Abstract
Background. Regular walking is critical to maintaining health in older age. We examined influences of individual and community factors on walking habits in older adults. Methods. We analyzed walking habits among participants of a prospective cohort study of 745 community-dwelling men and women, mainly aged 70 years or older. We estimated community variations in utilitarian and recreational walking, and examined whether the variations were attributable to community differences in individual and environmental factors. Results. Prevalence of recreational walking was relatively uniform while prevalence of utilitarian walking varied across the 16 communities in the study area. Both types of walking were associated with individual health and physical abilities. However, utilitarian walking was also strongly associated with several measures of neighborhood socioeconomic status and access to amenities while recreational walking was not. Conclusions. Utilitarian walking is strongly influenced by neighborhood environment, but intrinsic factors may be more important for recreational walking. Communities with the highest overall walking prevalence were those with the most utilitarian walkers. Public health promotion of regular walking should take this into account.
Highlights
The benefits of regular physical activity for older adults, including reduced risk of chronic diseases and disabilities, are well known [1,2,3,4,5,6]
Associations with the specific behaviors of recreational and utilitarian walking were less robust but were similar to each other, especially for traits related to physical impairments such as slow walking speed (
The difference between utilitarian walking and recreational walking with respect to these destination distances was significant in every case
Summary
The benefits of regular physical activity for older adults, including reduced risk of chronic diseases and disabilities, are well known [1,2,3,4,5,6]. Walking is the most common type of moderate-intensity physical activity among older adults [9,10,11]. It is inexpensive and achievable by people of a wide range of physical abilities. We examined influences of individual and community factors on walking habits in older adults. Prevalence of recreational walking was relatively uniform while prevalence of utilitarian walking varied across the 16 communities in the study area. Both types of walking were associated with individual health and physical abilities. Public health promotion of regular walking should take this into account
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