Forjuoh Samuel N, Ory Marcia G, Won Jaewoong, Towne Samuel D, Wang Suojin, Lee Chanam
Department of Family & Community Medicine, Baylor Scott & White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX, USA.
Department of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX, USA.
J Obes. 2017;2017:9565430. doi: 10.1155/2017/9565430. Epub 2017 Jul 4.
This study examined the association between selected sociodemographic, health, and built environmental factors and walking behaviors of middle-aged and older overweight/obese adults.
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.
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 ( = 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).
Addressing neighborhood conditions related to distracted drivers and pedestrian infrastructure may promote walking among middle-aged and older overweight/obese individuals.
本研究调查了选定的社会人口学、健康和建成环境因素与中老年超重/肥胖成年人步行行为之间的关联。
2013年10月至2014年6月期间，从居住在得克萨斯州四个城市、年龄≥50岁的社区超重/肥胖成年人所接受的调查中获取主观数据，同时获取邻里步行适宜性的客观数据（步行评分™）。多因素逻辑回归分析确定了预测出于任何目的每周步行达到建议的≥150分钟几率的因素。
253名参与者中，大多数是非西班牙裔白人（81.8%）、已婚（74.5%）、男性（53.4%），年收入≥50,000美元（65.5%）。约一半人就业（49.6%）或至少拥有大学学位（51.6%）。出于任何目的每周步行达到建议的≥150分钟（n = 57，22.5%）与至少拥有大学学位（比值比[OR]=5.55，95%置信区间[CI]=1.79 - 17.25）、行走四分之一英里无障碍（OR = 5.18，95% CI = 1.30 - 20.83）、失业（OR = 3.25，95% CI = 1.18 - 8.93）以及感觉社区存在人行道/受保护的人行道（OR = 3.56，95% CI = 1.10 - 11.50）和感觉社区没有注意力分散的司机（OR = 4.08，95% CI = 1.47 - 11.36）显著相关。
解决与注意力分散的司机和行人基础设施相关的社区状况可能会促进中老年超重/肥胖个体的步行。
