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2016 ; 26
(6
): 307-14
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Can You Ride a Bicycle? The Ability to Ride a Bicycle Prevents Reduced Social
Function in Older Adults With Mobility Limitation
#MMPMID26902165
Sakurai R
; Kawai H
; Yoshida H
; Fukaya T
; Suzuki H
; Kim H
; Hirano H
; Ihara K
; Obuchi S
; Fujiwara Y
J Epidemiol
2016[Jun]; 26
(6
): 307-14
PMID26902165
show ga
BACKGROUND: The health benefits of bicycling in older adults with mobility
limitation (ML) are unclear. We investigated ML and functional capacity of older
cyclists by evaluating their instrumental activities of daily living (IADL),
intellectual activity, and social function. METHODS: On the basis of interviews,
614 community-dwelling older adults (after excluding 63 participants who never
cycled) were classified as cyclists with ML, cyclists without ML, non-cyclists
with ML (who ceased bicycling due to physical difficulties), or non-cyclists
without ML (who ceased bicycling for other reasons). A cyclist was defined as a
person who cycled at least a few times per month, and ML was defined as
difficulty walking 1 km or climbing stairs without using a handrail. Functional
capacity and physical ability were evaluated by standardized tests. RESULTS:
Regular cycling was documented in 399 participants, and 74 of them (18.5%) had
ML; among non-cyclists, 49 had ML, and 166 did not. Logistic regression analysis
for evaluating the relationship between bicycling and functional capacity
revealed that non-cyclists with ML were more likely to have reduced IADL and
social function compared to cyclists with ML. However, logistic regression
analysis also revealed that the risk of bicycle-related falls was significantly
associated with ML among older cyclists. CONCLUSIONS: The ability and opportunity
to bicycle may prevent reduced IADL and social function in older adults with ML,
although older adults with ML have a higher risk of falls during bicycling. It is
important to develop a safe environment for bicycling for older adults.