A cross-sectional study of US rural adults’ consumption of fruits and vegetables: do they consume at least five servings daily?

Lutfiyya, M. Nawal; Chang, Linda F.; Lipsky, Martin S.

doi:10.1186/1471-2458-12-280

Cited by 113 publications

(105 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although adults living in rural areas are less likely to consume five or more daily servings of fruits and vegetables compared to those in non-rural areas 67 , fruit and vegetable intake did not differ between rural and urban samples in the current study. This finding was somewhat surprising given the low household incomes reported by the rural Appalachian sample.…”

contrasting

confidence: 72%

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

Abshire

Lennie

Mudd‐Martin

et al. 2017

Rural Remote Health

View full text Add to dashboard Cite

A B S T R A C TIntroduction: The prevalence of obesity is greater among adults living in rural compared to urban areas of the USA. Greater obesity risk among rural adults persists after adjusting for obesity-related behaviors and sociodemographic factors. With the ruralurban obesity disparity greatest among younger adults, it is important to examine the complexity of factors that may increase the risk for excess body weight in this population so that effective preventive interventions can be implemented. College students residing in economically deprived rural areas such as rural Appalachia may be particularly at risk for excess body weight from exposure to both rural and college obesogenic environments. The purpose of this study was to determine if living in economically distressed rural Appalachia is independently associated with excess body weight among college students. Methods: College students aged 18-25 years who were lifetime residents of either rural Eastern Appalachian Kentucky (n=55) or urban Central Kentucky (n=54) participated in this cross-sectional study. Students completed questionnaires on sociodemographics, depressive symptoms, and health behaviors including smoking, fruit and vegetable intake, and physical activity. Height and weight were obtained during a brief health examination to calculate body-mass index (BMI). Excess body weight was defined as being overweight or obese with a BMI of 25 kg/m 2 or greater. Binary logistic regression was used to determine if living in economically distressed rural Appalachia was independently associated with excess body weight. Results: The prevalence of excess body weight was higher in the rural Appalachian group than the urban group (50% vs 24%, p<0.001). Depressive symptom scores and smoking prevalence were also greater in the rural Appalachian group. © DA Abshire, TA Lennie, GT Mudd-Martin, DK Moser, 2016. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2There were no differences in fruit and vegetable intake and vigorous physical activity between the groups. Residing in economically distressed rural Appalachia was associated with more than a six-fold increased risk of overweight or obesity, controlling for sociodemographics, depressive symptoms, and health behaviors (odds ratio=6.36, p=0.002). Conclusions: Living in economically distressed rural Appalachia was associated with excess body weight in college students independent of sociodemographic factors, depressive symptoms, and obesity-related behaviors. Further research is needed to determine other characteristics of this region that are associated with excess body weight so that effective programs to reduce obesity risk can be implemented.

show abstract

contrasting

confidence: 72%

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

Abshire

Lennie

Mudd‐Martin

et al. 2017

Rural Remote Health

View full text Add to dashboard Cite

show abstract

“…The consumption of fruits (including fresh, frozen, or canned fruit and 100% fruit juice) and vegetables (green leafy salad, potatoes, cooked dried beans, and other vegetables) during the previous month was categorized as <5 or ≥5 times/day to be consistent with previous analyses. 28,29 Vigorous and/or light/moderate leisure-time physical activity at least 10 minutes was categorized as none, >0 to 3, >3 to 5, >5 times/week (combined the following two questions: “How often do you do vigorous leisure-time physical activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?” and “How often do you do light or moderate leisure-time physical activities for at least 10 minutes that cause only light sweating or a slight to moderate increase in breathing or heart rate?”). Smoking status was categorized as never, former, or current smokers.…”

Section: Methodsmentioning

confidence: 99%

Relationship between Employment Characteristics and Obesity among Employed U.S. Adults

Park¹,

Pan²,

Lankford³

2014

Am J Health Promot

View full text Add to dashboard Cite

Purpose This study examined associations between employment characteristics and obesity among a sample representing civilian noninstitutionalized U.S. adults. Design Quantitative, cross-sectional study. Setting Workplace. Subjects The 2010 National Health Interview Survey data for 15,121 employed adults (≥18 years). Measures The outcome variable was weight status, and exposure variables were employment characteristics (number of employees, work hours, paid by the hour, paid sick leave, and health insurance offered). Analysis Multivariate logistic regression was used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for employment characteristics associated with obesity (body mass index [BMI] ≥ 30 kg/m2) after controlling for age, sex, race/ethnicity, education, family income, fruit/vegetable intake, physical activity, smoking, and occupations. Results Nationwide, 28% of employed adults were obese. From multivariate logistic regression, the odds of being obese was significantly greater among adults who worked at a company with 100 to 499 employees (OR = 1.19, 95% CI = 1.02–1.39) vs. 1 to 24 employees and those who worked >50 hours/week (OR = 1.32, 95% CI = 1.05–1.65) vs. <30 hours/week. Conclusion Approximately 3 out of 10 employees were obese and 6 out of 10 were overweight or obese. A better understanding of why these employment characteristics are associated with obesity could help employers better develop and target interventions for obesity prevention and treatment in the worksites.

show abstract

“…The cause of this high prevalence is likely multifactorial in nature, but may be due in large part to insufficient consumption of low-calorie, nutrient-dense foods like fruits and vegetables (Chiuve, Sampson, & Willett, 2011). Rural residents tend to consume fewer fruits and vegetables than their urban counterparts (Lutfiyya, Chang, & Lipsky, 2012), and low-income rural residents have particularly low levels of fruit and vegetable consumption (Lin, 2005). The comparatively lower levels of healthy food consumption among rural residents may be due to disparities in access to healthier foods.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Local Food Procurement Among Women of Reproductive Age in Rural Eastern and Western North Carolina (USA)

McGuirt

Ward

Elliott

et al. 2014

JAFSCD

View full text Add to dashboard Cite

Little is known about the barriers and facilitators to local food procurement among women of reproductive age (WRA). Therefore we conducted qualitative interviews with WRA in rural eastern and western NC (ENC and WNC) to learn of factors related to locally sourced food procurement. In-depth interviews were conducted among low-income White, Black, and Hispanic English-speaking WRA (N=62 (ENC: 37; WNC: 23) (18–44 years)). Independent coders used a consensus codebook to double-code all transcripts. Coders then came together to discuss and resolve coding discrepancies, and identified themes and salient quotes. Cross-cutting themes from both ENC and WNC participants included access to local food sources; acceptance of Supplemental Nutrition Assistance Program/Electronic Benefit Transfer (SNAP/EBT); freshness of produce; support for local agriculture; and the community aspect of local food sourcing. The in-depth understanding gained from this study could be used to guide tailored policy and intervention efforts aimed at promoting fruit and vegetable consumption among low-income WRA.

show abstract

A cross-sectional study of US rural adults’ consumption of fruits and vegetables: do they consume at least five servings daily?

Cited by 113 publications

References 47 publications

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

Relationship between Employment Characteristics and Obesity among Employed U.S. Adults

Factors Influencing Local Food Procurement Among Women of Reproductive Age in Rural Eastern and Western North Carolina (USA)

Contact Info

Product

Resources

About