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Rural Obesity and Weight Control Resources

Selected recent or important resources focusing on Rural Obesity and Weight Control.

The State of Obesity 2018: Better Policies for a Healthier America
Report on obesity related trends and topics. Includes data and statistics for both adults and children and provides examples of successful programs and policies across the country. Addresses obesity and chronic disease trends in both urban and rural areas.
Author(s): Molly Warren, Stacy Beck, Jack Rayburn, Sara K. Lipson, Megan Wolfe
Date: 09/2018
Type: Document
Sponsoring organization: Trust for America's Health
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Assessing Effectiveness and Cost-Benefit of the Trinity Hospital Twin City Fit for Life Program for Weight Loss and Diabetes Prevention in a Rural Midwestern Town
Reports on Fit For Life (FFL), a health education program that works to address the causes of obesity in rural settings and helps program participants lose weight. Highlights discussion on assessing effectiveness, replication, and cost-effectiveness of lifestyle interventions in a rural Appalachian Ohio county. Covers lessons learned and practice implications.
Author(s): Timothy McKnight, Jennifer R. Demuth, Natalie Wilson, Jonathon P. Leider, Alana Knudson
Citation: Preventing Chronic Disease, 15
Date: 08/2018
Type: Document
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Ecological Approaches to Promoting Active Living and Preventing Childhood Obesity
Features the opening keynote presentation by Dr. Jim Sallis at the 2018 Heartland Childhood Obesity Summit - Factors of Health: Addressing the Systems Influencing Childhood Obesity. Covers discussion on ecological models, and evidence of environmental roles influencing active living and obesity in youth. Describes environmental disparities and mentions tool to assess rural communities physical environment features and amenities, town characteristics, and other factors influencing rural residents physical activity.
Author(s): James Sallis
Date: 06/2018
Type: Video/Multimedia
Sponsoring organizations: Children's Mercy Hospital, Health Resources and Services Administration, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services
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Obesity Prevalence Among Adults Living in Metropolitan and Nonmetropolitan Counties — United States, 2016
Reports on obesity prevalence among adults in metropolitan and nonmetro counties based on 2016 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes metro/nonmetro data by age, sex, race/ethnicity, education, income, and employment status. Also provides state-by-state data on obesity prevalence in metro and nonmetro counties.
Author(s): Elizabeth A. Lundeen, Sohyun Park, Liping Pan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(23), 653-658
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Advancing Obesity Solutions Through Investments in the Built Environment: Proceedings of a Workshop
Summarizes a September 2017 workshop focused on the role of the built environment in the prevention and treatment of obesity. Identifies promising strategies to create more healthful and equitable environments. Some discussion specific to rural areas and small communities, including efforts to support physical activity throughout Montana.
Additional links: Read Online
Author(s): Roundtable on Obesity Solutions
Date: 2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Beverage Consumption Patterns among Overweight and Obese African American Women
Examines beverage consumption patterns, including the number of beverages and type, contributing to the overall energy intake and weight status among overweight and obese African American women in the rural South. Includes statistics on beverage consumption by age, education, and rural versus urban residence.
Author(s): Terryl J. Hartman, Regine Haardörfer, Brenda M. Greene, Shruti Parulekar, Michelle C. Kegler
Citation: Nutrients, 9(12), 1344
Date: 12/2017
Type: Document
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Catalyzing Medicaid-Public Health Collaboration to Reduce Childhood Obesity
Explains cross-sector interventions tested by five states - Arizona, Maryland, Oklahoma, Oregon, and Texas - participating in the Center for Health Care Strategies' Innovations in Childhood Obesity Initiative. Each state profile highlights how Medicaid and public health agencies are using innovative approaches to address childhood obesity in their high-risk communities. The Texas initiative focuses on childhood obesity in the rural, low-income population along the U.S./Mexico border.
Author(s): Alexandra Maul, Stephen A. Somers
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Longitudinal Analysis of Nut-Inclusive Diets and Body Mass Index Among Overweight and Obese African American Women Living in Rural Alabama and Mississippi, 2011-2013
Results of a weight loss intervention among 383 overweight women in 8 rural counties, comparing intake of nuts and other obesity-related foods with body mass index (BMI), over a 24-month period. Features statistics including income, education, and rates of consumption of various foods.
Author(s): Samara R. Sterling, Brenda Bertrand, Suzanne Judd, et al.
Citation: Preventing Chronic Disease, 14
Date: 09/2017
Type: Document
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The Differences in Characteristics Among Households With and Without Obese Children: Findings From USDA’s FoodAPS
Examines characteristics of households with at least one obese child and without any obese children. Table 2 compares rural and urban household financial well-being, as it relates to obesity. Table 3 examines the food environment for rural households with and without obese children.
Author(s): Young Jo
Date: 09/2017
Type: Document
Sponsoring organization: USDA Economic Research Service
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Change from the Inside Out: Ohio Wellness Program Inspires Healthy Bodies Through Healthy Minds
Profile of the Trinity Hospital Twin City’s Fit for Life wellness program, which helps participants in rural Ohio lose weight and improve their health. Highlights how funding from the Federal Office of Rural Health Policy has helped this program grow over time.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Estimating the Prevalence of Childhood Obesity in Alaska Using Partial, Nonrandom Measurement Data
Results of a 2013-2014 study of obesity among students in the 8 largest Alaska school districts, 7 of which are in rural areas. Features statistics with breakdowns including district, grade level, sex, and ethnicity.
Author(s): Erik Everson, Myde Boles, Karol Fink, Rebecca Topol, Andrea Fenaughty
Citation: Preventing Chronic Disease, 13
Date: 03/2016
Type: Document
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Using Electronic Health Records to Examine Disease Risk in Small Populations: Obesity Among American Indian Children, Wisconsin, 2007-2012
Examines use of the Public Health Information Exchange (PHINEX) to describe obesity among Wisconsin American Indian children seeking care off-reservation. Also discusses usefulness of electronic health records as an alternative to other data collection methods when studying disease risk in a small population.
Author(s): Emily J. Tomayko, Bethany A. Weinert, Liz Godfrey, Alexandra K. Adams, Lawrence P. Hanrahan
Citation: Preventing Chronic Disease, 13
Date: 02/2016
Type: Document
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Physical Activity-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013
Synthesizes evidence from U.S. and Canadian studies, looking at Common Community Measures for Obesity Prevention (COCOMO) physical activity strategies implemented in rural communities. Identifies strategies relevant to rural communities.
Author(s): M. Renee Umstattd Meyer, Cynthia K. Perry, Jasmin C. Sumrall, et al.
Citation: Preventing Chronic Disease, 13
Date: 01/2016
Type: Document
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Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women
Reports the results of a survey and assessment of overweight African American women in the South about their motivation for weight loss and exercise, specifically exploring connections with ethnicity and rurality. Includes a discussion of racial identity, rural influence, and chronic disease diagnosis.
Author(s): K. Bryant Smalley, Jacob C. Warren, Sydney McClendon, Wilburn Peacock, Marisol Caro
Citation: Clinical Medicine Insights: Women's Health, 9(Suppl 1), 95-101
Date: 2016
Type: Document
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Association Between Student Body Mass Index and Access to Sports Drinks in Minnesota Secondary Schools, 2012-2013
Results of a study showing the correlation between school policies allowing sports drinks and student body mass index. Features statistics such as percentages of schools offering sugar-sweetened beverages or salty snacks, number of overweight and obese students, and percentages of schools in city, suburb, or rural locations.
Author(s): Martha Y. Kubik, Cynthia Davey, Marilyn S. Nanney
Citation: Preventing Chronic Disease, 12
Date: 11/2015
Type: Document
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Obesity and Obesity-Related Behaviors Among Rural and Urban Adults in the USA
Analyzes the rural-urban differences in the prevalence of adult obesity, and the high risk obesity-related behaviors of physical inactivity and poor diet.
Author(s): Tushar Trivedi, Jihong Liu, Janice Probst, et al.
Citation: Rural and Remote Health, 15, 3267
Date: 10/2015
Type: Document
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Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice
Explores the development of efficient, effective, and feasible behavioral health programs and interventions primary care providers can use to promote weight maintenance in overweight and obese rural Hispanic children. Includes demographic and clinical characteristics.
Author(s): Deborah Parra-Medina, Cynthia Mojica, Yuanyuan Liang, et al.
Citation: Childhood Obesity, 11(4), 355-363
Date: 08/2015
Type: Document
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Comparisons of Weight Change, Eating Habits and Physical Activity Between Women in Northern Sweden and Rural New York State - Results from a Longitudinal Study
Reports on a study that compares the change in weight over a 10 year period of women living in Northern Sweden and rural New York State. Identifies and compares the eating habits, the physical activities, and the vulnerability to the negative effects of unhealthy behaviors on both female population groups.
Author(s): Kristina Lindvall, Paul Jenkins, Melissa Scribani, et al.
Citation: Nutrition Journal, 14, 88
Date: 08/2015
Type: Document
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Assessing Child Obesity and Physical Activity in a Hard-to-Reach Population in California’s Central Valley, 2012-2013
Results of a family-centered program to reduce obesity among Latino children in two rural towns by promoting nutrition education and assessing the quantity and quality of children's physical activity levels. Includes data with breakdowns by weight classification, sex, and average length of time spent daily in moderate to vigorous activity.
Author(s): Sara E. Schaefer, Rosa Camacho-Gomez, Banefsheh Sadeghi, et al.
Citation: Preventing Chronic Disease, 12
Date: 07/2015
Type: Document
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Nutrition-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013
Summarizes findings from 29 rural studies of obesity prevention interventions using nutrition-related and environmental strategies. Includes interventions in school, tribal, farmers market, and other settings. Discusses common strategies for adapting and implementing these programs in rural communities.
Author(s): Larissa Calancie, Jennifer Leeman, Stephanie B. Jilcott Pitts, et al.
Citation: Preventing Chronic Disease, 12
Date: 04/2015
Type: Document
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Hawaiian Weight Management Program Aims for Healthy, Happy Lives
Highlights Kūlana Hawaii, a weight management program that helps Native Hawaiians and the medically underserved population on the islands of Oahu and Molokai.
Author(s): Jami Schumacher
Citation: Rural Monitor, 2015(Winter)
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Development of a Nationally Representative Built Environment Measure of Access to Exercise Opportunities
Describes the development of a county-level measure of residents' access to physical exercise opportunities, based on proximity to parks and recreational facilities. This measure is used in County Health Rankings & Roadmaps. Includes a national map showing county-level access to adequate exercise options.
Author(s): Anne M. Roubal, Amanda Jovaag, Hyojun Park, Keith P. Gennuso
Citation: Preventing Chronic Disease, 12
Date: 01/2015
Type: Document
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The Social Determinants of Health of Type 2 Diabetes and Obesity: A Research Framework
Examines the social determinants of health related to childhood obesity and type 2 diabetes from a Native perspective, considering historical trauma, self-determination, and cultural factors. Looks at currently available information, identifies gaps, and provides a research framework to help build a better understanding of the causes of child obesity among Native Americans.
Date: 2015
Type: Document
Sponsoring organization: Notah Begay III Foundation
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Relationship Between Social Support and Body Mass Index Among Overweight and Obese African American Women in the Rural Deep South, 2011–2013
Reports results from a study undertaken in rural communities of the Alabama Black Belt and the Mississippi Delta. Examines encouragement and discouragement provided to overweight and obese African American women by family and friends related to healthy eating and exercise.
Author(s): Erica R. Johnson, Tiffany L. Carson, Olivia Affuso, Claudia M. Hardy, Monica L. Baskin
Citation: Preventing Chronic Disease, 11
Date: 12/2014
Type: Document
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Disparities in Obesity Among Rural and Urban Residents in a Health Disparate Region
Reports on a community-based study to measure and compare the current levels of obesity and associated lifestyle behaviors of physical activity and diets of fruits and vegetables among rural and urban residents in south central Virginia and north central North Carolina.
Author(s): Jennie L Hill, Wen You, Jamie M Zoellner
Citation: BMC Public Health, 2014(14), 1051
Date: 10/2014
Type: Document
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Rural-Urban Disparities in Heart Disease
Policy brief reporting on rural disparities in heart disease and the associated risk factors of obesity and physical inactivity. Includes heart disease-related death rates and information on obesity prevalence by sex, region, and rural/urban status from 2008-2010. Based on data from The 2014 Update of the Rural-Urban Chartbook.
Author(s): Alana Knudson, Michael Meit, Shena Popat
Date: 10/2014
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Rural Childhood Obesity Prevention Toolkit
Provides specific policy options for healthy eating and active living for rural communities to implement to address childhood obesity.
Author(s): Maya Rockeymoore, Craig Moscetti, Andrew Fountain
Date: 10/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Integrating Primary Care Practices and Community-based Resources to Manage Obesity: A Bridge-building Toolkit for Rural Primary Care Practices
Provides resources to help rural primary care practices connect patients to community-based obesity management resources. Outlines a step-by-step process, as well as sample worksheets, surveys, brochures and other materials. Based on the experiences of six rural Oregon primary care practices and developed by the Oregon Rural Practice-based Research Network.
Author(s): Paul McGinnis, Melinda M. Davis, Sonya Howk, Molly DeSordi, Michelle Thomas
Date: 05/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Goal Setting for Health Behavior Change: Evidence from an Obesity Intervention for Rural Low-Income Women
Analyzes whether an obesity intervention, HOPE (Health, Opportunity, Partnerships, Empowerment) Works, targeted to low-income women living in rural North Carolina resulted in goal setting and goal setting strategies that affected health behavior outcomes. Covers differences by racial and ethnic populations and identifies racial difference to help tailor intervention strategies.
Author(s): Amy Ries, Loneke T. Blackman, Rachel A. Page, et al.
Citation: Rural and Remote Health, 14(2), 2682
Date: 05/2014
Type: Document
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Residency and Racial/Ethnic Differences in Weight Status and Lifestyle Behaviors Among US Youth
Discusses a secondary analysis of a study based on the rates of adolescent obesity and obesity-related behaviors of U.S. students in grades 6-10 during the 2005-2006 school year. Details the results of the analysis by age, gender, race, and whether the students were from metro or nonmetro areas, as well as several other factors.
Author(s): Mary Kay Kenney, Jing Wang, Ron Iannotti
Citation: Journal of Rural Health, 30(1), 89-100
Date: 01/2014
Type: Document
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Encouraging Healthy Weight Among Kansas Farmworkers
Describes the development and implementation of a bilingual nutrition education workshop for farmworkers focused on healthy eating and maintaining a healthy weight.
Author(s): Kendra Baldridge, Pat Fernandez
Citation: Migrant Health Newsline
Date: 01/2014
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Childhood Obesity Prevention Strategies for Rural Communities
Addresses childhood obesity in rural communities including common themes and lessons learned, the role of early care, education, and out-of-school time in obesity prevention. Also provides examples of community initiatives and recommendations to policymakers for preventing obesity.
Date: 2014
Type: Document
Sponsoring organization: Nemours Foundation
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Local Wellness Policy 5 Years Later: Is It Making a Difference for Students in Low-Income, Rural Colorado Elementary Schools?
Assesses 45 schools' environmental and policy changes resulting from implementation of a federally mandated program designed to increase physical activity and healthy eating, as a response to the childhood obesity epidemic. Looked at factors including number of minutes of recess per week, minutes of physical education, playground features, total number of fruit and vegetable offerings at meals, presence of a school health team, and familiarity with their district’s policy and related state or federal mandates.
Author(s): Elaine S. Belansky, Nick Cutforth, Lynn Gilbert, et al.
Citation: Preventing Chronic Disease, 10
Date: 11/2013
Type: Document
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Promising Practices to Prevent and Address Obesity in Rural Communities
Provides resources and promising interventions for practitioners in rural communities to address and prevent obesity.
Author(s): Karen Harris Brewer, Heather Langerman
Date: 06/2013
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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The Community-Based Healthy-Lifestyle Intervention for Rural Preschools (CHIRP) Study: Design and Methods
Explores the design and methods for Community-based Healthy-lifestyle Interventions for Rural Preschools (CHIRP), a study in rural Florida. CHIRP assesses the effects of a behavioral family weight management intervention overweight young children and their parents. Table 2 lists the CHIRP study schedule of behavioral family intervention session topics.
Author(s): David M. Janicke, Crystal S. Lim, Anne E. Mathews, et al.
Citation: Contemporary Clinical Trials, 34(2), 187-195
Date: 03/2013
Type: Document
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Health Promotion Programs Continue to Combat Growing Obesity Epidemic
Provides an update on three obesity programs previously featured in the Rural Monitor. Includes programs in West Virginia, South Carolina, and Wisconsin.
Author(s): Candi Helseth
Citation: Rural Monitor, 2013(Winter)
Date: 02/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Individual-, Family-, Community-, and Policy-Level Impact of a School-Based Cardiovascular Risk Detection Screening Program for Children in Underserved, Rural Areas: The CARDIAC Project
Examines the evidence of sustainability and successful impact of Coronary Artery Risk Detection In Appalachian Communities (CARDIAC), a school-based cardiovascular risk detection program, for children who are obese and overweight in underserved, rural Appalachian West Virginia.
Author(s): Lesley Cottrell, Collin John, Emily Murphy, et al.
Citation: Journal of Obesity
Date: 2013
Type: Document
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Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress
Develops an actionable plan for measuring the nation's progress in obesity prevention efforts. Includes information and tools related to evaluating obesity prevention efforts, with the goal that the most promising interventions will be adopted more widely. Includes some discussion of challenges related to rural program evaluation. Appendix E features tools and methods used to evaluate programs and identifies those that were used in a rural setting.
Additional links: Read Online
Date: 2013
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Weight Status of American Indian and White Elementary School Students Living in the Same Rural Environment, Oklahoma, 2005-2009
Compares statistics on American Indian and white students at three schools in Anadarko, Oklahoma, with categories ranging from underweight to very obese. Includes breakdowns by year, weight status, race, sex, and age.
Author(s): Amanda E. Janitz, William E. Moore, Aietah L. Stephens, Kathryn E. Abbott, June E. Eichner
Citation: Preventing Chronic Disease, 9
Date: 03/2012
Type: Document
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Prevalence of Obesity Among Adults From Rural and Urban Areas of the United States: Findings From NHANES (2005–2008)
Examines rural and urban obesity rates using measured height and weight to calculate body mass index, rather than self-reported obesity rates. Also looks at demographics, diet, and physical activity as they relate to obesity for rural and urban residents. Uses data from the National Health and Nutrition Examination Survey (NHANES).
Author(s): Christie A. Befort, Niaman Nazir, Michael G. Perri
Citation: Journal of Rural Health, 28(4), 392-397
Date: 2012
Type: Document
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A Community-Driven Approach to Identifying “Winnable” Policies Using the Centers for Disease Control and Prevention’s Common Community Measures for Obesity Prevention
Describes a community-based participatory research approach used in two rural North Carolina counties to select obesity prevention strategies, based on the Common Community Measures for Obesity Prevention (COCOMO). Discusses how COCOMO might be adapted for use in rural communities.
Author(s): Stephanie B. Jilcott Pitts, Lauren M. Whetstone, Jean R. Wilkerson, Tosha W. Smith, Alice S. Ammerman
Citation: Preventing Chronic Disease, 9
Date: 2012
Type: Document
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Healthy-Lifestyle Behaviors Associated With Overweight and Obesity in US Rural Children
Describes the association between healthy lifestyle behaviors and the prevalence of overweight and obese ethnically and/or racially diverse, rural school-aged children in California, Kentucky, Mississippi, and South Carolina. Examines the following healthy lifestyle behaviors: improving diet quality, obtaining adequate sleep, limiting screen-time viewing, and consulting a physician about a child’s weight.
Author(s): Alison Tovar, Kenneth Chui, Raymond R Hyatt, et al.
Citation: BMC Pediatrics, 12, 102
Date: 2012
Type: Document
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The 2011 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services focused on rural childhood obesity, place-based initiatives for rural early childhood development, and rural implications of accountable care organizations and payment bundling. Includes recommendations to address these issues and provides appendices describing the 2010 site visits.
Date: 03/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Childhood Obesity: An Urban and Rural Comparison
Examines rates of childhood obesity, compared by rural and urban location. Also discusses issues related to physical activity, sedentary behavior, dietary quality, and other associated risk factors.
Additional links: Fact Sheet
Author(s): Jihong Liu, Sonya J. Jones, Han Sun, Janice C. Probst, Philip Cavicchia
Date: 11/2010
Type: Document
Sponsoring organization: Rural and Minority Health Research Center
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Catalogue of Surveillance Systems
Listing of over 100 publicly available datasets relating to childhood obesity and research. Catalogue is searchable by key words and can be filtered by scope, variables, age groups, racial/ethnic groups, design, and cost. Includes datasets with rural specific information.
Type: Website
Sponsoring organization: National Collaborative on Childhood Obesity Research
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Rural Obesity Prevention Toolkit
Contains eight modules that concentrate on different aspects of obesity prevention programs. Also shares best practices from successful obesity prevention programs that have been implemented in clinical, school, and community settings.
Type: Website
Sponsoring organization: Rural Health Information Hub
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PubMed Search: Obesity and Weight Control in Rural Areas
Searches PubMed's collection of journal article citations on the topics of obesity and weight control in rural areas.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Food Environment Atlas
Web-based mapping tool providing access to county-level data on multiple factors affecting access to healthy, affordable food. Includes information on grocery store availability, food assistance, and food insecurity. Covers data on physical activity, diabetes, obesity, and socioeconomic characteristics.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Last Updated: 11/14/2018