{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:23:55Z","timestamp":1792794235035,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000965","name":"American Federation for Aging Research","doi-asserted-by":"publisher","award":["T35AG026736"],"award-info":[{"award-number":["T35AG026736"]}],"id":[{"id":"10.13039\/100000965","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG065438"],"award-info":[{"award-number":["K23AG065438"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["KL2TR001870"],"award-info":[{"award-number":["KL2TR001870"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG044281"],"award-info":[{"award-number":["P30AG044281"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG021487"],"award-info":[{"award-number":["R01AG021487"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mobility assessments are commonly used among older adults as risk stratification for falls, preoperative function, frailty, and mortality. We determined if gait speed and self\u2010reported difficulty walking are similarly associated with social isolation and loneliness, which are key markers of social well\u2010being and linked to health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used 2015\u20132016 data from the National Social life Health and Aging Project (NSHAP), an in\u2010person nationally\u2010representative survey of 2640 community\u2010dwelling adults \u226565\u2009years old. We measured gait speed (timed 3\u2010m walk: unable to walk, \u22655.7\u2009s, and\u2009&lt;5.7\u2009s), and self\u2010reported difficulty walking one block or across the room (unable, \u201cmuch,\u201d \u201csome,\u201d or \u201cno\u201d difficulty). Social measures included loneliness (3\u2010item UCLA scale), social isolation (12\u2010item scale), and individual social activities (frequency socializing, religious participation, community participation, and volunteering). We used logistic regression to determine the adjusted probability of each social measure by gait speed and difficulty walking, adjusting for sociodemographic and health characteristics, and tested for interaction terms with age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants were on average 75\u2009years old (SD\u2009=\u20097.1), 54% female, 9% Black\/African American, and 6% Hispanic. Difficulty walking one block was associated with (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05): social isolation (much difficulty: 26% vs no difficulty: 18%), low socializing (33% vs 19%), low volunteering (67% vs 53%), low community participation (54% vs 43%), low religious participation (51% vs 46%), and loneliness (25% vs 14%). Difficulty walking across the room was similarly strongly associated with social isolation and individual activities. The association between self\u2010reported difficulty walking and social isolation was stronger at older ages (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value of interaction &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self\u2010reported mobility difficulty is a widely used clinical assessment that is strongly associated with loneliness and social isolation, particularly at older ages. Among persons with limited mobility, clinicians should consider a careful social history to identify social needs and interventions addressing mobility to enhance social connections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18348","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T11:34:16Z","timestamp":1680262456000},"page":"2549-2556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["The association of gait speed and self\u2010reported difficulty walking with social isolation: A nationally\u2010representative study"],"prefix":"10.1111","volume":"71","author":[{"given":"Kathy","family":"Kuang","sequence":"first","affiliation":[{"name":"University of Arizona College of Medicine\u2014Tucson  Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Huisingh\u2010Scheetz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section of Geriatrics and Palliative Medicine University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1301-7149","authenticated-orcid":false,"given":"Matthew J.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Waite","sequence":"additional","affiliation":[{"name":"Department of Sociology University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6137-8512","authenticated-orcid":false,"given":"Ashwin A.","family":"Kotwal","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine University of California  San Francisco California USA"},{"name":"Geriatrics, Palliative, and Extended Care Service Line San Francisco Veterans Affairs Medical Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15746"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gls174"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu157"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2020-0054"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02493-7"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx188"},{"key":"e_1_2_10_8_1","unstructured":"NORC.National Social Life Health and Aging Project (NSHAP).2021Accessed December 16 2021.https:\/\/www.norc.org\/Research\/Projects\/Pages\/national\u2010social\u2010life\u2010health\u2010and\u2010aging\u2010project.aspx"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbab182"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0164027504268574"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbab138"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu091"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu100"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu025"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009531"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18149"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-61603-0"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12479"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16716"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17366"}],"container-title":["Journal 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