SynthesisPreventing chronic disease2016
Physical Activity-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013.
Synthesis in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses 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
46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Prevention of Obesity among Adults: Evidence- and Consensus-Based Guideline.Obesity facts · 2025Guideline
- Movement Behaviour and Health Outcomes in Rural Children: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review.Journal of sport and health science · 2021Pooled it
- Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- COVID-19 pandemic and changes in children's physical activity in a rural US community: a mixed methods study.BMJ open · 2022Trial
- Conditions for the Successful Integration of an eHealth Tool "StopBlues" Into Community-Based Interventions in France: Results From a Multiple Correspondence Analysis.Journal of medical Internet research · 2022Trial
- Qualitative Assessment of Facilitators of and Barriers to Physical Activity Policy, Systems, and Environment Change in Rural West Virginia.Journal of healthy eating and active living · 2026Article
- From Free Play to Farm Chores: Using the Youth Compendium to Characterize Physical Activity Behaviors Among Rural Children.Health promotion practice · 2025Article
- Subjectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- Objectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- A scoping review of policies to encourage breastfeeding, healthy eating, and physical activity among rural people and places in the United States.BMC public health · 2024Article
- Change in neighborhood socioeconomic status and childhood weight status and body composition from birth to adolescence.International journal of obesity (2005) · 2024Article
- Effectiveness of implementing evidence-based approaches to promote physical activity in a Midwestern micropolitan area using a quasi-experimental hybrid type I study design.BMC public health · 2024Article
- Listening to the community: identifying obesity prevention strategies for rural preschool-aged children.Frontiers in public health · 2024Article
- Impact of the COVID-19 Pandemic on Physical Activity among Mostly Older, Overweight Black Women Living in the Rural Alabama Black Belt.International journal of environmental research and public health · 2023Article
- Review
- Population-based physical activity promotion with a focus on health equity: a review of reviews.International journal for equity in health · 2023Review
- Recruitment and reach in a school-based pediatric obesity intervention trial in rural areas.Frontiers in public health · 2023Article
- A novel method to map community- and neighborhood-level access to rural physical activity built environments in the United States.Preventive medicine reports · 2022Article
- An evaluation of the 'bottom-up' implementation of the Active at school! programme in Quebec, Canada.Health promotion international · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 8 institutions in 1 country.
Funding
Abstract
introductionHealth disparities exist between rural and urban residents; in particular, rural residents have higher rates of chronic diseases and obesity. Evidence supports the effectiveness of policy and environmental strategies to prevent obesity and promote health equity. In 2009, the Centers for Disease Control and Prevention recommended 24 policy and environmental strategies for use by local communities: the Common Community Measures for Obesity Prevention (COCOMO); 12 strategies focus on physical activity. This review was conducted to synthesize evidence on the implementation, relevance, and effectiveness of physical activity-related policy and environmental strategies for obesity prevention in rural communities.
methodsA literature search was conducted in PubMed, PsycINFO, Web of Science, CINHAL, and PAIS databases for articles published from 2002 through May 2013 that reported findings from physical activity-related policy or environmental interventions conducted in the United States or Canada. Each article was extracted independently by 2 researchers.
resultsOf 2,002 articles, 30 articles representing 26 distinct studies met inclusion criteria. Schools were the most common setting (n = 18 studies). COCOMO strategies were applied in rural communities in 22 studies; the 2 most common COCOMO strategies were "enhance infrastructure supporting walking" (n = 11) and "increase opportunities for extracurricular physical activity" (n = 9). Most studies (n = 21) applied at least one of 8 non-COCOMO strategies; the most common was increasing physical activity opportunities at school outside of physical education (n = 8). Only 14 studies measured or reported physical activity outcomes (10 studies solely used self-report); 10 reported positive changes.
conclusionSeven of the 12 COCOMO physical activity-related strategies were successfully implemented in 2 or more studies, suggesting that these 7 strategies are relevant in rural communities and the other 5 might be less applicable in rural communities. Further research using robust study designs and measurement is needed to better ascertain implementation success and effectiveness of COCOMO and non-COCOMO strategies in rural communities.
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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.