ArticleJournal of nutrition and metabolism2014
Understanding barriers and facilitators to healthy eating and active living in rural communities.
Article in Journal of nutrition and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
97 citing papers in PubMed, 1 synthesis or guideline pooled it, 181 citations in OpenAlex.
- Built and natural environment correlates of physical activity of adults living in rural areas: a systematic review.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Improvements in dietary intake, behaviors, and psychosocial measures in a community-randomized cardiovascular disease risk reduction intervention: Strong Hearts, Healthy Communities 2.0.The American journal of clinical nutrition · 2023Trial
- Changes in physical activity outcomes in the Strong Hearts, Healthy Communities (SHHC-2.0) community-based randomized trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial.BMC public health · 2022Trial
- Weight outcomes of NU-HOME: a randomized controlled trial to prevent obesity among rural children.The international journal of behavioral nutrition and physical activity · 2022Trial
- Rural-urban differences in body mass index and obesity-related behaviors among low-income preschoolers.Journal of public health (Oxford, England) · 2021Trial
- Changes in diet and physical activity resulting from the Strong Hearts, Healthy Communities randomized cardiovascular disease risk reduction multilevel intervention trial.The international journal of behavioral nutrition and physical activity · 2019Trial
- Health Behaviors in Rural Appalachia.Southern medical journal · 2019Trial
- Process Evaluation of Strong Hearts, Healthy Communities: A Rural Community-Based Cardiovascular Disease Prevention Program.Journal of nutrition education and behavior · 2019Trial
- Weight management in rural health clinics: The Midwest diet and exercise trial.Contemporary clinical trials · 2018Trial
- Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants.The American journal of clinical nutrition · 2017Trial
- Trial
- Article
- Household living conditions and mental health of youth and adults: differences between urban and rural regions.BMC psychology · 2026Article
- A nutrition environment measures survey for dollar stores (nems-ds) in rural south carolina: assessing nutrition equity and WIC readiness.BMC public health · 2026Article
- Shaping healthier futures: community-level impact of the Alberta Healthy Communities Approach.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
- Using AI Chatbot to Assist Students' Behavior Management for Obesity Prevention in Middle Schools: Feasibility Study.JMIR formative research · 2026Article
- Prevalence and Determinants of Eating Behaviors Among School-Going Children in Bangladesh: A Cross-Sectional Study.Nutrition and metabolic insights · 2026Article
- Healthy eating among people with type 2 diabetes in the Brazilian Amazon: a qualitative study in primary health care.Cadernos de saude publica · 2026Article
- Microbiome-targeted dietary therapy in health and disease: Challenges, opportunities, and pathways forward.Gut microbes reports · 2026Review
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
Objective. Studies demonstrate that people's food and physical activity (PA) environments influence behavior, yet research examining this in rural communities is limited. Methods. Focus groups of 8-15 women were conducted in rural communities in seven US states. Questions were designed to identify factors within residents' food and PA environments they felt helped or hindered them from eating healthfully and being physically active. Results. Participants were aged 30-84 years; mean (SD) = 61 (14) (N = 95). On average, communities had fewer than 5,000 residents. Limited time, social norms, and distances from or lack of exercise facilities were common PA barriers. Facilitators for PA included social support, dog walking, and availability of affordable facilities. Healthy eating barriers included the perception that healthy foods were too expensive; calorically dense large portion sizes served at family meals; and frequency of eating foods away from home, which were perceived as generally unhealthy. Healthy eating supports included culture/value around local food gathering (e.g., hunting and gardening) and preservation (e.g., canning and smoking). Friends and family were frequently identified as key influencers of eating and PA behavior. Conclusions. Targeting both social and built environment factors, particularly those unique to rural locales, may enhance support for healthy eating and PA behavior change interventions.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.