Obesity and physical inactivity in rural America
Obesity and physical inactivity in rural America
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DOI：
10.1111/j.1748-0361.2004.tb00022.x
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发表时间：
2004-03-01
影响因子：
4.9
通讯作者：
Shinogle, JA
中科院分区：
文献类型：
--
作者：
Patterson, PD;Moore, CG;Shinogle, JA
背景和目的：肥胖和缺乏运动在美国很常见，但很少有研究在农村人口中调查这一问题。目前的研究使用具有全国代表性的数据来研究农村人口的肥胖和缺乏体育活动。方法：数据来自1998年全国健康访谈调查样本成人和成人预防模块。使用自我报告的身高和体重来计算体重指数。用自我报告的休闲时间体力活动来定义缺乏体力活动。分析包括描述性统计、chi(2)检验和逻辑回归。结果：肥胖在农村（20.4%,95% CI 19.2%-21.6%）比城市成年人（17.8%,95% CI 17.2%-18.4%）更为常见。在其他因素相同的情况下，各个种族/民族的农村居民比城市白人肥胖的风险更高。肥胖的其他预测因素包括男性，年龄在25-74岁之间，没有高中文凭，身体有缺陷，健康状况不佳，有吸烟史。在比例上，农村成年人比城市同龄人更缺乏身体活动（62.8%比59.3%）。在农村居民中，少数民族并不明显比白人更不活跃。男性和年轻人不爱运动的可能性较小。来自中西部和南部的农村成年人，受教育程度低于高中，健康状况不佳，目前吸烟，与各自的参照组相比，他们更有可能不运动。结论：农村人口中肥胖和不活跃生活方式的高患病率需要研究有效的农村干预措施。
Context and Purpose: Obesity and physical inactivity are common in the United States, but few studies examine this issue within rural populations. The present study uses nationally representative data to study obesity and physical inactivity in rural populations. Methods: Data came from the 1998 National Health Interview Survey Sample Adult and Adult Prevention Module. Self-reported height and weight were used to calculate body mass index. Physical inactivity was defined using self-reported leisure-time physical activity. Analyses included descriptive statistics, chi(2) tests, and logistic regression. Findings: Obesity was more common among rural (20.4%, 95% CI 19.2%-21.6%) than urban adults (17.8%, 95% CI 17.2%-18.4%). Rural residents of every racial/ethnic group were at higher risk of obesity than urban whites, other factors held equal. Other predictors of obesity included being male, age 25-74, lacking a high school diploma, having physical limitations, fair to poor health, and a history of smoking. Proportionately more rural adults were physically inactive than their urban peers (62.8% versus 59.3%). Among rural residents, minorities were not significantly more likely to be inactive than whites. Males and younger adults were less likely to be inactive. Rural adults who were from the Midwest and South, had less than a high school education, had fair to poor health, and currently smoked were more likely to be inactive compared to their respective referent group. Conclusions: The high prevalence of obesity and inactive lifestyles among rural populations call for research into effective rural interventions.