Research Article Determinants of Walking among Middle-Aged and Older Overweight and Obese Adults: Sociodemographic, Health, and Built Environmental Factors Samuel N. Forjuoh, 1,2 Marcia G. Ory, 2 Jaewoong Won, 3 Samuel D. Towne Jr., 2 Suojin Wang, 4 and Chanam Lee 3 1 Department of Family & Community Medicine, Baylor Scott & White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX, USA 2 Department of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX, USA 3 Department of Landscape Architecture & Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA 4 Department of Statistics, College of Science, Texas A&M University, College Station, TX, USA Correspondence should be addressed to Samuel N. Forjuoh; samuel.forjuoh@bswhealth.org Received 15 March 2017; Accepted 31 May 2017; Published 4 July 2017 Academic Editor: Eliot Brinton Copyright © 2017 Samuel N. Forjuoh et al. Tis 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. Background. Tis 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 Score6). Multivariate logistic regression identifed 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 ( = 57, 22.5%) was signifcantly associated with having at least a college degree (OR = 5.55, 95% CI = 1.79–17.25), having no difculty 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. 1. Introduction Te global public health burden of obesity is well established as is the infuence of physical activity on the health and well- being of individuals who are overweight or obese [1, 2]. In the United States, obesity is a major public health problem for all ages, but particularly for middle-aged and older adults who do not seem to engage in adequate physical activity. Tis is a timely issue given projections that those aged 65 years or older are expected to nearly double between 2012 and 2050 [3]. In fact, obesity is higher among middle-aged and older adults than among their younger counterparts [4]. Approximately two-thirds of the adult population in the United States is overweight and nearly one-third is obese [4, 5], yet most do not get adequate physical activity [6]. Te federal 2008 Physical Activity Guidelines for Amer- icans recommend adults to avoid inactivity and have at least 150 minutes of moderate-intensive aerobic activity weekly and muscle-strengthening activities on two or more days every week. For older adults who cannot do 150 minutes Hindawi Journal of Obesity Volume 2017, Article ID 9565430, 11 pages https://doi.org/10.1155/2017/9565430