Skip to main content

Advertisement

Log in

Neighborhood Walking Among Overweight and Obese Adults: Age Variations in Barriers and Motivators

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

Walking is a popular form of physical activity that can bring many public health benefits. It can be even more beneficial to those who are currently obese or overweight. However, many barriers discourage people from walking, ranging from lack of motivation to unsafe neighborhood environments, and such barriers vary with age. This study addresses barriers and motivators to walking among overweight and obese adults, and examines their age variations. Particular emphasis was given to modifiable environmental factors as the priority intervention targets. A survey of 161 overweight and obese adults recruited from a large integrated healthcare system in central Texas provided data on walking, demographics, motivators and barriers. Descriptive statistics and correlation analysis were conducted. The respondents had a mean age of 48.4 (20–86), and were predominantly female (80.8 %), non-Hispanic White (86.0 %), and obese (mean BMI = 32.5). Popular environmental barriers to walking were: bad weather, inadequate lighting, no shade, unattended dogs, disconnected sidewalks, poor walking surfaces, no interesting places to walk nearby, and no benches (74.5–38.5 %). Even and smooth walking surfaces and benches were more frequently reported by older adults as motivators. Proximity to recreational facilities was a stronger motivator for younger adults. Two safety related barriers, fear of injury (older adults) and traffic safety concerns (younger adults), also showed significant age differences. Overweight and obese adults experience substantial environmental barriers to walking, but many of them are modifiable. Observed age variations suggest that future interventions may be more effective if tailored to address age-specific barriers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Wang, Y., Beydoun, M. A., Liang, L., Caballero, B., & Kumanyika, S. K. (2008). Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity, 16(10), 2323–2330.

    Article  PubMed  Google Scholar 

  2. Lawrence, R. H., & Jette, A. M. (1996). Disentangling the disablement process. Journal of Gerontology Series B-Psycholgy Sciences Social Sciences, 51(4), S173–S182.

    Article  CAS  Google Scholar 

  3. Roberts, B. L., & Adler, P. A. (2005). Chapter 4: Exercise and the Generations. In M. L. Wykle, P. J. Whitehouse, & D. L. Morris (Eds.), Successful aging through the life span: Intergenerational issues in health (pp. 71–86). New York, NY: Springer Publishing Company, Inc.

    Google Scholar 

  4. Schneidert, M., Hurst, R., Miller, J., & Ustun, B. (2003). The role of environment in the international classification of functioning, disability and health (ICF). Disability and Rehabilitation, 25(11–2), 588–595. doi:10.1080/0963828031000137090.

    PubMed  Google Scholar 

  5. Taylor, A. H., Cable, N. T., Faulkner, G., Hillsdon, M., Narici, M., & Van der Bij, A. K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. Journal of Sports Sciences, 22(8), 703–725. doi:10.1080/02640410410001712421.

    Article  PubMed  CAS  Google Scholar 

  6. U.S. Department of Health and Human Services. (2000). Healthy people 2010: Understanding and improving health.

  7. Bell, A. C., Ge, K., & Popkin, B. M. (2001). Weight gain and its predictors in Chinese adults. International Journal of Obesity, 25(7), 1079–1086. doi:10.1038/sj.ijo.0801651.

    Article  PubMed  CAS  Google Scholar 

  8. Sherwood, N. E., Jeffery, R. W., French, S. A., Hannan, P. J., & Murray, D. M. (2000). Predictors of weight gain in the pound of prevention study. International Journal of Obesity, 24(4), 395–403. doi:10.1038/sj.ijo.0801169.

    Article  PubMed  CAS  Google Scholar 

  9. Centers for Disease Control and Prevention. U.S. physical activity statistics. 2002 & 2004. http://www.cdc.gov/.

  10. Saelens, B. E., Sallis, J. F., Black, J. B., & Chen, D. (2003). Neighborhood-based differences in physical activity: An environment scale evaluation. American Journal of Public Health, 93(9), 1552–1558. doi:10.2105/ajph.93.9.1552.

    Article  PubMed  Google Scholar 

  11. Saelens, B. E., & Handy, S. L. (2008). Built environment correlates of walking: A review. Medicine and Science in Sports and Exercise, 40(7), 500–566.

    Google Scholar 

  12. Owen, N., Humpel, N., Leslie, E., Bauman, A., & Sallis, J. F. (2004). Understanding environmental influences on walking: Review and research agenda. American Journal of Preventive Medicine, 27(1), 67–76. doi:10.1016/j.amepre.2004.03.006.

    Article  PubMed  Google Scholar 

  13. Wendel-Vos, W., Droomers, M., Kremers, S., Brug, J., & van Lenthe, F. (2007). Potential environmental determinants of physical activity in adults: a systematic review. Obesity Reviews, 8(5), 425–440. doi:10.1111/j.1467-789X.2007.00370.x.

    Article  PubMed  CAS  Google Scholar 

  14. Booth, M. L., Bauman, A., & Owen, N. (2002). Perceived barriers to physical activity among older Australians. Journal of Aging and Physical Activity, 10(3), 271–280.

    Google Scholar 

  15. Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39(5), 1056–1061. doi:10.1016/j.ypmed.2004.04.003.

    Article  PubMed  Google Scholar 

  16. Taylor, V., Liu, Q., Yasui, Y. et al. (2011). Physical activity among Cambodian Americans: An exploratory study. Journal of Community Health, 1–9. doi:10.1007/s10900-011-9528-6.

  17. Cochrane, T., Davey, R. C., Gidlow, C., et al. (2009). Small area and individual level predictors of physical activity in urban communities: A multi-level study in stoke on Trent, England. International Journal of Environment and Research Public Health, 6(2), 654–677. doi:10.3390/ijerph6020654.

    Article  Google Scholar 

  18. Ewing, R., Schmid, T., Killingsworth, R., Zlot, A., & Raudenbush, S. (2003). Relationship between urban sprawl and physical activity, obesity, and morbidity. American Journal of Health Promotion, 18(1), 47–57.

    Article  PubMed  Google Scholar 

  19. Berke, E. M., Koepsell, T. D., Moudon, A. V., Hoskins, R. E., & Larson, E. B. (2007). Association of the built environment with physical activity and obesity in older persons. American Journal of Public Health, 97(3), 486–492. doi:10.2105/ajph.2006.085837.

    Article  PubMed  Google Scholar 

  20. Glass, T. A., Rasmussen, M. D., & Schwartz, B. S. (2006). Neighborhoods and obesity in older adults: The Baltimore memory study. American Journal of Preventive Medicine, 31(6), 455–463. doi:10.1016/j.amepre.2006.07.028.

    Article  PubMed  Google Scholar 

  21. Kaczynski, A. T., Potwarka, L. R., Smale, B. J. A., & Havitz, M. E. (2009). Association of parkland proximity with neighborhood and park-based physical activity: Variations by gender and age. Leisure Sciences, 31(2), 174–191. doi:10.1080/01490400802686045.

    Article  Google Scholar 

  22. Humpel, N., Owen, N., Iverson, D., Leslie, E., & Bauman, A. (2004). Perceived environment attributes, residential location, and walking for particular purposes. American Journal of Preventive Medicine, 26(2), 119–125. doi:10.1016/j.amepre.2003.10.005.

    Article  PubMed  Google Scholar 

  23. Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer & M. P. Lawton (Eds.), The psychology of adult development and aging (pp. 619–674). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  24. Chad, K. E., Reeder, B. A., Harrison, E. L., et al. (2005). Profile of physical activity levels in community-dwelling older adults. Medicine and Science in Sports and Exercise, 37(10), 1774–1784. doi:10.1249/01.mss.0000181303.51937.9c.

    Article  PubMed  Google Scholar 

  25. Dawson, J., Hillsdon, M., Boller, I., & Foster, C. (2007). Perceived barriers to walking in the neighborhood environment: A survey of middle-aged and older adults. Journal of Aging Physical Activity, 15(3), 318–335.

    Google Scholar 

  26. U.S. Census Bureau. (2004). Projected population of the United States, by Age, sex, race and hispanic origins: 2000–2050.http://www.census.gov/.

  27. Center for Community Health Development. (2010). Brazos Vally health assessment executive report. College Station, TX: School of Rural Public Health.

  28. Moudon, A. V., Lee, C., Cheadle, A. O., et al. (2006). Operational definitions of walkable neighborhood: Theoretical and empirical insights. Journal of Physical Activity and Health, 3, 77–98.

    Google Scholar 

  29. Centers for Disease Control and Prevention. (2008). U.S. behavioral risk factor surveillance system. http://www.cdc.gov/.

  30. Sallis, J. E., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health. Palo Alto: Annual Reviews, 27, 297–322.

  31. Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. American Psychologist, 47(1), 6–22. doi:10.1037/0003-066x.47.1.6.

    Article  PubMed  CAS  Google Scholar 

  32. World Health Organization. (2000). Definition of an older or elderly person: proposed working definition of an older person in Africa for the MDS Project. http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html. Accessed June 14 2012.

  33. Sheppard, L., Senior, J., Park, C. H., Mockenhaupt, R., & Chodzko-Zajko, W. (2003). Strategic priorities for increasing physical activity among adults age 50 and older: The national blueprint consensus conference summary report. Journal of Aging Physical Activity, 11(3), 286–292.

    Google Scholar 

  34. Binette, J. (2010). Wyoming health information survey of residents age 50 and older. American Association of Retired Persons, Washington, DC. http://assets.aarp.org. Accessed June 14 2012.

  35. Guengerich, T. (2010). Getting from here to there in Dallas county, TX: A transportation survey of AARP members. American Association of Retired Persons, Washington, DC. http://assets.aarp.org. Accessed June 14 2012.

  36. The Robert Wood Johnson Foundation. (2001). National blueprint: Increasing physical activity among adults age 50 and older. The Robert Wood Johnson Foundation, Princeton, New Jersey. http://www.rwjf.org. Accessed June 14 2012.

  37. Handy, S., Cao, X. Y., & Mokhtarian, P. L. (2006). Self-selection in the relationship between the built environment and walking: Empirical evidence from northern California. Journal of the American Planning Association, 72(1), 55–74. doi:10.1080/01944360608976724.

    Article  Google Scholar 

  38. Lee, C., & Moudon, A. V. (2006). Correlates of walking for transportation or recreation purposes. Journal of Physical Activity and Health, 3(1), 99–117.

    Google Scholar 

  39. Parks, S. E., Housemann, R. A., & Brownson, R. C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. J Epidemiol Community Health, 57(1), 29–35. doi:10.1136/jech.57.1.29.

    Article  PubMed  CAS  Google Scholar 

  40. Lynott, J., Haase, J., Nelson, K., et al. (2009). Planning complete streets for an aging America. Washington D.C.: AARP Public Policy Institute.

    Google Scholar 

  41. Rantakokko, M., Manty, M., Iwarsson, S., et al. (2009). Fear of moving outdoors and development of outdoor walking difficulty in older people. Journal of American Geriatrics Society, 57(4), 634–640. doi:10.1111/j.1532-5415.2009.02180.x.

    Article  Google Scholar 

  42. Sugiyama, T., Leslie, E., Giles-Corti, B., & Owen, N. (2009). Physical activity for recreation or exercise on neighbourhood streets: Associations with perceived environmental attributes. Health Place, 15(4), 1058–1063. doi:10.1016/j.healthplace.2009.05.001.

    Article  PubMed  Google Scholar 

  43. Burton, E., & Mitchell, L. (2006). Inclusive urban design: Streets for life. Burlington, MA: Architectural Press Oxford.

    Google Scholar 

  44. Lavery, I., Davey, S., Woodside, A., & Ewart, K. (1996). The vital role of street design and management in reducing barriers to older peoples’ mobility. Landscape and Urban Planning, 35(2–3), 181–192. doi:10.1016/0169-2046(96)00309-x.

    Article  Google Scholar 

  45. Complete Street Coalition. (2011). Complete Street Coalition website. http://www.completestreets.org. Accessed July 1 2011.

  46. 8–80 Cities. (2011). 8–80 Cities: Walking cycling public places for all website. http://www.8-80cities.org. Accessed July 1 2011.

  47. US Department of Justice. (2008). The Americans with Disabilities Act of 1990. Washington, DC. http://www.ada.gov/pubs/ada.htm. Accessed June 14 2012.

  48. National Highway Traffic Safety Administration. (2009). Traffic Safety Facts. 2009. Washington, DC: U.S. Department of Transportation.

  49. Leaf, W. A., Preusser, D. F. (1999). Literature review on vehicle travel speeds and pedestrian injuries: US Department of Transportation, National Highway Traffic Safety Administration.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chanam Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, C., Ory, M.G., Yoon, J. et al. Neighborhood Walking Among Overweight and Obese Adults: Age Variations in Barriers and Motivators. J Community Health 38, 12–22 (2013). https://doi.org/10.1007/s10900-012-9592-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-012-9592-6

Keywords

Navigation