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Rural Obesity and Weight Control – Resources

Selected recent or important resources focusing on Rural 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
Date: 05/2022
Type: Document
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Weight Outcomes of NU-HOME: A Randomized Controlled Trial to Prevent Obesity among Rural Children
Reports on impacts of the NU-HOME collaborative for prevention of childhood obesity in rural children, based on data from 114 parent-child pairs in Minnesota. Explores demographic characteristics, food insecurity, and quality of meals of the participants, among other data points. Discusses the effect of family-level interventions on overweight/obesity status, body mass index (BMI), and percent body fat.
Author(s): Jayne A. Fulkerson, Melissa Horning, Daheia J. Barr-Anderson, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 19, 29
Date: 03/2022
Type: Document
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Quantifying the Food and Physical Activity Environments in Rural, High Obesity Communities
Results of a study to assess the nutrition and physical activity environments in rural South Dakota communities with high rates of obesity, to understand whether there are common strengths and challenges that emerge across communities. Features a comparison of availability of various healthful food options between grocery and convenience stores and pricing for healthful vs. regular food options in grocery stores and convenience stores.
Author(s): Lacey A. McCormack, Jessica R. Meendering, Linda Burdette, et al.
Citation: International Journal of Environmental Research and Public Health, 18(24), 13344
Date: 12/2021
Type: Document
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Family-Focused Obesity Prevention Program Implementation in Urban Versus Rural Communities: A Case Study
Compares a rural childhood obesity prevention and reduction program with a similar urban program in Minnesota. Identifies logistical challenges encountered when adapting the urban program to a rural setting and discusses strategies to successfully translate obesity programs from urban to rural settings.
Author(s): Colleen Flattum, Sarah Friend, Melissa Horning, et al.
Citation: BMC Public Health, 21(1915)
Date: 10/2021
Type: Document
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Packaging of a Pediatric Weight Management Intervention and Implementation Blueprint for Rural and Micropolitan Communities: The Nebraska CORD 3.0 Project
Presents an outcomes-centered approach to pediatric weight management interventions (PWMIs) to translate urban PWMIs to micropolitan and rural communities. Includes charts, graphs, and screenshots that highlight interventions, adaptations, and resources that feature the outcomes-centered approach.
Author(s): Kate A. Heelan, Bryce M. Abbey, Roderick T. Bartee, et al.
Citation: Childhood Obesity, 17(1)
Date: 09/2021
Type: Document
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The State of Obesity 2021: Better Policies for a Healthier America
Presents the latest data available on adult and childhood obesity rates, with breakdowns by state and select demographic characteristics. Examines key current and emerging policies, includes funding opportunities, and outlines recommended policy actions. Includes a special feature highlighting the interaction of the COVID-19 pandemic with social, economic, and environmental conditions that have changed eating habits, food insecurity rates, physical-activity patterns, and obesity levels.
Author(s): Molly Warren, Stacy Beck, Dara Lieberman
Date: 09/2021
Type: Document
Sponsoring organization: Trust for America's Health
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Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
Study examining barriers, resources, and community support for physical activity to address obesity in rural Appalachia, focusing on Martin County, Kentucky. Describes data related to physical activity, social determinants of health, and physical environment for a cohort of 152 people and 34 focus group participants.
Author(s): Natalie Jones, Dierdre Dlugonski, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(14), 7646
Date: 07/2021
Type: Document
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Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County
Discusses efforts to improve nutrition of rural Appalachian citizens through community-developed marketing strategies. Examines statistical differences in food purchases at 5 Kentucky gas stations before and after healthier options were noted on station shelves via a "Smart Snack" logo.
Author(s): Rachel Gillespie, Emily DeWitt, Heather Norman-Burgdolf, Brynnan Dunnaway, Alison Gustafson
Citation: Nutrients, 13(7)
Date: 06/2021
Type: Document
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Effect of Behavioral Therapy With In-Clinic or Telephone Group Visits vs In-Clinic Individual Visits on Weight Loss Among Patients With Obesity in Rural Clinical Practice
Examines the difference in weight loss improvements between in-clinic group or telephone visits and in-clinic individual visits. Utilizes data from 1407 participants visiting 36 primary care practices in the rural Midwestern U.S. and includes descriptive statistics broken down by age, sex, rurality, weight and body mass index, race and ethnicity, and education, among others.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus Desouza
Citation: JAMA, 325(4), 363-372
Date: 01/2021
Type: Document
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NRHA Policy Paper: Rural Obesity
Policy position paper examining rural-urban differences in obesity prevalence, obesity as a factor in health disparities, differences in weight-related behaviors, and social determinants of health influencing rural obesity. Offers strategies and policy recommendations to address rural obesity.
Author(s): Demetrius Abshire, Cassity Gutierrez
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Last Updated: 6/7/2022