ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Urban-Rural Differences in Aerobic Physical Activity, Muscle Strengthening Exercise, and Screen-Time Sedentary Behavior.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Associations between natural area availability and morbidity: a cross-sectional study using health insurance billing data from Germany.BMJ open · 2026Article
- Rural-Urban Differences in Accelerometer-Measured Physical Activity Among US Adults: Findings From the REGARDS Study.Journal of physical activity & health · 2026Article
- Article
- Geographic Differences in Obesogenic Behaviors and Overweight and Obesity Among Children and Adolescents.Preventing chronic disease · 2025Article
- Degree of rurality moderates the association of sedentary time with cognitive function in rural patients with cardiac diseases and depressive symptoms.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Article
- Development and cross-validation of LMS-based normative reference standards and health benefits zones for muscular strength among adolescents by age and sex.Frontiers in public health · 2025Article
- Rural and urban differences in the prevalence and determinants of Type-2 diabetes in Bangladesh.PloS one · 2024Article
- Physical activity and influencing factors in people post stroke or transient ischemic attack across diverse regions in Sweden.Frontiers in neurology · 2024Article
- Differences in knee flexor and extensor force and kinematic variables in rural versus urban area female students in Romania.Frontiers in physiology · 2024Article
- Linking social and built environmental factors to leisure-time physical activity in rural cancer survivors.Journal of the National Cancer Institute. Monographs · 2023Article
- Physical Inactivity, Sedentary Behavior and Quality of Life in the Chilean Population: ENCAVI Results, 2015-2016.Healthcare (Basel, Switzerland) · 2023Article
- Physical activity and cognitive function: A comparison of rural and urban breast cancer survivors.PloS one · 2023Article
- Trends in the rate of regular exercise among adults: results from chronic disease and risk factor surveillance from 2010 to 2018 in Jiangsu, China.Frontiers in public health · 2023Article
- Rural and urban differences in perceptions, behaviors, and health care disruptions during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- The impact of a hospital-based exercise oncology program on cancer treatment-related side effects among rural cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Cancer-related Beliefs and Preventive Health Practices among Residents of Rural versus Urban Counties in Alabama.Cancer prevention research (Philadelphia, Pa.) · 2021Observational
- Challenges of using nationally representative, population-based surveys to assess rural cancer disparities.Preventive medicine · 2019Article
- Diverse school community engagement with the North Carolina active routes to school project: a diffusion study.The international journal of behavioral nutrition and physical activity · 2019Article
- Geodemographic Area Classification and Association with Mortality: An Ecological Study of Small Areas of Cyprus.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeCompared to their urban counterparts, US residents in rural settings face an increased risk of premature mortality and health problems that have been linked to insufficient physical activity (PA) levels. There is limited literature regarding urban-rural differences in adherence to national guidelines for all 3 PA-related behaviors.
methodsWe investigated urban-rural differences in aerobic PA, leisure-time muscle strengthening PA, and leisure screen-time sedentary behavior in a combined data set of the 2011-2014 waves (N = 14,188) of the nationally representative National Cancer Institute's Health Information National Trends Survey.
findingsWe found no evidence of a difference between large urban and rural residents' aerobic PA levels. The typical number of weekly bouts of leisure-time muscle strengthening PA was 25% lower for rural residents (incidence rate ratio [IRR] = 0.751, P < .001); this relationship was no longer statistically significant after controlling for potentially confounding covariates. In adjusted models, we found rural residents to engage in 6.6% less daily leisure screen-time sedentary behavior than their large urban counterparts (IRR = 0.934, P = .031).
conclusionsTaken together with previous literature, these results suggest that rural residents may engage in comparable levels of total PA, but less leisure-time PA, than their urban counterparts.
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