Impact of the food environment and physical activity environment on behaviors and weight status in rural US communities
Impact of the food environment and physical activity environment on behaviors and weight status in rural US communities
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DOI：
10.1016/j.ypmed.2008.10.001
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发表时间：
2008-12-01
影响因子：
5.1
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
--
作者：
Casey, Alicia A.;Elliott, Michael;Brownson, Ross C.
Objective.研究美国农村社区成年人体重状况与食物和体育活动环境特征之间的关系。来自农村居民的横断面电话调查数据被用来检查肥胖（体重指数[BMI] >30 kg/m2）与农产品和低脂食品的感知获得，食品购物和餐馆用餐的频率和位置以及支持体育活动的环境因素之间的关系。数据收集于2005年7月至9月在密苏里州、阿肯色州和田纳西州。Logistic回归模型（N=826）调整了年龄、教育和性别，比较了正常体重和肥胖应答者。经常外出就餐，特别是在自助餐、自助餐厅和快餐店，与肥胖率较高有关。认为社区对体力活动不愉快也与肥胖有关。当食物和体育活动环境支持健康行为时，农村社区的成年人不太可能肥胖。应在未充分研究的美国农村人口中检查与农村成年人相关的其他环境和行为因素。(C)2008年爱思唯尔公司All rights reserved.
Objective. To examine the association between weight status and characteristics of the food and physical activity environments among adults in rural U.S. communities.Method. Cross-sectional telephone survey data from rural residents were used to examine the association between obesity (body mass index [BMI] >30 kg/m(2)) and perceived access to produce and low-fat foods, frequency and location of food shopping and restaurant dining, and environmental factors that support physical activity. Data were collected from July to September 2005 in Missouri, Arkansas, and Tennessee. Logistic regression models (N=826) adjusted for age, education and gender comparing normal weight to obese respondents.Results. Eating out frequently, specifically at buffets, cafeterias, and fast food restaurants was associated with higher rates of obesity. Perceiving the community as unpleasant for physical activity was also associated with obesity.Conclusion. Adults in rural communities were less likely to be obese when perceived food and physical activity environments supported healthier behaviors. Additional environmental and behavioral factors relevant to rural adults should be examined in under-studied rural U.S. populations. (C) 2008 Elsevier Inc. All rights reserved.