Quantifying the Food and Physical Activity Environments in Rural, High Obesity Communities Article Swipe

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Lacey McCormack , Jessica R. Meendering , Linda Burdette , Nikki Prosch , Lindsay Moore , Suzanne Stluka ·

YOU? · · 2021 · Open Access · · DOI: https://doi.org/10.3390/ijerph182413344

The built environment contributes to an individual’s health, and rural geographies face unique challenges for healthy eating and active living. The purpose of this descriptive study was to assess the nutrition and physical activity environments in rural communities with high obesity prevalence. One community within each of six high obesity prevalence counties in a rural Midwest state completed the Nutrition Environment Measures Survey for Stores (NEMS-S) and the Rural Active Living Assessment (RALA). Data were collected by trained community members and study staff. All communities had at least one grocery store and five had at least one convenience store. Grocery stores had higher mean total NEMS-S scores than convenience stores (26.6 vs. 6.0, p < 0.001), and higher scores for availability (18.7 vs. 5.3, p < 0.001) and quality (5.4 vs. 0, p < 0.001) of healthful foods (higher scores are preferable). The mean RALA town-wide assessment score across communities was 56.5 + 15.6 out of a possible 100 points. The mean RALA program and policy assessment score was 40.8 + 20.4 out of a possible 100 points. While grocery stores and schools are important for enhancing food and physical environments in rural areas, many opportunities exist for improvements to impact behaviors and address obesity.

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Descriptive Statistics

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Obesity Environmental health Grocery store Physical activity Gerontology Rural area Healthy food Supplemental Nutrition Assistance Program Medicine Active living Descriptive statistics Built environment Geography Psychology Business Food insecurity Food security Marketing Physical therapy Engineering Agriculture Food science Internal medicine Chemistry Statistics Civil engineering Pathology Archaeology Mathematics

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Type: article
Language: en
Landing Page: https://doi.org/10.3390/ijerph182413344
PDF: https://www.mdpi.com/1660-4601/18/24/13344/pdf?version=1639819291
OA Status: gold
Cited By: 11
References: 27
Related Works: 10
OpenAlex ID: https://openalex.org/W4200381896

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OpenAlex ID: https://openalex.org/W4200381896

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DOI: https://doi.org/10.3390/ijerph182413344

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Title: Quantifying the Food and Physical Activity Environments in Rural, High Obesity Communities

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Type: article

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Language: en

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Publication year: 2021

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Publication date: 2021-12-18

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Authors: Lacey McCormack, Jessica R. Meendering, Linda Burdette, Nikki Prosch, Lindsay Moore, Suzanne Stluka

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Landing page: https://doi.org/10.3390/ijerph182413344

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Concepts: Obesity, Environmental health, Grocery store, Physical activity, Gerontology, Rural area, Healthy food, Supplemental Nutrition Assistance Program, Medicine, Active living, Descriptive statistics, Built environment, Geography, Psychology, Business, Food insecurity, Food security, Marketing, Physical therapy, Engineering, Agriculture, Food science, Internal medicine, Chemistry, Statistics, Civil engineering, Pathology, Archaeology, Mathematics

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Cited by: 11

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Citations by year (recent): 2025: 3, 2024: 6, 2023: 2

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Related works (count): 10

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