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- Title
Urban-Rural Differences in Overweight Status and Physical Inactivity Among US Children Aged 10-17 Years.
- Authors
Liu, Jihong; Bennett, Kevin J.; Harun, Nusrat; Probst, Janice C.
- Abstract
Context: Few studies have examined the prevalence of overweight status and physical inactivity among children and adolescents living in rural America. Purpose: We examined urban and rural differences in the prevalence of overweight status and physical inactivity among US children. Methods: Data were drawn from the 2003 National Survey of Children's Health, restricted to children aged 10-17 (unweighted N = 47,757). Overweight status was defined as the gender- and age-specific body mass index (BMI) values at or above the 95th percentile. Physical inactivity was defined using parentally reported moderate-to-vigorous intensity leisure-time physical activity lasting for at least 20 minutes/d on less than three days in the past week. The 2003 Urban Influence Codes were used to define rurality. Multiple logistic regression models were used to examine urban/rural differences in overweight status and physical inactivity after adjusting for potential confounders. Findings: Overweight status was more prevalent among rural (16.5%) than urban children (14.3%). After adjusting for covariates including physical activity, rural children had higher odds of being overweight than urban children (OR: 1.13; 95% CI: 1.01-1.25). Minorities, children from families with lower socioeconomic status, and children living in the South experienced higher odds of being overweight. More urban children (29.1%) were physically inactive than rural children (25.2%) and this pattern remained after adjusting for covariates (OR: 0.79; 95% CI: 0.73-0.86). Conclusions: The higher prevalence of overweight among rural children, despite modestly higher physical activity levels, calls for further research into effective intervention programs specifically tailored for rural children.
- Subjects
UNITED States; OVERWEIGHT children; PHYSICAL fitness; PUBLIC health; RURAL children; HEALTH surveys
- Publication
Journal of Rural Health, 2008, Vol 24, Issue 4, p407
- ISSN
0890-765X
- Publication type
Article
- DOI
10.1111/j.1748-0361.2008.00188.x