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Journal of Obesity
Volume 2017, Article ID 9565430, 11 pages
https://doi.org/10.1155/2017/9565430
Research Article

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

1Department of Family & Community Medicine, Baylor Scott & White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX, USA
2Department of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX, USA
3Department of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
4Department of Statistics, College of Science, Texas A&M University, College Station, TX, USA

Correspondence should be addressed to Samuel N. Forjuoh; gro.htlaehwsb@houjrof.leumas

Received 15 March 2017; Accepted 31 May 2017; Published 4 July 2017

Academic Editor: Eliot Brinton

Copyright © 2017 Samuel N. Forjuoh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 (, 22.5%) was significantly associated with having at least a college degree (, 95% CI = 1.79–17.25), having no difficulty walking a quarter of a mile (, 95% CI = 1.30–20.83), and being unemployed (, 95% CI = 1.18–8.93) as well as perceived presence of sidewalks/protected walkways (, 95% CI = 1.10–11.50) and perceived absence of distracted drivers in the neighborhood (, 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.