Mobility as a key factor for healthy ageing
Authors:
Eva Topinková
Authors‘ workplace:
Geriatrická klinika 1. LF UK a VFN, Praha
Published in:
Geriatrie a Gerontologie 2021, 10, č. 1: 15-22
Category:
Review Article
Overview
Topinková E. Mobility as a key factor for healthy ageing
With advancing age older people shift their attention to health and physical fitness. Maintaining physical capacity including safe walking and mobility contribute significantly to overall health and wellbeing. In this context, professional community is using terms such as intrinsic capacity, frailty, sarcopenia but also wellbeing, fitness, and resilience. Limited mobility is an early sign of declining physical performance and fitness in older people. Mobility limitations increase with advancing age. About 35 % of persons in their 7th decade and majority of octogenarians report limited mobility in their own social environment – apartment and its nearby surroundings. Limited or even lost mobility is a complex multifactorial process that not only worsens quality of life but also increases risk of falling, fall-related injuries, hospitalization, and overall mortality.
In this narrative review we provide the definition of mobility, describe age-related changes and risk factors including cognitive, neuromuscular, psychological, and behavioural factors contributing to mobility limitations. Also, we summarize mobility assessment tools, recognition of the early manifestation and potential approaches to prevent mobility disorders. Exercise training programs involve aerobic exercise (walking), strength and balance training that show the highest effectiveness in improving mobility and gait, increase muscle mass and strength, decrease falls rate, and improve performance in daily activities.
Keywords:
mobility – mobility limitations – Physical fitness – Physical activity – frailty – healthy ageing
Sources
1. World Health Organization. World Report on Ageing and Health. WHO 2015. Dostupné z: www.who.int/life-course/publications/2015-ageing-report/en/.
2. World Health Organization. Decade of Healthy Ageing (2021-2030). WHO 2021. Dostupné z: https://www.who.int/ageing/decade-of-healthy-ageing.
3. Cummings SR, Studenski S, Ferrucci LA. Diagnosis of dismobility – giving mobility clinical visibility: a Mobility Working Group recommendation. JAMA 2014; 311: 2061–2062.
4. Musich S, Wang SS, Ruiz J, et al. The impact of mobility limitations on health outcomes among older adults. Geriatr Nurs 2018; 39: 162–169.
5. Gill TM, Gahbauer EA, Murphy TE, et al. Risk factors and precipitants of long-term disability in community mobility: a cohort study of older persons. Ann Intern Med 2012; 156: 131–140.
6. Hallal PC, Andersen LB, Bull FC, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 2012; 380: 247–257.
7. Brabrand M, Kellett J, Opio M, et al. Should impaired mobility on presentation be a vital sign? Acta Anaesthesiol Scandinavica Acta 2018; 62: 945–952.
8. Mitchell JA, Johnson-Lawrence V, Williams EG, Thorpe jr R. Characterizing mobility limitations among older African American men. J Nat Med Assoc 2018; 110: 190–196.
9. Webber SC, Porter MM, Menec VH. Mobility in older adults: A comprehensive framework. Gerontologist 2010; 50: 443–450.
10. Freiberger E, Sieber CCh, Kob R. Mobility in older community-dwelling persons: a narrative review. Front Physiol 2020; 11: 881.
11. Studenski S, Perera S, Patel K, et al. Gait speed and survival in older adults. JAMA 2011; 305: 50–58.
12. Clark BC, Woods AJ, Clark LA, et al. The aging brain & the dorsal basal ganglia: implications for age-related limitations of mobility. Adv Geriatr Med Res 2019; 1: e190008.
13. Herssens N, Verbecque E, Hallemans A, et al. Do spatiotemporal parameters and gait variability differ across the lifespan of healthy adults? A Sys Rev Gait Posture 2018; 64: 181–190.
14. Liu B, Hu X, Zhang Q, et al. Usual walking speed and all-cause mortality risk in older people: a systematic review and meta-analysis. Gait Posture 2016; 44: 172–177.
15. Ferrucci L, Cooper R, Shardell M, et al. Age-related change in mobility: Perspectives from life course epidemiology and geroscience. J Gerontol Ser A Biol Sci Med Sci 2016; 71: 1184–1194.
16. Donoghue OA, Savva GM, Borsch-Supan A, Kenny RA. Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland. BMJ 2019; 9: e030475.
17. Abellan van Kan G, Rolland Y, Andrieu S, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging 2009; 13: 881–889.
18. Tieland M, Trouwborst I, Clark BC. Skeletal muscle performance and ageing. J Cachex Sarcop Musc 2018; 9: 3–19.
19. Drey M, Krieger B, Sieber CC, et al. Motoneuron loss is associated with sarcopenia. J Am Med Dir Assoc 2014; 15: 435–439.
20. Ferrucci L, Baroni M, Ranchelli A, et al. Interaction between bone and muscle in older persons with mobility limitations. Curr Pharm 2014; 20: 3178–3197.
21. Cruz-Jentoft AJ, Bahat G, Bauer J, et al. M et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31.
22. Topinková E. Sarkopenie, revidovaná evropská kritéria 2018. Geri Gero 2019; 8(1): 14–19.
23. Topinková E. Sarkopenie jako závažné orgánové selhání, její diagnostika a současné možnosti léčby. Vnitř Lék 2018; 64(11): 1038–1052.
24. Reid KF, Pasha E, Doros G, et al. Longitudinal decline of lower extremity muscle power in healthy and mobility-limited older adults: influence of muscle mass, strength, composition, neuromuscular activation and single fiber contractile properties. Eur J Appl Physiol 2014; 114: 29–39.
25. Berková M, Topinková E, Mádlová P, et al. Krátká baterie pro testování fyzické zdatnosti seniorů – pilotní studie a validizace testu u starších osob v České republice. Vnitř Lék 2013; 59: 256–263.
26. Salthouse TA. Trajectories of normal cognitive aging. Psychol Aging 2019; 34: 17–24.
27. Verghese J, Holtzer R, Lipton RB, Wang C. Mobility stress test approach to predicting frailty, disability, and mortality in high-functioning older adults. J Am Geriatr Soc 2012; 60: 1901–1905.
28. Verghese J, Wang C, Lipton RB, Holtzer R. Motoric cognitive risk syndrome and the risk of dementia. J Gerontol A Biol Sci Med Sci 2013; 68: 412–418.
29. Montero-Odasso M, Speechley M, Muir-Hunter S W, et al. Motor and cognitive trajectories before dementia: results from Gait and Brain Study. J Am Geriatr Soc 2018; 66: 1676–1683.
30. De Cock AM, Fransen E, Perkisas S, et al. Comprehensive quantitative spatiotemporal gait analysis identifies gait characteristics for early dementia subtyping in community dwelling older adults. Front Neurol 2019; 10: 313.
31. Kujala UM, Hautasaari P, Vähä-Ypyä H, et al. Chronic diseases and objectively monitored physical activity profile among aged individuals – a cross-sectional twin cohort study. Ann Med 2019; 51: 78–87.
32. Marzetti E, Calvani R, Tosato M, et al. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res 2017; 29: 35–42.
33. Bielaková K, Matějovská Kubešová H, Weber P. Prevence a management instability a pádů u geriatrických nemocných. Geri Gero 2014; 3(1): 25–28.
34. Tremblay MS, Aubert S, Barnes JD, et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act 2017; 14: 75.
35. Scher LML, Barros MVG, Chen Z, Anton SD. Sedentary time and disability in older adults: a systematic review and meta-analysis. J Aging Sci 2019; 7: 206.
36. Soubra R, Chkeir A, Novella JL. A systematic review of thirty-one assessment tests to evaluate mobility in older adults. BioMed Res Int 2019: 1354362.
37. Pahor M, Guralnik JM, Ambrosius WT. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA 2014; 311: 2387–2396.
38. Landi F, Cesari M, Calvani R, et al. The Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies (SPRINTT) randomized controlled trial: design and methods. Aging Clin Exp Res 2017; 29: 89–100.
39. Campbell J, Robertson C, Gardner M, et al. Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing 1999; 28: 513–518.
40. Thomas S, Mackintosh S, Halbert J. Does the ‘Otago exercise programme’ reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing 2010; 39: 681–687.
41. Weber M, Belala N, Clemson L, et al. Feasibility and effectiveness of intervention programmes integrating functional exercise into daily life of older adults: a systematic review. Gerontology 2018; 64: 172–187.
42. Boulton E, Weber M, Hawley-Hague H, et al. Attitudes towards adapted lifestyle-integrated functional exercise developed for 60-70-year-olds: perceptions of participants and trainers. Gerontology 2019; 65: 599–609.
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