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Methods: Self-reported 2\u00a0km walking difficulty (intact, modifications, difficulties) at baseline and participating in organized group, outdoor recreation and cultural activities at baseline and follow-up were studied in community-dwelling persons ( N = 848) aged 75\u201390. A walkability index, calculated using a geographic information system, was categorized into tertiles (lowest, middle, highest). Results: Residence in the highest walkability areas was associated with higher participation in cultural activities and lower participation in outdoor recreation, while the latter was most frequently reported by residents in the lowest walkability areas. Those reporting no difficulties were more likely than those reporting difficulties to participate in all studied activities. Residence in the middle or highest walkability areas predicted higher participation in cultural activities at follow-up. Discussion: Older persons activity profiles associate with neighborhood walkability and walking difficulties.<\/jats:p>","DOI":"10.1177\/08982643231191444","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T01:53:13Z","timestamp":1690163593000},"page":"367-378","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Neighborhood Walkability, Walking Difficulties, and Participation in Leisure Activities Among Older People: A Cross-Sectional Study and 4-Year Follow-Up of a Subsample"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1782-6111","authenticated-orcid":false,"given":"Essi-Mari","family":"Tuomola","sequence":"first","affiliation":[{"name":"Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyvaskyla, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9876-5658","authenticated-orcid":false,"given":"Kirsi E.","family":"Keskinen","sequence":"additional","affiliation":[{"name":"Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyvaskyla, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Viljanen","sequence":"additional","affiliation":[{"name":"Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyvaskyla, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1604-1945","authenticated-orcid":false,"given":"Taina","family":"Rantanen","sequence":"additional","affiliation":[{"name":"Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyvaskyla, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5205-9616","authenticated-orcid":false,"given":"Erja","family":"Portegijs","sequence":"additional","affiliation":[{"name":"University Medical Center Groningen, Center for Human Movement Sciences, University of Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,23]]},"reference":[{"key":"bibr1-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X10001091"},{"key":"bibr2-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1016\/j.jort.2015.10.001"},{"key":"bibr3-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511665684.003"},{"key":"bibr4-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-017-0558-z"},{"key":"bibr5-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbn018"},{"key":"bibr7-08982643231191444","doi-asserted-by":"publisher","DOI":"10.1177\/0898264310387132"},{"key":"bibr8-08982643231191444","volume-title":"Corine land cover 2012, 20\u00a0m [data set]","author":"Finnish Environment Institute. 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