Mobility in Older Community-Dwelling Persons: A Narrative Review

Area of Science:

• Gerontology
• Rehabilitation Medicine
• Public Health

Background:

• Mobility in older age is a growing concern due to demographic shifts and increased focus on physical function.
• Mobility limitations affect approximately 35% of individuals aged 70 and the majority over 85, correlating with adverse health outcomes.
• These limitations are linked to higher risks of falls, hospitalization, reduced quality of life, and mortality.

Purpose of the Study:

• To present a comprehensive overview of mobility in older persons.
• To define mobility and discuss its multifactorial nature.
• To review age-related changes in physical, cognitive, and psychological factors influencing mobility.

Main Methods:

• This study is a narrative review.
• It synthesizes existing literature on definitions, influencing factors, and assessments of mobility in older adults.
• Key areas covered include physical function, cognitive decline, neuromuscular factors, and psychological aspects.

Main Results:

• Mobility is complex, influenced by physical, cognitive, and psychological elements.
• Age-related changes in these factors significantly impact mobility.
• Fall-related psychological concerns and sedentary behaviors are also key contributors.

Conclusions:

• Understanding the multifaceted nature of mobility is essential for addressing limitations in older adults.
• Further research is needed to identify and address gaps in current knowledge and interventions.
• Comprehensive strategies considering physical, cognitive, and psychological aspects are vital for promoting mobility in aging populations.