TY  - JOUR
AU  - Euler, Renee
AU  - Jimenez, Elizabeth Yakes
AU  - Sanders, Sarah
AU  - Kuhlemeier, Alena
AU  - Van Horn, M. Lee
AU  - Cohen, Deborah
AU  - Gonzales-Pacheco, Diana
AU  - Kong, Alberta S.
PY  - 2019
TI  - Rural-Urban Differences in Baseline Dietary Intake and Physical Activity Levels of Adolescents
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E01
VL  - 16
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Differences in dietary intake and physical activity may explain the higher prevalence of obesity among adolescents living in rural versus urban settings. The objective of this cross-sectional secondary analysis was to compare baseline dietary intake and physical activity of adolescents by rurality. METHODS  We analyzed data on 940 adolescents who participated in ACTION PAC (Adolescents Committed to Improvement of Nutrition and Physical Activity), an obesity prevention and management intervention trial conducted from 2014 through 2017 in 8 public high schools in the southwestern United States. Dietary intake was assessed with the Block Food Screener, and participants completed an exercise log and wore an accelerometer to provide data on physical activity. We compared data by rural-urban commuting area (RUCA) codes and log population density by using multilevel models, with students nested within zip code and repeated measures for accelerometer analysis. RESULTS  After adjusting for socioeconomic status and ethnicity, accelerometer data indicated that moderate-to-vigorous physical activity was 8.17 min/d (P = .02) higher and sedentary time was 20.42 min/d (P = .02) lower in moderately urban areas than in the urban reference area. Each 1-unit increase in log population density was associated with higher reported intake of whole grains (0.02 ounce equivalents, P = .03), potatoes (0.01 cup equivalents, P = .02), and added sugar (0.37 tsp, P = .02) after adjusting for socioeconomic status and ethnicity. CONCLUSION  Differences in reported dietary intake and physical activity level by measures of rurality were small and inconsistent in direction to explain the disparities observed in rural versus urban areas.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd16.180200
DO  - 10.5888/pcd16.180200
ER  - 
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