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Rural Health Information Hub

Rural Health
Resources by Topic: Obesity and weight control

Urban-Rural Disparities in Childhood Obesogenic Environments in the United States: Application of Differing Rural Definitions
Analyzes rural versus urban differences in food and physical activity (PA) environments that contribute to childhood obesogenic environment index (COEI) scores. Utilizes multiple data sources to examine 6 food environment variables and 4 PA variables by rural-urban continuum codes, among other rural definitions. Discusses differences in COEI scores and implications for public health practices.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Christiaan Abildso, Kara Davis, Andrew T. Kaczynski
Citation: Journal of Rural Health, 39(1), 121-135
Date: 2023
Type: Document
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Changes in Physical Activity Outcomes in the Strong Hearts, Healthy Communities (SHHC-2.0) Community-Based Randomized Trial
Examines the Strong Hearts, Healthy Communities 2.0 (SHHC-2.0) intervention focused on exercise, nutrition, and civic engagement. Analyzes behavior changes of 182 women aged 40 and older living in rural New York and provides discussion about implementing wellness interventions in rural areas.
Author(s): Jay E. Maddock, Margaret Demment, Meredith Graham, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 19,159
Date: 12/2022
Type: Document
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Comparing Enhancements to Well-Child Visits in the Prevention of Obesity: Encircle Cluster-Randomized Controlled Trial
Analyzes care delivery models aimed at preventing obesity in disadvantaged preschool children living in rural Pennsylvania. Reports on 2,025 parents and their preschool-aged children recruited in the ENCIRCLE (patiEnt-cliNic-Community Integration to prevent obesity in Rural preschool ChiLdrEn) trial, which tests the effectiveness of enhanced well-child visits (WCVs) that include obesity prevention tools.
Author(s): Lisa Bailey-Davis, Amy M. Moore, Melissa N. Poulsen, et al.
Citation: BMC Public Health, 22, 2429
Date: 12/2022
Type: Document
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Multilevel Correlates of Domain-Specific Physical Activity Among Rural Adults – a Cross-Sectional Study
Examines the domains in which rural residents are able to participate in physical activity (PA), such as for transportation-related (e.g. walking, cycling) recreational, or occupational. Analyzes 1,241 participants enrolled in a PA intervention in the rural Midwest from August 2019 to September 2020, with data broken down by individual/demographic factors and perceived environmental factors.
Author(s): Alan M. Beck, Natalicio H. Serrano, Audrey Toler, Ross C. Brownson
Citation: BMC Public Health, 22, 2150
Date: 11/2022
Type: Document
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Active vs Traditional Methods of Recruiting Children for a Clinical Trial in Rural Primary Care Clinics: A Cluster-Randomized Clinical Trial
Discusses the effectiveness of active recruitment versus traditional recruitment for enrolling rural youth with overweight or obesity in a group behavioral telehealth intervention. Compares the use of direct engagement with pediatric patients at a clinic against the posting of flyers at a clinic and utilizing social media and press releases, with recruiting beginning in February 2020.
Author(s): Paul M. Darden II, Ann M. Davis, Jeannette Y. Lee, et al.
Citation: JAMA Network Open, 5(11), e2244040
Date: 11/2022
Type: Document
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Improvements and Maintenance of Clinical and Functional Measures Among Rural Women: Strong Hearts, Healthy Communities-2.0 Cluster Randomized Trial
Analyzes the impact of the Strong Hearts, Healthy Communities-2.0 (SHHC-2.0) program for weight loss and improved fitness in rural women. Examines 182 midlife and older women in rural, medically underserved communities in New York. Includes demographic information of participants as well corresponding clinical and functional measures after completing the program.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Chad D. Rethorst, et al.
Citation: Circulation: Cardiovascular Quality and Outcomes, 15(11), e009333
Date: 11/2022
Type: Document
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Obesity in Rural America, with Jennifer Conner and Jason Lofton
An episode of the Exploring Rural Health podcast featuring Dr. Jennifer Conner, an associate professor with the Delta Population Health Institute at the NYIT College of Osteopathic Medicine at Arkansas State University, and Dr. Jason Lofton, a family physician at the Lofton Family Clinic in De Queen, Arkansas. Focuses on rural obesity and how rural patients can live their healthiest lives.
Date: 11/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Promoting Health and Behavior Change through Evidence-Based Landscape Interventions in Rural Communities: A Pilot Protocol
Highlights a study on the efficacy of a rural wellness hub model designed to support physical activity in rural areas. Details the design, implementation, and outcomes of the pilot program in Clay County, West Virginia. Breaks down data by demographic information, such as age, gender, and ethnicity, and by physical activity engaged in.
Author(s): Shan Jiang, Udday Datta, Christine Jones
Citation: International Journal of Environmental Research and Public Health, 19(19), 12833
Date: 10/2022
Type: Document
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Evaluation of a Civic Engagement Approach to Catalyze Built Environment Change and Promote Healthy Eating and Physical Activity among Rural Residents: A Cluster (Community) Randomized Controlled Trial
Provides an overview of a study that will analyze the Change Club (CC) intervention that focuses on built environment and health behaviors in rural communities. The CC intervention utilizes the civic engagement interventions for built environment change (CEBEC) approach to promote nutrition and physical activity. Discusses research plan for recruiting participants, conducting interventions, assessing and evaluating the program, and disseminating data and results.
Author(s): Rebecca A. Seguin-Fowler, Karla L. Hanson, Deyaun Villarreal, et al.
Citation: BMC Public Health, 22, 1674
Date: 09/2022
Type: Document
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Informing the White House Conference: Ambitious, Actionable Recommendations to End Hunger, Advance Nutrition, and Improve Health in the United States
Provides food security and nutrition policy recommendations on issues such as federal nutrition programs, public health and nutrition education, healthcare, research and science, business and innovation, and federal coordination. Includes data on health disparities as they relate to food access. Rural considerations throughout the report.
Additional links: Executive Summary
Author(s): Task Force on Hunger, Nutrition, and Health
Date: 08/2022
Type: Document
Sponsoring organizations: Food Systems for the Future, The Chicago Council on Global Affairs, Tufts University: Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, World Central Kitchen
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