ArticlePreventing chronic disease2023
Rural-Urban Differences in Overweight and Obesity, Physical Activity, and Food Security Among Children and Adolescents.
Article in Preventing chronic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 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
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Biopsychosocial and Environmental Factors That Impact Brain-Gut-Microbiome Interactions in Obesity.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026Pooled it
- Retention, blinding, and health outcomes from a rural pediatric obesity feasibility randomized control trial.Journal of pediatric psychology · 2026Trial
- Mental health outcomes of a pediatric-focused obesity randomized control trial in rural communities.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Trial
- Cardiometabolic Disease Education and Health Services Among Public High Schools.JAMA network open · 2026Article
- Obesity and severe obesity prevalence among youth aged 2-17 in Minnesota, 2020-2025.Preventive medicine reports · 2026Article
- Photovoice as a Methodology in Obesity Research: A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Article
- Article
- Feasibility and Acceptability of a School-Based Nutrition Education Toolkit: Findings from an Expert Review.International journal of environmental research and public health · 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
- Student Perspectives on a Smoothie-Based Educational Program Designed Using Social Cognitive Theory and Choice Architecture.International journal of environmental research and public health · 2026Article
- Exploring sleep outcomes in youth across settings: Are there differences based on rurality or medically underserved status in the ECHO cohort?Sleep medicine · 2026Article
- Physical activity and healthy nutrition campaign for primary school children in developing countries: implementation of the build our kids' success (BOKS) program in Indonesia.Physical activity and nutrition · 2026Article
- Geospatial and machine learning analyses of cardiovascular disease mortality across the continental United States: Identifying associated variables using Shapley values.BMC public health · 2026Article
- Development and testing of a sports intervention (Girls PLAY)to promote physical activity among rural girls: a feasibility study protocol.Pilot and feasibility studies · 2026Article
- Spatial distribution of central obesity in rural and peri urban communities of Botswana: a nested Botswana Combination Prevention Project (BCPP) cross-sectional study.BMC public health · 2026Observational
- Hierarchical regression analysis of physical fitness and BMI in primary school students in Sichuan Province.Frontiers in medicine · 2026Article
- Risk Factors and Complications of Childhood Obesity and Overweight in an Urban Setting of a Lower Middle-Income Country.International journal of environmental research and public health · 2025Observational
- From Free Play to Farm Chores: Using the Youth Compendium to Characterize Physical Activity Behaviors Among Rural Children.Health promotion practice · 2025Article
- Obesity trends and early-life risk factors in preschool children in Northwest China from 2012 to 2024.Scientific reports · 2025Article
- Geographic Differences in Obesogenic Behaviors and Overweight and Obesity Among Children and Adolescents.Preventing chronic disease · 2025Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionChildhood obesity has been associated with numerous poor health conditions, with geographic disparities demonstrated. Limited research has examined the association between rurality and food security, physical activity, and overweight or obesity among children. We examined rates of food security, physical inactivity, and overweight or obesity among rural and urban children and adolescents, and associations between rurality and these 3 outcomes.
methodsWe used cross-sectional data from a nationally representative sample of children and adolescents aged 10 to 17 years from the 2019-2020 National Survey of Children's Health (N = 23,199). We calculated frequencies, proportions, and unadjusted associations for each variable by using descriptive statistics and bivariate analyses. We used multivariable logistic regression models to examine the association between rurality and food security, physical activity, and overweight or obesity.
resultsAfter adjusting for sociodemographic factors, rural children and adolescents had higher odds than urban children and adolescents of being overweight or obese (adjusted odds ratio = 1.30; 95% CI, 1.11-1.52); associations between rurality and physical inactivity and food insecurity were not significant.
conclusionThe information from this study is timely for policy makers and community partners to make informed decisions on the allocation of healthy weight and obesity prevention programs for children and adolescents in rural settings. Our study provides information for public health programming and the designing of appropriate dietary and physical activity interventions needed to reduce disparities in obesity prevention among children and adolescents.
Indexed as
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.