Environmental Factors Associated with Physical Activity in Rural U.S. Counties

Background: Rural U.S. adults’ prevalence of meeting physical activity (PA) guidelines is lower than urban adults, yet rural-urban differences in environmental influences of adults’ PA are largely unknown. The study’s objective was to identify rural-urban variations in environmental factors associated with the prevalence of adults meeting PA guidelines. Methods: County-level data for non-frontier counties (n = 2697) were used. A five-category rurality variable was created using the percentage of a county’s population living in a rural area. Factor scores from Factor Analyses (FA) were used in subsequent Multiple Linear Regression (MLR) analyses stratified by rurality to identify associations between environmental factor scores and the prevalence of males and females meeting PA guidelines. Results: FA revealed a 13-variable, four-factor structure of natural, social, recreation, and transportation environments. MLR revealed that natural, social, and recreation environments were associated with PA for males and females, with variation by sex for social environment. The natural environment was associated with PA in all but urban counties; the recreation environment was associated with PA in the urban counties and the two most rural counties. Conclusions: Variations across the rural-urban continuum in environmental factors associated with adults’ PA, highlight the uniqueness of rural PA and the need to further study what succeeds in creating active rural places.

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Intrapersonal, Behavioral and Environmental Factors Associated With Meeting Recommended Physical Activity Among Rural Latino Youth

Pediatric Exercise Science ◽

10.1123/pes.23.4.521 ◽

2011 ◽

Vol 23 (4) ◽

pp. 521-536 ◽

Cited By ~ 8

Author(s):

Cynthia K. Perry ◽

Brian E. Saelens ◽

Beti Thompson

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Physical Activity Level ◽

Latino Youth ◽

Activity Level ◽

After School ◽

Factors Associated ◽

Middle School Youth ◽

Recommended Physical Activity ◽

School Youth

This study aimed to identify intrapersonal, behavioral, and environmental factors associated with engaging in recommended levels of physical activity among rural Latino middle school youth. Data were from an anonymous survey of 773 Latino youth (51% female) about level of and barriers and motivators to physical activity, risk behaviors, and park use. Logistic regression models identified factors correlated with meeting recommended levels of physical activity (5 days or more 360 min/day). Thirty-four percent of girls and 41% of boys reported meeting this physical activity recommendation. Participation in an organized after school activity (p < .001) and in physical education (PE) classes 5 days a week (p < .001) were strongly associated with meeting recommended physical activity level. Making PE available 5 days a week and creating opportunities for organized after school physical activity programs may increase the number of rural Latino middle school youth who meet recommended physical activity level.

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Parental and Environmental Factors Associated with Physical Activity Among Children Participating in an Active Video Game

Pediatric Physical Therapy ◽

10.1097/pep.0b013e3181b13a82 ◽

2009 ◽

Vol 21 (3) ◽

pp. 245-253 ◽

Cited By ~ 29

Author(s):

Sadye Paez ◽

Ann Maloney ◽

Kristine Kelsey ◽

Chris Wiesen ◽

Angela Rosenberg

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Video Game ◽

Factors Associated ◽

Active Video Game ◽

Active Video

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Macro-environmental factors associated with leisure-time physical activity: A cross-national analysis of EU countries

Scandinavian Journal of Public Health ◽

10.1177/1403494810396553 ◽

2011 ◽

Vol 39 (4) ◽

pp. 419-426 ◽

Cited By ~ 24

Author(s):

Charlotte Van Tuyckom

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Factors Associated ◽

Eu Countries ◽

National Analysis ◽

Cross National

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Perceived Environmental Factors Associated with Physical Activity among Normal-Weight and Overweight Japanese Men

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph8040931 ◽

2011 ◽

Vol 8 (4) ◽

pp. 931-943 ◽

Cited By ~ 14

Author(s):

Yung Liao ◽

Kazuhiro Harada ◽

Ai Shibata ◽

Kaori Ishii ◽

Koichiro Oka ◽

...

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Normal Weight ◽

Japanese Men ◽

Factors Associated

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Gender Differences in Factors Associated with Clinically Meaningful Weight Loss among Adults Who Were Overweight or Obese: A Population-Based Cohort Study

Obesity Facts ◽

10.1159/000512294 ◽

2020 ◽

pp. 1-13

Author(s):

Ji-Bin Li ◽

Zhi-Yu Qiu ◽

Zhen Liu ◽

Qian Zhou ◽

Li-Fen Feng ◽

...

Keyword(s):

Physical Activity ◽

Gender Differences ◽

Weight Loss ◽

Chronic Diseases ◽

Study Entry ◽

Factors Associated ◽

History Of ◽

Males And Females ◽

The Impact

Objectives: The impact of heterogeneity on gender difference for achieving clinically meaningful weight loss (cmWL) remains unclear. Here, we explored the potential gender differences in factors associated with cmWL. Methods: A total of 60,668 participants with body mass index (BMI) ≥25 kg/m2 at study entry and available BMI values at follow-up were included in this study. cmWL was defined as a weight loss of ≥5% from the study entry to follow-up. The associations of social-demographic factors, personal history of chronic diseases, lifestyle behaviors, and history of BMI with cmWL were evaluated using logistic regression models. Results: During a median follow-up of 9.13 years, 26.6% of the participants had a cmWL (30.8% for females vs. 23.1% in males; p < 0.001). Participants with older age, obesity at study entry, being more physical activity compared to 10 years ago, being relapsed smokers or consistent current smokers, having a history of chronic diseases (i.e., diabetes, osteoporosis, and stroke), cancer diagnosis during the study period, and more than 10-year follow-up were more likely to achieve cmWL in both males and females (all p < 0.05). The new smoking quitters and participants with less active in physical activity compared to 10 years ago were less likely to achieve cmWL in both males and females (all p < 0.05). Specifically, males with a history of emphysema were more likely to reach cmWL, and for females, those being overweight at 20 years old and current drinkers were more likely to reach cmWL (p < 0.05). Sensitivity analyses demonstrated similar results. Conclusion: Age, BMI status, physical activity, smoking status, family income, and health status were independent factors in males and females for weight management. However, further well-designed prospective studies are warranted to confirm our findings.

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340 Environmental factors associated with ‘sufficient’ physical activity among older women in the western suburbs of Melbourne

Journal of Science and Medicine in Sport ◽

10.1016/s1440-2440(17)30837-x ◽

2005 ◽

Vol 8 ◽

pp. 196

Author(s):

S. Bird ◽

W. Kurowski ◽

C. Browning ◽

S. Feldman ◽

S. Thomas ◽

...

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Older Women ◽

Factors Associated

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Environmental factors associated with adults' participation in physical activity A review

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(01)00426-3 ◽

2002 ◽

Vol 22 (3) ◽

pp. 188-199 ◽

Cited By ~ 985

Author(s):

N Humpel

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Factors Associated

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Elderly Women Are Disproportionately Vulnerable to Hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study

Current Developments in Nutrition ◽

10.1093/cdn/nzaa040_030 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 30-30

Author(s):

Abu Abdullah Mohammad Hanif ◽

Abu Ahmed Shamim ◽

Md Mokbul Hossain ◽

Mehedi Hasan ◽

Moyazzam Hossaine ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Waist Circumference ◽

Elderly Women ◽

Family Welfare ◽

Cluster Sampling ◽

Ministry Of Health ◽

Female Population ◽

Factors Associated ◽

Males And Females

Abstract Objectives Bangladesh has a dearth of information on the prevalence and factors associated with hypertension among elderlies. We assessed the prevalence, sex differences in prevalence, and factors associated with hypertension in the most recent national nutrition surveillance round (2018–19). Methods We analyzed data of 4817 elderlies (≥60 years) from 82 clusters (57 rural, 15 urban and 10 slum) selected by multistage cluster sampling. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or having a history of hypertension. We analyzed data using Stata 15.0. Results The weighted prevalence of hypertension was 42%, and 56% for elderly males, and females, respectively; and was higher among females for many socio-demographic, behavioural and anthropetric variables including age 70 + years (58% vs. 46%); high waist circumference (69% vs. 65%); diabetes (69% vs. 65%); living in rural (55% vs. 41%), urban (63% vs. 45%) and slum (50% vs. 30%) area; Muslim (56% vs. 42%); insufficient physical activity (60% vs 52%); and inadequate fruits/vegetables intake (56% vs. 43%). Among females, the factors associated with hypertension were age 70 + years (AOR: 1.40, 95% CI: 1.15–1.71), waist circumference ≥80 cm (AOR: 2.20, 95% CI: 1.82–2.67), diabetes (AOR: 1.82, 95% CI: 1.35–2.45), and inadequate physical activity (AOR: 1.38, 95% CI: 1.15–1.67). Among males, these factors were age 70 + years (AOR: 1.32, 95% CI: 1.09–1.60), waist circumference ≥90 cm (AOR: 2.76, 95% CI: 2.22–3.43), diabetes (AOR: 1.36, 95% CI: 1.02–1.82), slum-dwelling (AOR: 0.71, 95% CI: 0.52–0.96), > 10 years of education (AOR: 1.83; 95% CI: 1.38, 2.44), inadequate physical activity (AOR: 1.50, 95% CI: 1.25–1.81), and current smoking (AOR: 0.74; 95% CI: 0.61, 0.89). In both males and females, fruits and vegetables intake was not assicaited with hypertension. Conclusions In Bangladesh, the elderly female population is disproportionately affected by hypertension. They were found having a consistent pattern of higher prevalence of hypertension for many socio-demographic, behavioral, and anthropometric variables. The ministry of health of Bangladesh should consider this disproportionately high prevalence of hypertension among elderly females while designing and implementing health programs. Funding Sources Ministry of Health and Family Welfare, Bangladesh.

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