Rural–Urban Differences in Baseline Dietary Intake and Physical Activity Levels of Adolescents

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Euler, Renee ; Jimenez, Elizabeth Yakes ; Sanders, Sarah ; Kuhlemeier, Alena ; Van Horn, M. Lee ; Cohen, Deborah ; Gonzales-Pacheco, Diana ; Kong, Alberta S.
• Description:
  Introduction
  
  Differences in dietary intake and physical activity may explain the higher prevalence of obesity among adolescents living in rural versus urban settings. The objective of this cross-sectional secondary analysis was to compare baseline dietary intake and physical activity of adolescents by rurality.
  
  Methods
  
  We analyzed data on 940 adolescents who participated in ACTION PAC (Adolescents Committed to Improvement of Nutrition and Physical Activity), an obesity prevention and management intervention trial conducted from 2014 through 2017 in 8 public high schools in the southwestern United States. Dietary intake was assessed with the Block Food Screener, and participants completed an exercise log and wore an accelerometer to provide data on physical activity. We compared data by rural–urban commuting area (RUCA) codes and log population density by using multilevel models, with students nested within zip code and repeated measures for accelerometer analysis.
  
  Results
  
  After adjusting for socioeconomic status and ethnicity, accelerometer data indicated that moderate-to-vigorous physical activity was 8.17 min/d (P = .02) higher and sedentary time was 20.42 min/d (P = .02) lower in moderately urban areas than in the urban reference area. Each 1-unit increase in log population density was associated with higher reported intake of whole grains (0.02 ounce equivalents, P = .03), potatoes (0.01 cup equivalents, P = .02), and added sugar (0.37 tsp, P = .02) after adjusting for socioeconomic status and ethnicity.
  
  Conclusion
  
  Differences in reported dietary intake and physical activity level by measures of rurality were small and inconsistent in direction to explain the disparities observed in rural versus urban areas.
  
  
• Subjects:
  Adolescent Adolescent Behavior Cross-Sectional Studies Eating Exercise Female Humans Male Nutritional Status Nutrition Surveys Original Research Rural Population Socioeconomic Factors Urban Population

  More +
• Source:
  Prev Chronic Dis. 16
• DOI:
  http://dx.doi.org/10.5888/pcd16.180200
• ISSN:
  1545-1151
• Pubmed ID:
  30605423
• Pubmed Central ID:
  PMC6341819
• Document Type:
  Journal Article
• Funding:
  R01 HL118734/HL/NHLBI NIH HHS/United States
• Place as Subject:
  Southwestern United States
• Location:
  North America
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:605c504e3cee563c6d8e7dfb6b5069351aa146ee542e1621bab3cca7d722d56297ec0278aa36fd0967f717bb1eba607d0063b289422dfc558d14def17de907bc
• Download URL:
  https://stacks.cdc.gov/view/cdc/76591/cdc_76591_DS1.pdf
• File Type:
  [PDF - 362.55 KB ]