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That to the city is a fundamental right that emphasises the importance of people’s access to the opportunities of urban life, including essential services and cultural activities. This contribution argues that mobility of proximity and walkability are essential components of spatial justice, with particular attention to enhancing elderly people’s quality of life. Different strategies to develop more walkable urban environments will be identified through the construction of design scenarios. Facing the challenges that elderly people encounter in walking throughout the city is crucial when urban infrastructural elements are taken into consideration, while solutions acting at a softer level (social and participatory activities), to be effective, should promote walkability for all members of society, regardless of their age or other specific conditions.

Detection of sarcopenia in primary care is a first and essential step in community-dwelling older adults before implementing preventive interventions against the onset of disabling conditions. In fact, leaving this condition undiagnosed and untreated can impact on the individual’s quality of life and function, as well as on healthcare costs. This article summarizes the many instruments today available for promoting an earlier and prompter detection of sarcopenia in primary care, combining insights about its clinical management. Primary care physicians may indeed play a crucial role in the identification of individuals exposed to the risk of sarcopenia or already presenting this condition. To confirm the suspected diagnosis, several possible techniques may be advocated, but it is important that strategies are specifically calibrated to the needs, priorities and resources of the setting where the evaluation is conducted. To tackle sarcopenia, nutritional counselling and physical activity programs are today the two main interventions to be proposed. Multicomponent and personalized exercise programs can (and should) be prescribed by primary care physicians, taking advantage of validated programs ad hoc designed for this purpose (e.g., the Vivifrail protocol). It is possible that, in the next future, new pharmacological treatments may become available for tackling the skeletal muscle decline. These will probably find application in those individuals non-responding to lifestyle interventions.

L’accessibilità ai servizi su scala regionale rappresenta il quadro di riferimento del saggio. In particolare, mediante l’uso di dati di survey, viene analizzata la morfologia del bacino potenziale degli studenti dell’ Università di Milano-Bicocca ed i mezzi di trasporto utilizzati, e viene sviluppata un’analisi del comportamento di viaggio in relazione alla distribuzione territoriale delle residenze degli studenti.

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