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Mobility difficulties are not only a problem of old age.

L I Iezzoni1, E P McCarthy, R B Davis

  • 1Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA. liezzoni@caregroup.harvard.edu

Journal of General Internal Medicine
|April 25, 2001
PubMed
Summary

Mobility difficulties affect 10.1% of US adults, particularly women and African Americans. These issues are linked to poorer health, daily activity limitations, and increased depression and anxiety.

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Area of Science:

  • Public Health
  • Epidemiology
  • Gerontology

Background:

  • Lower extremity mobility limitations are prevalent and impact physical and emotional health.
  • Common medical conditions frequently lead to mobility challenges.

Purpose of the Study:

  • To determine the national prevalence of mobility difficulties in noninstitutionalized adults.
  • To investigate associations between mobility issues and demographic factors, and other health problems.

Main Methods:

  • Utilized a cross-sectional survey design with the 1994-1995 National Health Interview Survey-Disability Supplement (NHIS-D).
  • Defined mobility difficulties based on walking, stair climbing, standing ability, and use of mobility aids.
  • Employed direct standardization for age and gender adjustments using SUDAAN for nationally representative estimates.

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Main Results:

  • Approximately 19 million (10.1%) adults reported mobility difficulties.
  • Higher prevalence observed in women (11.8%) and African Americans (15.0%) compared to men (8.8%) and whites (10.0%).
  • Mobility difficulties correlated with lower education, living alone, poverty, obesity, impaired daily activities, and significantly higher rates of depression/anxiety (30.6% vs. 3.8%).

Conclusions:

  • Mobility difficulties are common across adult age groups, including middle-aged individuals.
  • Associations with functional limitations, mental health issues, and socioeconomic factors underscore the need for integrated care approaches.
  • Findings highlight the significant public health burden of lower extremity mobility impairments.