Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors

Background. This study examined the association between selected sociodemographic, health, and built environmental factors and walking behaviors of middle-aged and older overweight/obese adults. Methods. Subjective data were obtained from surveys administered to community-dwelling overweight/obese a...

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Main Authors: Samuel N. Forjuoh, Marcia G. Ory, Jaewoong Won, Samuel D. Towne, Suojin Wang, Chanam Lee
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2017/9565430
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author Samuel N. Forjuoh
Marcia G. Ory
Jaewoong Won
Samuel D. Towne
Suojin Wang
Chanam Lee
author_facet Samuel N. Forjuoh
Marcia G. Ory
Jaewoong Won
Samuel D. Towne
Suojin Wang
Chanam Lee
author_sort Samuel N. Forjuoh
collection DOAJ
description Background. This study examined the association between selected sociodemographic, health, and built environmental factors and walking behaviors of middle-aged and older overweight/obese adults. Methods. Subjective data were obtained from surveys administered to community-dwelling overweight/obese adults aged ≥50 years residing in four Texas cities from October 2013 to June 2014, along with objective data on neighborhood walkability (Walk Score™). Multivariate logistic regression identified factors predicting the odds of walking the recommended ≥150 minutes per week for any purpose. Results. Of 253 participants, the majority were non-Hispanic white (81.8%), married (74.5%), and male (53.4%) and reported an annual income of ≥$50,000 (65.5%). Approximately, half were employed (49.6%) or had at least a college degree (51.6%). Walking the recommended ≥150 minutes per week for any purpose (n=57, 22.5%) was significantly associated with having at least a college degree (OR=5.55, 95% CI = 1.79–17.25), having no difficulty walking a quarter of a mile (OR=5.18, 95% CI = 1.30–20.83), and being unemployed (OR=3.25, 95% CI = 1.18–8.93) as well as perceived presence of sidewalks/protected walkways (OR=3.56, 95% CI = 1.10–11.50) and perceived absence of distracted drivers in the neighborhood (OR=4.08, 95% CI = 1.47–11.36). Conclusion. Addressing neighborhood conditions related to distracted drivers and pedestrian infrastructure may promote walking among middle-aged and older overweight/obese individuals.
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spelling doaj-art-62440f61a5984755864b0edf567998b22025-02-03T01:21:39ZengWileyJournal of Obesity2090-07082090-07162017-01-01201710.1155/2017/95654309565430Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental FactorsSamuel N. Forjuoh0Marcia G. Ory1Jaewoong Won2Samuel D. Towne3Suojin Wang4Chanam Lee5Department of Family & Community Medicine, Baylor Scott & White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX, USADepartment of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX, USADepartment of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USADepartment of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX, USADepartment of Statistics, College of Science, Texas A&M University, College Station, TX, USADepartment of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USABackground. This study examined the association between selected sociodemographic, health, and built environmental factors and walking behaviors of middle-aged and older overweight/obese adults. Methods. Subjective data were obtained from surveys administered to community-dwelling overweight/obese adults aged ≥50 years residing in four Texas cities from October 2013 to June 2014, along with objective data on neighborhood walkability (Walk Score™). Multivariate logistic regression identified factors predicting the odds of walking the recommended ≥150 minutes per week for any purpose. Results. Of 253 participants, the majority were non-Hispanic white (81.8%), married (74.5%), and male (53.4%) and reported an annual income of ≥$50,000 (65.5%). Approximately, half were employed (49.6%) or had at least a college degree (51.6%). Walking the recommended ≥150 minutes per week for any purpose (n=57, 22.5%) was significantly associated with having at least a college degree (OR=5.55, 95% CI = 1.79–17.25), having no difficulty walking a quarter of a mile (OR=5.18, 95% CI = 1.30–20.83), and being unemployed (OR=3.25, 95% CI = 1.18–8.93) as well as perceived presence of sidewalks/protected walkways (OR=3.56, 95% CI = 1.10–11.50) and perceived absence of distracted drivers in the neighborhood (OR=4.08, 95% CI = 1.47–11.36). Conclusion. Addressing neighborhood conditions related to distracted drivers and pedestrian infrastructure may promote walking among middle-aged and older overweight/obese individuals.http://dx.doi.org/10.1155/2017/9565430
spellingShingle Samuel N. Forjuoh
Marcia G. Ory
Jaewoong Won
Samuel D. Towne
Suojin Wang
Chanam Lee
Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
Journal of Obesity
title Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
title_full Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
title_fullStr Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
title_full_unstemmed Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
title_short Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors
title_sort determinants of walking among middle aged and older overweight and obese adults sociodemographic health and built environmental factors
url http://dx.doi.org/10.1155/2017/9565430
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