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

Nicolson, Philippa J.A., Sanchez-Santos, Maria T., Bruce, Julie, Kirtley, Shona, Ward, Lesley, Williamson, Esther and Lamb, Sarah E. (2021) Risk Factors for Mobility Decline in Community-Dwelling Older Adults: A Systematic Literature Review. Journal of Aging and Physical Activity, 29 (6). pp. 1053-1066. ISSN 1063-8652

[1543267X - Journal of Aging and Physical Activity] Risk Factors for Mobility Decline in Community-Dwelling Older Adults_ A Systematic Literature Review.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (895kB) | Preview
Official URL: https://doi.org/10.1123/japa.2020-0482


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.

Item Type: Article
Additional Information: Funding information: The authors do not have any conflicts of interest to declare. SL and EW receive funding from the Collaboration for Leadership in Applied Health Research and Care Oxford at Oxford Health NHS Foundation Trust, and SL, MS, and EW are supported by NIHR Musculoskeletal Biomedical Research Centre, Oxford. PN is funded by a Versus Arthritis Foundation Fellowship (Grant Reference Number 22428). JB is supported by NIHR Research Capability Funding via University Hospitals Coventry and Warwickshire. SK is funded by Cancer Research UK (Grant C49297/A27294). The funders had no role in the design, collection, analysis, or reporting of this review. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Uncontrolled Keywords: mobility disability, predictors, self-reported
Subjects: A100 Pre-clinical Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: John Coen
Date Deposited: 07 Feb 2022 15:08
Last Modified: 07 Feb 2022 16:07
URI: http://nrl.northumbria.ac.uk/id/eprint/48390

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics