Sociodemographic determinants of mobility decline among community-dwelling older adults: findings from the Canadian longitudinal study on ageing

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dc.contributor.authorOnyeso, Ogochukwu K.
dc.contributor.authorAlumona, Chiedozie J.
dc.contributor.authorOdole, Adesola C.
dc.contributor.authorVictor, Janice
dc.contributor.authorDoan, Jon
dc.contributor.authorAwosoga, Olu A.
dc.date.accessioned2025-08-02T00:40:09Z
dc.date.available2025-08-02T00:40:09Z
dc.date.issued2025
dc.descriptionOpen access article. Creative Commons Attribution 4.0 International license (CC BY 4.0) applies
dc.description.abstractBackground Mobility is fundamental to healthy ageing and quality of life. Mobility decline has been associated with functional impairment, falls, disability, dependency, and death among older adults. We explored the sociodemographic determinants of mobility decline among community-dwelling older Canadians. Methods This study was a secondary analysis of a six-year follow-up of the Canadian Longitudinal Study on Ageing (CLSA). Our analysis was based on 3882 community-dwelling older adults 65 years or older whose mobility was measured using timed-up and go (TUG) and 4-meter walk (4MWT) tests at baseline and follow-ups 1 and 2 after three- and six-year intervals, respectively. We analysed the cross-sectional and longitudinal association, main and interaction effects of the participants’ sociodemographic characteristics on mobility decline using chi-square, Pearson’s correlation, mixed-design repeated measures ANOVA, and bivariate and multivariate linear regression tests. Results At baseline, 52% of the participants were female, 70.4% were married, and the average age was 68.82 ± 2.78 years. Mean TUG and 4MWT scores were 9.59 ± 1.98 s and 4.29 ± 0.95 s, respectively. There was a strong positive longitudinal correlation between TUG and 4MWT (r = 0.65 to 0.75, p < 0.001), indicating concurrent validity of 4MWT. The multivariate linear regression (for TUG) showed that older age (β = 0.088, p < 0.001), being a female (β=-0.035, p < 0.001), retired (β=-0.058, p < 0.001), Canadian born (β=-0.046, p < 0.001), non-Caucasian (β=-0.063, p < 0.001), tenant (β = 0.050, p < 0.001), having no spouse/partner (β=-0.057, p < 0.001), household income of $50,000-$99,999 (β = 0.039, p < 0.001), wealth/investment lower than $50,000 (β=-0.089, p < 0.001), lower social status (β=-0.018,p = 0.025), secondary education and below (β = 0.043, p < 0.001), and living in certain provinces compared to others, were significant predictors of a six-year mobility decline. Conclusion Our study underscored the impact of modifiable and non-modifiable sociodemographic determinants of mobility trajectory. There is a need for nuanced ageing policies that support mobility in older adults, considering sociodemographic inequalities through equitable resource distribution, including people of lower socioeconomic backgrounds.
dc.description.peer-reviewYes
dc.identifier.citationOnyeso, O. K., Alumona, C. J., Odole, A. C., Victor, J., Doan, J., & Awosoga, O. A. (2025). Sociodemographic determinants of mobility decline among community-dwelling older adults: Findings from the Canadian longitudinal study on ageing. BMC Geriatrics, 24, Article 972. https://doi.org/10.1186/s12877-024-05582-1
dc.identifier.urihttps://hdl.handle.net/10133/7102
dc.language.isoen
dc.publisherSpringerNature
dc.publisher.departmentDepartment of Kinesiology
dc.publisher.facultyHealth Sciences
dc.publisher.facultyArts and Science
dc.publisher.institutionUniversity of Lethbridge
dc.publisher.institutionUniversity of Ibadan
dc.publisher.urlhttps://doi.org/10.1186/s12877-024-05582-1
dc.subjectCLSA
dc.subjectFour-meter walk test
dc.subjectGerontology
dc.subjectHealthy ageing
dc.subjectIndependent living
dc.subjectLife course
dc.subjectMobility limitation
dc.subjectSocial determinants of health
dc.subjectTimed-up and go test
dc.titleSociodemographic determinants of mobility decline among community-dwelling older adults: findings from the Canadian longitudinal study on ageing
dc.typeArticle
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