Changes in the prevalence of mobility limitations and mobile life expectancy of older adults in Singapore, 1995-2005

J Aging Health. 2010 Feb;22(1):120-40. doi: 10.1177/0898264309351932. Epub 2009 Nov 24.

Abstract

Objective: To examine changes in the prevalence of mobility limitations and mobile life expectancy of Singaporeans aged 55+.

Method: Data came from the cross-sectional 1995 and 2005 National Survey of Senior Citizens (NSSC; n = 4,750 and n = 4,591, respectively). The prevalence-based Sullivan method was used to disaggregate total life expectancy into expected life time without and with mobility limitations.

Results: Increases in life expectancy in the city-state were accompanied by increases in the prevalence of mobility limitations-from 3.0% to 5.7% for men and 5.1% to 9.7% for women. The impairments mostly began after age 65 and increased with age particularly at ages 85+. The proportion of life expectancy without mobility limitations declined over time, at all ages, and for both genders, with women still experiencing a higher proportion with mobility problems compared to men.

Discussion: The overall results provided support for the expansion of morbidity hypothesis, and we discussed some possible reasons. From a policy perspective, the findings could suggest a need to develop infrastructures that would enable older Singaporeans to remain mobile in a highly urban setting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Humans
  • Independent Living
  • Life Expectancy / trends*
  • Male
  • Middle Aged
  • Mobility Limitation*
  • Prevalence
  • Sex Distribution
  • Singapore / epidemiology
  • Walking / physiology