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

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.