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Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013
INTRODUCTION: Health disparities exist between rural and urban residents; in particular, rural residents have higher rates of chronic diseases and obesity. Evidence supports the effectiveness of policy and environmental strategies to prevent obesity and promote health equity. In 2009, the Centers fo...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707945/ https://www.ncbi.nlm.nih.gov/pubmed/26741997 http://dx.doi.org/10.5888/pcd13.150406 |
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author | Umstattd Meyer, M. Renée Perry, Cynthia K. Sumrall, Jasmin C. Patterson, Megan S. Walsh, Shana M. Clendennen, Stephanie C. Hooker, Steven P. Evenson, Kelly R. Goins, Karin V. Heinrich, Katie M. O’Hara Tompkins, Nancy Eyler, Amy A. Jones, Sydney Tabak, Rachel Valko, Cheryl |
author_facet | Umstattd Meyer, M. Renée Perry, Cynthia K. Sumrall, Jasmin C. Patterson, Megan S. Walsh, Shana M. Clendennen, Stephanie C. Hooker, Steven P. Evenson, Kelly R. Goins, Karin V. Heinrich, Katie M. O’Hara Tompkins, Nancy Eyler, Amy A. Jones, Sydney Tabak, Rachel Valko, Cheryl |
author_sort | Umstattd Meyer, M. Renée |
collection | PubMed |
description | INTRODUCTION: Health disparities exist between rural and urban residents; in particular, rural residents have higher rates of chronic diseases and obesity. Evidence supports the effectiveness of policy and environmental strategies to prevent obesity and promote health equity. In 2009, the Centers for Disease Control and Prevention recommended 24 policy and environmental strategies for use by local communities: the Common Community Measures for Obesity Prevention (COCOMO); 12 strategies focus on physical activity. This review was conducted to synthesize evidence on the implementation, relevance, and effectiveness of physical activity–related policy and environmental strategies for obesity prevention in rural communities. METHODS: A literature search was conducted in PubMed, PsycINFO, Web of Science, CINHAL, and PAIS databases for articles published from 2002 through May 2013 that reported findings from physical activity–related policy or environmental interventions conducted in the United States or Canada. Each article was extracted independently by 2 researchers. RESULTS: Of 2,002 articles, 30 articles representing 26 distinct studies met inclusion criteria. Schools were the most common setting (n = 18 studies). COCOMO strategies were applied in rural communities in 22 studies; the 2 most common COCOMO strategies were “enhance infrastructure supporting walking” (n = 11) and “increase opportunities for extracurricular physical activity” (n = 9). Most studies (n = 21) applied at least one of 8 non-COCOMO strategies; the most common was increasing physical activity opportunities at school outside of physical education (n = 8). Only 14 studies measured or reported physical activity outcomes (10 studies solely used self-report); 10 reported positive changes. CONCLUSION: Seven of the 12 COCOMO physical activity–related strategies were successfully implemented in 2 or more studies, suggesting that these 7 strategies are relevant in rural communities and the other 5 might be less applicable in rural communities. Further research using robust study designs and measurement is needed to better ascertain implementation success and effectiveness of COCOMO and non-COCOMO strategies in rural communities. |
format | Online Article Text |
id | pubmed-4707945 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-47079452016-01-13 Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 Umstattd Meyer, M. Renée Perry, Cynthia K. Sumrall, Jasmin C. Patterson, Megan S. Walsh, Shana M. Clendennen, Stephanie C. Hooker, Steven P. Evenson, Kelly R. Goins, Karin V. Heinrich, Katie M. O’Hara Tompkins, Nancy Eyler, Amy A. Jones, Sydney Tabak, Rachel Valko, Cheryl Prev Chronic Dis Systematic Review INTRODUCTION: Health disparities exist between rural and urban residents; in particular, rural residents have higher rates of chronic diseases and obesity. Evidence supports the effectiveness of policy and environmental strategies to prevent obesity and promote health equity. In 2009, the Centers for Disease Control and Prevention recommended 24 policy and environmental strategies for use by local communities: the Common Community Measures for Obesity Prevention (COCOMO); 12 strategies focus on physical activity. This review was conducted to synthesize evidence on the implementation, relevance, and effectiveness of physical activity–related policy and environmental strategies for obesity prevention in rural communities. METHODS: A literature search was conducted in PubMed, PsycINFO, Web of Science, CINHAL, and PAIS databases for articles published from 2002 through May 2013 that reported findings from physical activity–related policy or environmental interventions conducted in the United States or Canada. Each article was extracted independently by 2 researchers. RESULTS: Of 2,002 articles, 30 articles representing 26 distinct studies met inclusion criteria. Schools were the most common setting (n = 18 studies). COCOMO strategies were applied in rural communities in 22 studies; the 2 most common COCOMO strategies were “enhance infrastructure supporting walking” (n = 11) and “increase opportunities for extracurricular physical activity” (n = 9). Most studies (n = 21) applied at least one of 8 non-COCOMO strategies; the most common was increasing physical activity opportunities at school outside of physical education (n = 8). Only 14 studies measured or reported physical activity outcomes (10 studies solely used self-report); 10 reported positive changes. CONCLUSION: Seven of the 12 COCOMO physical activity–related strategies were successfully implemented in 2 or more studies, suggesting that these 7 strategies are relevant in rural communities and the other 5 might be less applicable in rural communities. Further research using robust study designs and measurement is needed to better ascertain implementation success and effectiveness of COCOMO and non-COCOMO strategies in rural communities. Centers for Disease Control and Prevention 2016-01-07 /pmc/articles/PMC4707945/ /pubmed/26741997 http://dx.doi.org/10.5888/pcd13.150406 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Systematic Review Umstattd Meyer, M. Renée Perry, Cynthia K. Sumrall, Jasmin C. Patterson, Megan S. Walsh, Shana M. Clendennen, Stephanie C. Hooker, Steven P. Evenson, Kelly R. Goins, Karin V. Heinrich, Katie M. O’Hara Tompkins, Nancy Eyler, Amy A. Jones, Sydney Tabak, Rachel Valko, Cheryl Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title | Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title_full | Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title_fullStr | Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title_full_unstemmed | Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title_short | Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013 |
title_sort | physical activity–related policy and environmental strategies to prevent obesity in rural communities: a systematic review of the literature, 2002–2013 |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707945/ https://www.ncbi.nlm.nih.gov/pubmed/26741997 http://dx.doi.org/10.5888/pcd13.150406 |
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