Participation of older adults in outdoor daily activities is one of the major challenges in light of the growth of this population worldwide. Older adults are prone to a gradual reduction in participation in daily activities and to changes in their social networking due to personal barriers, mostly affected by medical conditions and physical changes, including sensory deficits in hearing and vision, and cognitive deficits. The built environment plays an important role in enabling physical activity such as walking in older adults. However, it is unknown how emotional and cognitive state of older adults are reflected in their walking patterns in diverse built environments. In this study we show that walking patterns of older adults (60+) are related to emotional and cognitive states and to built environment characteristics. We analyzed 483 walking routes in three cities: Haifa, Holon and Beer-Sheba which have various urban characteristics: hilly, flat spread and flat condensed. Altogether, activity space and walking distances of older adults reporting depression, anxiety and loneliness are shorter and more concentrated in limited areas than those who are not. Differences were significant at p<0.05. Walking distances were reflected by the urban characteristics. Gender differences were found. Our results demonstrate the relation between older adults’ emotional state, gender, and walking patterns in different urban settings. These results bear implications for planning concepts and practices for "Age- Friendly Cities", "successful active aging" and “aging in place” that have been promoted since 2002 by the World Health Organization (WHO).