{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:52:48Z","timestamp":1770749568595,"version":"3.50.0"},"reference-count":55,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Mobility, defined as the ability to move freely, decreases with increasing age. The increasing frequency and intensity of extreme weather and climate events (EWCEs), such as hurricanes, pose a considerable risk for older adults (aged \u226565 years) to maintain their mobility (ie, mobility resilience).<\/jats:p><\/jats:sec>Objective<\/jats:title>To examine whether an association exists between older-aged neighborhoods and mobility resilience following an EWCE.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This case series study used 2022 demographics with prospectively observed social infrastructure point-of-interest visitations before and after Hurricane Ian (September 23-30, 2022) to characterize neighborhood mobility resilience. Analyses were conducted for all residents (age categories, &amp;lt;36 years, 36-42 years, 43-53 years, &amp;gt;53 years) of central and southern Florida neighborhoods.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>Using a resilience triangle framework, daily point-of-interest visitation data before, during, and after the event were used to measure the duration of recovery, ratio of recovery, ratio of impact, and area of resilience triangles.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 1819 neighborhoods including 8 084 335 residents (median [range] of neighborhood ages, 46 [19-82] years; 51% female), a total of 225\u202f218 social infrastructure points of interest with 75.4 million visitation records were included. Compared with younger-aged neighborhoods, neighborhoods in the oldest age quartile had a longer duration of mobility recovery after Hurricane Ian (1.137 days; 95% CI, 0.844-1.431 days), lower mobility recovery ratio (\u22122.1%; 95% CI, \u22124.0% to \u22120.2%), higher ratio of impact (1.2%; 95% CI, 0.3%-2.1%), and higher cumulative losses of daily mobility (17.0 percentage-days; 95% CI, 8.4-26.3 percentage-days). These associations were substantially attenuated by hurricane wind exposure (ie, the strength of the storm) (Lindemann, Merenda, and Gold relative importance, 0.919-0.960 vs 0.031-0.065 for age quartiles).<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>In this case series study, neighborhoods with an older population showed compromised mobility resilience associated with the aftermath of Hurricane Ian. These findings may inform neighborhood-targeted mobility interventions for climate resilience.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2025.18525","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T15:00:30Z","timestamp":1751468430000},"page":"e2518525","source":"Crossref","is-referenced-by-count":1,"title":["Age-Related Deficits in Mobility Resilience With an Extreme Weather and Climate Event"],"prefix":"10.1001","volume":"8","author":[{"given":"Yan","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Urban and Regional Planning and Florida Institute for Built Environment Resilience, University of Florida, Gainesville"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangde","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Urban and Regional Planning and Florida Institute for Built Environment Resilience, University of Florida, Gainesville"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd M.","family":"Manini","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"issue":"11","key":"zoi250581r1","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1046\/j.1532-5415.2003.51512.x","article-title":"Measuring life-space mobility in community-dwelling older adults.","volume":"51","author":"Baker","year":"2003","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"zoi250581r2","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1093\/geront\/gnq013","article-title":"Mobility in older adults: a comprehensive framework.","volume":"50","author":"Webber","year":"2010","journal-title":"Gerontologist"},{"issue":"1","key":"zoi250581r3","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1186\/s12877-020-01882-4","article-title":"Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons.","volume":"20","author":"Hayashi","year":"2020","journal-title":"BMC Geriatr"},{"key":"zoi250581r4","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.2147\/CIA.S196944","article-title":"Life-space mobility in the elderly: current perspectives.","volume":"15","author":"Johnson","year":"2020","journal-title":"Clin Interv Aging"},{"key":"zoi250581r5","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1093\/geront\/gnt159","article-title":"Resilience in later life: emerging trends and future directions.","volume":"54","author":"Perkins","year":"2014","journal-title":"Gerontologist"},{"key":"zoi250581r6","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1016\/j.socscimed.2014.07.006","article-title":"Where do they go and how do they get there? older adults\u2019 travel behaviour in a highly walkable environment.","volume":"133","author":"Winters","year":"2015","journal-title":"Soc Sci Med"},{"issue":"7","key":"zoi250581r7","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.2105\/AJPH.2015.302582","article-title":"The impact of weather on mobility and participation in older U.S. adults.","volume":"105","author":"Clarke","year":"2015","journal-title":"Am J Public Health"},{"issue":"2","key":"zoi250581r8","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.archger.2009.02.015","article-title":"How often and how far do frail elderly people need to go outdoors to maintain functional capacity?","volume":"50","author":"Shimada","year":"2010","journal-title":"Arch Gerontol Geriatr"},{"issue":"2","key":"zoi250581r9","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/j.1532-5415.2005.53103.x","article-title":"Just get out the door! 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