-old persons. Aging Clin Exp Res 17(3):246–251 Dahlin-Ivanoff S, Sonn U (2005) Changes in the use of assistive devices among 90-year-old persons. Aging Clin Exp Res 17(3):246–251
go back to reference Delbaere K, Crombez G, Vanderstraeten G (2004) Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age Ageing 33(4):368–374CrossRef Delbaere K, Crombez G, Vanderstraeten G (2004) Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age Ageing 33(4):368–374CrossRef
go back to reference Fange A, Iwarsson S (2003) Accessibility and usability in housing: construct validity and implications for research and practice. Disabil Rehabil 25(23):1316–1326CrossRef Fange A, Iwarsson S (2003) Accessibility and usability in housing: construct validity and implications for research and practice. Disabil Rehabil 25(23):1316–1326CrossRef
go back to reference Ferruci L, Bandinelli S, Cavazzini C, Lauretani F, Corsi A, Bartali B et al (2004) Neurological examination findings to predict limitations in mobility and falls in older persons without a history of neurological disease. Am J Med 116:807–815CrossRef Ferruci L, Bandinelli S, Cavazzini C, Lauretani F, Corsi A, Bartali B et al (2004) Neurological examination findings to predict limitations in mobility and falls in older persons without a history of neurological disease. Am J Med 116:807–815CrossRef
go back to reference Giles-Corti B, Donovan R (2003) Relative influences of individual, social environment and physical environmental correlates of walking. Am J Public Health 93(9):1583–1589CrossRef Giles-Corti B, Donovan R (2003) Relative influences of individual, social environment and physical environmental correlates of walking. Am J Public Health 93(9):1583–1589CrossRef
go back to reference Guralnik J, Ferruci L, Simonsick E, Salive M, Wallace R (1995) Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332(9):556–561CrossRef Guralnik J, Ferruci L, Simonsick E, Salive M, Wallace R (1995) Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332(9):556–561CrossRef
go back to reference Hallal PC, Azevedo MR, Reichert FF, Siqueira FV, Araujo CLP, Victora CG (2005) Who, when, and how much? Epidemiology of walking in a middle-income country. Am J Prev Med 28(2):156–161CrossRef Hallal PC, Azevedo MR, Reichert FF, Siqueira FV, Araujo CLP, Victora CG (2005) Who, when, and how much? Epidemiology of walking in a middle-income country. Am J Prev Med 28(2):156–161CrossRef
go back to reference Heyl V, Wahl H-W, Mollenkopf H (2005) Visual capacity, out-of-home activities and emotional well-being in old age: basic relations and contextual variation. Soc Indic Res 74:159–189CrossRef Heyl V, Wahl H-W, Mollenkopf H (2005) Visual capacity, out-of-home activities and emotional well-being in old age: basic relations and contextual variation. Soc Indic Res 74:159–189CrossRef
go back to reference Hovbrandt P, Fridlund B, Carlsson G (2007) Very old people’s experience of occupational performance outside home: possibilities and limitations. Scand J Occup Ther (in press) Hovbrandt P, Fridlund B, Carlsson G (2007) Very old people’s experience of occupational performance outside home: possibilities and limitations. Scand J Occup Ther (in press)
go back to reference Humpel N, Owen N, Iverson D, Leslie E, Bauman A (2004) Perceived environment attributes, residential location, and walking for particular purposes. Am J Prev Med 26(2):119–125CrossRef Humpel N, Owen N, Iverson D, Leslie E, Bauman A (2004) Perceived environment attributes, residential location, and walking for particular purposes. Am J Prev Med 26(2):119–125CrossRef
go back to reference Iwarsson S (2005) A long-term perspective on person–environment fit and ADL dependence among older Swedish adults. Gerontologist 45(3):327–336 Iwarsson S (2005) A long-term perspective on person–environment fit and ADL dependence among older Swedish adults. Gerontologist 45(3):327–336
go back to reference Iwarsson S, Slaug B (2001) The housing enabler. An instrument for assessing and analysing accessibility problems in housing. Nävlinge & Staffanstorp: Veten & Skapen HB & Slaug Data Management Iwarsson S, Slaug B (2001) The housing enabler. An instrument for assessing and analysing accessibility problems in housing. Nävlinge & Staffanstorp: Veten & Skapen HB & Slaug Data Management
go back to reference Iwarsson S, Ståhl A (2003) Accessibility, usability and universal design—positioning and definition of concepts describing person–environment relationships. Disabil Rehabil 25(2):57–66CrossRef Iwarsson S, Ståhl A (2003) Accessibility, usability and universal design—positioning and definition of concepts describing person–environment relationships. Disabil Rehabil 25(2):57–66CrossRef
go back to reference Kielhofner G (2004) Conceptual foundations of occupational therapy, 3rd edn. F. A. Davis Company, Philadelphia Kielhofner G (2004) Conceptual foundations of occupational therapy, 3rd edn. F. A. Davis Company, Philadelphia
go back to reference Krause N (2003) Neighbourhoods, health, and well-being in later life. In: Wahl H-W, Scheidt RJ, Windley PG (eds) Aging in context: socio-physical environments. Annual review of gerontology and geriatrics, vol 23. Springer, New York, pp 223–249 Krause N (2003) Neighbourhoods, health, and well-being in later life. In: Wahl H-W, Scheidt RJ, Windley PG (eds) Aging in context: socio-physical environments. Annual review of gerontology and geriatrics, vol 23. Springer, New York, pp 223–249
go back to reference Lavery I, Davey S, Woodside A, Ewart K (1996) The vital role of street design and management in reducing barriers to older people’s mobility. Landsc Urban Plann 35(2–3):181–192CrossRef Lavery I, Davey S, Woodside A, Ewart K (1996) The vital role of street design and management in reducing barriers to older people’s mobility. Landsc Urban Plann 35(2–3):181–192CrossRef
go back to reference Law M, Cooper B, Strong S, Stewart D, Rigby P, Letts L (1996) The person–environment–occupation model: a transactive approach to occupational performance. Can J Occup Ther 63:9–23 Law M, Cooper B, Strong S, Stewart D, Rigby P, Letts L (1996) The person–environment–occupation model: a transactive approach to occupational performance. Can J Occup Ther 63:9–23
go back to reference Lawton MP, Nahemow L (1973) Ecology and the aging process. In: Eisdorfer C, Lawton MP (eds) Psychology of adult development and aging. American Psychological Association, Washington DC Lawton MP, Nahemow L (1973) Ecology and the aging process. In: Eisdorfer C, Lawton MP (eds) Psychology of adult development and aging. American Psychological Association, Washington DC
go back to reference Lawton MP, Simon B (1968) The ecology of social relationships in housing for the elderly. Gerontologist 8:108–115 Lawton MP, Simon B (1968) The ecology of social relationships in housing for the elderly. Gerontologist 8:108–115
go back to reference Legarth K, Ryan S, Avlund K (2005) The most important activity and the reasons for that experience reported by Danish population at age 75 years. Br J Occup Ther 68(11):501–508 Legarth K, Ryan S, Avlund K (2005) The most important activity and the reasons for that experience reported by Danish population at age 75 years. Br J Occup Ther 68(11):501–508
go back to reference Leslie E, Saelens B, Frank L, Owen N, Bauman A, Coffee N et al (2005) Residents’ perception of walkability attributes in objectively different neighbourhoods: a pilot study. Health Place 11:227–236CrossRef Leslie E, Saelens B, Frank L, Owen N, Bauman A, Coffee N et al (2005) Residents’ perception of walkability attributes in objectively different neighbourhoods: a pilot study. Health Place 11:227–236CrossRef
go back to reference Leveille S, Fried L, Guralnik J (2002) Disabling symptoms What do older women report? J Gen Intern Med 17(10):766–773CrossRef Leveille S, Fried L, Guralnik J (2002) Disabling symptoms What do older women report? J Gen Intern Med 17(10):766–773CrossRef
go back to reference Li W, Keegan T, Sternfeld B, Sidney S, Quesenberry C, Kelsey J (2006) Outdoor falls among middle-aged and older adults: a neglected public health problem. Am J Public Health 96(7):1192–1200CrossRef Li W, Keegan T, Sternfeld B, Sidney S, Quesenberry C, Kelsey J (2006) Outdoor falls among middle-aged and older adults: a neglected public health problem. Am J Public Health 96(7):1192–1200CrossRef
go back to reference Löfqvist C, Nygren C, Brandt Å, Oswald F, Iwarsson S (2007) Use of mobility devices and changes over 12 months among very old people in five European countries. Aging Clin Exp Res (in press) Löfqvist C, Nygren C, Brandt Å, Oswald F, Iwarsson S (2007) Use of mobility devices and changes over 12 months among very old people in five European countries. Aging Clin Exp Res (in press)
go back to reference Meinow B, Parker M, Kåreholt I, Thorslund M (2006) Complex health problems in the oldest old in Sweden 1992–2002. Eur J Ageing 3(2):98–106CrossRef Meinow B, Parker M, Kåreholt I, Thorslund M (2006) Complex health problems in the oldest old in Sweden 1992–2002. Eur J Ageing 3(2):98–106CrossRef
go back to reference Michael Y, Green M, Farquhar S (2006) Neighborhood design and active aging. Health Place 12:734–740CrossRef Michael Y, Green M, Farquhar S (2006) Neighborhood design and active aging. Health Place 12:734–740CrossRef
go back to reference Mollenkopf H, Marcellini F, Ruoppila I, Flaschenträger P, Gagliardi C, Spazzafumo L (1997) Outdoor mobility and social relationships of elderly people. Arch Gerontol Geriatr 24:295–310CrossRef Mollenkopf H, Marcellini F, Ruoppila I, Flaschenträger P, Gagliardi C, Spazzafumo L (1997) Outdoor mobility and social relationships of elderly people. Arch Gerontol Geriatr 24:295–310CrossRef
go back to reference Mollenkopf H, Marcellini F, Ruoppila I, Széman Z, Tacken M, Wahl H-W (2004) Social and behavioural science perspectives on out-of-home mobility in later life: findings from the European project MOBILATE. Eur J Ageing 1(1):45–53CrossRef Mollenkopf H, Marcellini F, Ruoppila I, Széman Z, Tacken M, Wahl H-W (2004) Social and behavioural science perspectives on out-of-home mobility in later life: findings from the European project MOBILATE. Eur J Ageing 1(1):45–53CrossRef
go back to reference O’Brian P, Dyck I, Caron S, Mortenson P (2002) Environmental analysis: insights from sociological and geographical perspectives. Can J Occup Ther 69(4):229–238 O’Brian P, Dyck I, Caron S, Mortenson P (2002) Environmental analysis: insights from sociological and geographical perspectives. Can J Occup Ther 69(4):229–238
go back to reference Oswald F, Hieber A, Wahl H-W, Mollenkopf H (2005) Ageing and person–environment fit in different urban neighbourhoods. Eur J Ageing 2(2):88–97CrossRef Oswald F, Hieber A, Wahl H-W, Mollenkopf H (2005) Ageing and person–environment fit in different urban neighbourhoods. Eur J Ageing 2(2):88–97CrossRef
go back to reference Paterson D, Govindasamy D, Vidmar M, Cunningham D, Koval J (2004) Longitudinal study of determinants of dependence in an elderly population. J Am Geriatr Soc 52:1632–1638CrossRef Paterson D, Govindasamy D, Vidmar M, Cunningham D, Koval J (2004) Longitudinal study of determinants of dependence in an elderly population. J Am Geriatr Soc 52:1632–1638CrossRef
go back to reference Rantanen T, Guralnik J, Ferruci L, Penninx B, Leveille S, Sipilä S (2001) Coimpairments as predictors of severe walking disability in older women. J Am Geriatr Soc 49(1):21–27CrossRef Rantanen T, Guralnik J, Ferruci L, Penninx B, Leveille S, Sipilä S (2001) Coimpairments as predictors of severe walking disability in older women. J Am Geriatr Soc 49(1):21–27CrossRef
go back to reference Rowles GD (2000) Habituation and being in place. Occup Ther J Res 20:52S–67S Rowles GD (2000) Habituation and being in place. Occup Ther J Res 20:52S–67S
go back to reference Rudinger G, Donaghy K, Poppelreuter S (2004) Societal trends, mobility behaviour and sustainable transport in Europe and North America: the European Union network STELLA. Eur J Ageing 1(1):95–101CrossRef Rudinger G, Donaghy K, Poppelreuter S (2004) Societal trends, mobility behaviour and sustainable transport in Europe and North America: the European Union network STELLA. Eur J Ageing 1(1):95–101CrossRef
go back to reference Ruoppila I, Raitanen T (2004) Outdoor mobility and health. In: Mollenkopf H, Marcellini F, Ruoppila I, Raitanen T (eds) Ageing and outdoor mobility, vol 13. IOS Press, Amsterdam, pp 65–80 Ruoppila I, Raitanen T (2004) Outdoor mobility and health. In: Mollenkopf H, Marcellini F, Ruoppila I, Raitanen T (eds) Ageing and outdoor mobility, vol 13. IOS Press, Amsterdam, pp 65–80
go back to reference Sakari-Rantala R, Era P, Rantanen T, Heikkinen E (1998) Associations of sensory-motor functions with poor mobility in 75- and 80-year-old people. Scand J Rehabil Med 30(2):121–127CrossRef Sakari-Rantala R, Era P, Rantanen T, Heikkinen E (1998) Associations of sensory-motor functions with poor mobility in 75- and 80-year-old people. Scand J Rehabil Med 30(2):121–127CrossRef
go back to reference Shumway-Cook A, Patla A, Stewart A, Ferruci L, Ciol M, Guralnik J (2002) Environmental demands associated with community mobility in older adults with and without mobility disabilities. Phys Ther 82(7):670–681 Shumway-Cook A, Patla A, Stewart A, Ferruci L, Ciol M, Guralnik J (2002) Environmental demands associated with community mobility in older adults with and without mobility disabilities. Phys Ther 82(7):670–681
go back to reference Shumway-Cook A, Patla A, Stewart A, Ferruci L, Ciol M, Guralnik J (2003) Environmental components of mobility disability in community-living older persons. J Am Geriatr Soc 51(3):393–398CrossRef Shumway-Cook A, Patla A, Stewart A, Ferruci L, Ciol M, Guralnik J (2003) Environmental components of mobility disability in community-living older persons. J Am Geriatr Soc 51(3):393–398CrossRef
go back to reference Silverstein M, Parker M (2002) Leisure activities and quality of life among the oldest old in Sweden. Res Aging 24(5):528–547CrossRef Silverstein M, Parker M (2002) Leisure activities and quality of life among the oldest old in Sweden. Res Aging 24(5):528–547CrossRef
go back to reference Simonsick EM, Guralnik JM, Volpato S, Balfour J, Fried L (2005) Just get out the door! importance of walking outside the home for maintaining mobility: findings from the women’s health and aging study. J Am Geriatr Soc 53(2):198–204CrossRef Simonsick EM, Guralnik JM, Volpato S, Balfour J, Fried L (2005) Just get out the door! importance of walking outside the home for maintaining mobility: findings from the women’s health and aging study. J Am Geriatr Soc 53(2):198–204CrossRef
go back to reference Stahl A (1992) Mobility and accessibility for elderly and disabled people in Sweden. J Int Assoc Traffic Safety Sci 16(2):80–97 Stahl A (1992) Mobility and accessibility for elderly and disabled people in Sweden. J Int Assoc Traffic Safety Sci 16(2):80–97
go back to reference Ståhl A, Carlsson G, Hovbrandt P, Iwarsson S (2007) “Let’s Go for a Walk!” User involvement when prioritizing measures to increase accessibility and safety for older people (submitted) Ståhl A, Carlsson G, Hovbrandt P, Iwarsson S (2007) “Let’s Go for a Walk!” User involvement when prioritizing measures to increase accessibility and safety for older people (submitted)
go back to reference Steinfeld E, Danford S (1999) Theory as a basis for research on enabling environments. In: Steinfeld E, Danford S (eds) Enabling environments measuring the impact of environment on disability and rehabilitation. Kluwer/Plenum, New York Steinfeld E, Danford S (1999) Theory as a basis for research on enabling environments. In: Steinfeld E, Danford S (eds) Enabling environments measuring the impact of environment on disability and rehabilitation. Kluwer/Plenum, New York
go back to reference Suminski R, Carlos Poston W, Petosa R, Stevens E, Katzenmoyer L (2005) Features of the neighbourhood environment and walking by US adults. Am J Prev Med 28(2):149–155CrossRef Suminski R, Carlos Poston W, Petosa R, Stevens E, Katzenmoyer L (2005) Features of the neighbourhood environment and walking by US adults. Am J Prev Med 28(2):149–155CrossRef
go back to reference Taylor SA (2001) Place identification and positive realities of aging. J Cross Cult Gerontol 16:5–20CrossRef Taylor SA (2001) Place identification and positive realities of aging. J Cross Cult Gerontol 16:5–20CrossRef
go back to reference Tibblin G, Tibblin B, Peciva S, Kullman S, Svärdsudd K (1990) “The Göteborg Quality of Life Instrument”—an assessment of wellbeing and symptoms among men born 1913 and 1923. Scand J Prim Health Care Suppl 1:33–38 Tibblin G, Tibblin B, Peciva S, Kullman S, Svärdsudd K (1990) “The Göteborg Quality of Life Instrument”—an assessment of wellbeing and symptoms among men born 1913 and 1923. Scand J Prim Health Care Suppl 1:33–38
go back to reference Tinetti M, Inouye S, Gill T, Doucette J (1995) Shared risk factors for falls, incontinence, and functional dependence: unifying the approach to geriatric syndromes. JAMA 273(17):1348–1353CrossRef Tinetti M, Inouye S, Gill T, Doucette J (1995) Shared risk factors for falls, incontinence, and functional dependence: unifying the approach to geriatric syndromes. JAMA 273(17):1348–1353CrossRef
go back to reference Townsend E, Stanton S, Law M, Polatajko H, Baptiste S, Thomson-Franson T et al (2002) Enabling occupation: an occupational therapy perspective, 2nd edn. CAOT Publications ACE, Ottawa Townsend E, Stanton S, Law M, Polatajko H, Baptiste S, Thomson-Franson T et al (2002) Enabling occupation: an occupational therapy perspective, 2nd edn. CAOT Publications ACE, Ottawa
go back to reference Valdemarsson M, Jernryd E, Iwarsson S (2005) Preferences and frequencies of visits to public facilities in old age - a pilot study in a Swedish town center. Arch Gerontol Geriatr 40(1):15–28CrossRef Valdemarsson M, Jernryd E, Iwarsson S (2005) Preferences and frequencies of visits to public facilities in old age - a pilot study in a Swedish town center. Arch Gerontol Geriatr 40(1):15–28CrossRef
go back to reference Ward-Griffin C, Hobson S, Melles P, Kloseck M, Vandervoort A, Crilly R (2004) Falls and fear of falls among community-dwelling seniors: the dynamic tension between exercising precaution and striving for independence. Can J Aging 4(23):307–318CrossRef Ward-Griffin C, Hobson S, Melles P, Kloseck M, Vandervoort A, Crilly R (2004) Falls and fear of falls among community-dwelling seniors: the dynamic tension between exercising precaution and striving for independence. Can J Aging 4(23):307–318CrossRef
go back to reference WHO (1946) Constitution of the World Health Organization. Paper presented at the International Health Conference, New York WHO (1946) Constitution of the World Health Organization. Paper presented at the International Health Conference, New York
go back to reference WHO (2001) ICF international classification of functioning, disability, and health. WHO, Geneva WHO (2001) ICF international classification of functioning, disability, and health. WHO, Geneva
go back to reference Wressle E, Samuelsson K (2004) User satisfaction with mobility assistive devices. Scand J Occup Ther 11:143–150CrossRef Wressle E, Samuelsson K (2004) User satisfaction with mobility assistive devices. Scand J Occup Ther 11:143–150CrossRef
Metadata
Title
Very old people’s use of the pedestrian environment: functional limitations, frequency of activity and environmental demands
Authors
Pia Hovbrandt
Agneta Ståhl
Susanne Iwarsson
Vibeke Horstmann
Gunilla Carlsson
Publication date
01-12-2007
Publisher
Springer-Verlag
Published in
European Journal of Ageing / Issue 4/2007
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-007-0064-2

Other articles of this Issue 4/2007

European Journal of Ageing 4/2007 Go to the issue

Acknowledgement to Reviewers

Acknowledgement to Reviewers