TY - JOUR
T1 - Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults
T2 - Sociodemographic, Health, and Built Environmental Factors
AU - Forjuoh, Samuel N.
AU - Ory, Marcia G.
AU - Won, Jaewoong
AU - Towne, Samuel D.
AU - Wang, Suojin
AU - Lee, Chanam
N1 - Publisher Copyright:
© 2017 Samuel N. Forjuoh et al.
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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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U2 - 10.1155/2017/9565430
DO - 10.1155/2017/9565430
M3 - Article
C2 - 28744375
AN - SCOPUS:85024498461
VL - 2017
JO - Journal of Obesity
JF - Journal of Obesity
SN - 2090-0708
M1 - 9565430
ER -