{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:15:44Z","timestamp":1791634544508,"version":"4.3.4"},"reference-count":58,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003093","name":"Ministry of Higher Education, Malaysia","doi-asserted-by":"publisher","award":["LRGS\/1\/2019\/UM\/01\/1\/1, LR005-2019, GOV-000047"],"award-info":[{"award-number":["LRGS\/1\/2019\/UM\/01\/1\/1, LR005-2019, GOV-000047"]}],"id":[{"id":"10.13039\/501100003093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The global population is projected to double by 2050 with most older adults expressing preference to age in place. Despite this demographic shift, indoor mobility challenges which directly impact independence, safety and quality of life remains poorly understudied, creating a critical knowledge gap for effective intervention development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature search was conducted on four databases from inception to September 2024. Inclusion criteria included: (1) participants aged 60 years and above; (2) were primary data on self-reported indoor mobility challenges; and (3) published in English language. Two reviewers independently performed data abstraction, evaluated the risk-of-bias and quality of included article using the NewCastle Ottawa Scale for cross-sectional or Joanna Briggs Institute Checklist for qualitative studies. Thematic synthesis with constant comparison analysis identified key mobility constraint factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies encompassing 1,833 participants were identified. Older adults reported four main indoor mobility challenges: fatigability, poor balance, home environmental barriers, reduced strength and limb weakness. These limitations contributed to reduced endurance, even in indoor settings. The presence of various health conditions further compromised their mobility and ability to age in place healthily.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To support ageing in place, a comprehensive environmental assessments and home modifications can be considered. Multi-stakeholder collaborations are needed to support the independence, safety, and quality of life of older adults who wish to age in place. Further research is warranted in suburban and rural areas to explore socioeconomic factors and determinants of indoor mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0325064","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T13:59:37Z","timestamp":1749045577000},"page":"e0325064","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["Indoor mobility challenges among older adults: A systematic review of barriers and limitations"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9890-6518","authenticated-orcid":true,"given":"Xin Er","family":"Yaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9107-478X","authenticated-orcid":true,"given":"Pei 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Ageing"},{"key":"pone.0325064.ref010","volume-title":"Nursing fundamentals","author":"K Ernstmeyer","year":"2021"},{"issue":"3","key":"pone.0325064.ref011","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1093\/geront\/gnt054","article-title":"Predictors of older adults\u2019 personal and community mobility: using a comprehensive theoretical mobility framework","volume":"54","author":"MR Umstattd Meyer","year":"2014","journal-title":"Gerontologist"},{"key":"pone.0325064.ref012","article-title":"Common barriers to participation experienced by people with disabilities","author":"Prevention CfDCa","year":"2020","journal-title":"Disability and health disability barriers"},{"key":"pone.0325064.ref013","article-title":"Promoting mobility in older people","author":"T Rantanen","year":"2013","journal-title":"J Prev Med Public Health"},{"key":"pone.0325064.ref014","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"MJ Page","year":"2021","journal-title":"BMJ"},{"key":"pone.0325064.ref015","unstructured":"Wells GA, Shea B, O\u2019Connell D, Peterson J, Welch V, Losos M. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2021."},{"issue":"3","key":"pone.0325064.ref016","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/XEB.0000000000000062","article-title":"Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation","volume":"13","author":"C Lockwood","year":"2015","journal-title":"Int J Evid Based Healthc"},{"key":"pone.0325064.ref017","doi-asserted-by":"crossref","first-page":"100975","DOI":"10.1016\/j.retrec.2020.100975","article-title":"Mobility impact and well-being in later life: A multidisciplinary systematic review","volume":"86","author":"E Pantelaki","year":"2021","journal-title":"Res in Transportation Economics"},{"key":"pone.0325064.ref018","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1479-5868-7-38","article-title":"Physical activity and functional limitations in older adults: a systematic review related to Canada\u2019s Physical Activity Guidelines","volume":"7","author":"DH Paterson","year":"2010","journal-title":"Int J Behav Nutr Phys Act"},{"key":"pone.0325064.ref019","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic analysis: a practical guide","author":"V Braun","year":"2022"},{"issue":"18","key":"pone.0325064.ref020","doi-asserted-by":"crossref","first-page":"11386","DOI":"10.3390\/ijerph191811386","article-title":"Indoor mobility, frailty, and disability in community-dwelling older adults: a mediation model","volume":"19","author":"PR Brustio","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"7","key":"pone.0325064.ref021","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1111\/j.1532-5415.2012.04034.x","article-title":"Fatigability in basic indoor mobility in nonagenarians","volume":"60","author":"M M\u00e4nty","year":"2012","journal-title":"J Am Geriatr 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Bergh","year":"2020","journal-title":"PLoS One"},{"key":"pone.0325064.ref041","author":"Prevention CfDCa","year":"2022"},{"issue":"1","key":"pone.0325064.ref042","doi-asserted-by":"crossref","first-page":"17496","DOI":"10.1038\/s41598-022-22477-6","article-title":"Usefulness of hand grip strength to estimate other physical fitness parameters in older adults","volume":"12","author":"SH Kim","year":"2022","journal-title":"Sci Rep"},{"issue":"1","key":"pone.0325064.ref043","doi-asserted-by":"crossref","first-page":"6512","DOI":"10.1038\/s41598-023-33837-1","article-title":"Exploring the role of human-following robots in supporting the mobility and wellbeing of older people","volume":"13","author":"S Li","year":"2023","journal-title":"Sci Rep"},{"issue":"1","key":"pone.0325064.ref044","doi-asserted-by":"crossref","first-page":"7269","DOI":"10.1038\/s41598-023-32335-8","article-title":"Exercise with a wearable hip-assist robot improved physical function and walking efficiency in older adults","volume":"13","author":"S-H Lee","year":"2023","journal-title":"Sci Rep"},{"issue":"2","key":"pone.0325064.ref045","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s12369-013-0220-0","article-title":"Domestic robots for older adults: attitudes, preferences, and potential","volume":"6","author":"C-A Smarr","year":"2014","journal-title":"Int J Soc Robot"},{"issue":"2","key":"pone.0325064.ref046","article-title":"In-home monitoring technology for aging in place: scoping review","volume":"11","author":"D Kim","year":"2022","journal-title":"Interact J Med Res"},{"key":"pone.0325064.ref047","author":"America SSo","year":"2022"},{"key":"pone.0325064.ref048","author":"Builders NAoH","year":"2022"},{"key":"pone.0325064.ref049","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/CBO9780511665684.003","article-title":"Psychological perspectives on successful aging: The model of selective optimization with compensation.","volume-title":"Successful Aging: Perspectives from the Behavioral Sciences. 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