The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Urban-rural differences in childhood and adolescent obesity in the United States: a systematic review and meta-analysis.
Abstract
Background: A systematic literature review and subsequent meta-analysis were performed to investigate differences in childhood obesity between urban and rural areas in the United States. Methods: A search of published studies comparing childhood obesity in urban and rural settings was undertaken by probing PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for articles that met predetermined inclusion criteria. A subsequent meta-analysis was conducted to determine the combined effect size and significance of differences in childhood obesity between urban and rural areas. Results: Ten studies were identified for systematic review, five of which contributed to the meta-analysis. All but one study suggested that residence in rural areas was associated with higher prevalence or increased odds of childhood obesity, compared to children living in urban areas. A meta-analysis of 74,168 pooled participants ages 2–19 found that rural children have 26% greater odds of obesity, compared to urban children (odds ratio=1.26; 95% confidence interval, 1.21–1.32). Conclusions: Obesity rates are higher among rural children than urban children in the United States. To ensure successful targeted interventions and effective resource allocation, practitioners and policy makers alike should be cognizant of this disparity in childhood obesity.
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In the citing paper
“These differences, however, vary by sex, and race and Hispanic origin and may be changing over time.5”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
In the citing paper
“Trends over time in obesity prevalence among US youth by age, race and Hispanic origin, income, and education of household head have been published,1,5,13 but trends in obesity and severe obesity prevalence by urbanization level have not been well studied.”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
In the citing paper
“Differences have also been reported by education and income.5”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
In the citing paper
“Trends over time in obesity prevalence among US youth by age, race and Hispanic origin, income, and education of household head have been published,1,5,13 but trends in obesity and severe obesity prevalence by urbanization level have not been well studied.”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
In the citing paper
“Youth living in households headed by college graduates have a lower prevalence of obesity compared with youth living in households headed by individuals with less education.”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
In the citing paper
“Similarly, youth in higher- income households have a lower prevalence of obesity than youth living in households with less income.”
From Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016 (2018) · cites this paper as [5]
Citations
Cites
Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010.
Ogden, C., Carroll, M., Kit, B., & Flegal, K. (2012) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2012.40 · Cited by 4,128
Wang, Y., & Beydoun, M. A. (2007) · Epidemiologic Reviews · doi:10.1093/epirev/mxm007 · Cited by 2,854
Health Consequences of Obesity in Youth: Childhood Predictors of Adult Disease
Dietz, W. H. (1998) · Pediatrics · doi:10.1542/peds.101.s2.518 · Cited by 2,700
Tracking of childhood overweight into adulthood: a systematic review of the literature
Singh, A. S., Mulder, C., Twisk, J. W. R., van Mechelen, W., & Chinapaw, M. J. M. (2008) · Obesity Reviews · doi:10.1111/j.1467-789x.2008.00475.x · Cited by 2,495
Preventing Childhood Obesity: Health in the Balance
Koplan, J. P., Liverman, C. T., & Kraak, V. A. (2005) · PsycEXTRA Dataset · doi:10.1037/e407782005-001 · Cited by 1,717
The medical care costs of obesity: An instrumental variables approach
Cawley, J., & Meyerhoefer, C. D. (2011) · Journal of Health Economics · doi:10.1016/j.jhealeco.2011.10.003 · Cited by 1,517
Han, J. C., Lawlor, D. A., & Kimm, S. Y. S. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60171-7 · Cited by 1,401
Assessment of Child and Adolescent Overweight and Obesity
Krebs, N. F., Himes, J. H., Jacobson, D. M., Nicklas, T. A., Guilday, P., & Styne, D. M. (2007) · PEDIATRICS · doi:10.1542/peds.2007-2329d · Cited by 1,007
Rural Definitions for Health Policy and Research
Hart, L. G., Larson, E. H., & Lishner, D. M. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.042432 · Cited by 968
Accuracy of Teen and Parental Reports of Obesity and Body Mass Index
Goodman, E., Hinden, B. R., & Khandelwal, S. (2000) · PEDIATRICS · doi:10.1542/peds.106.1.52 · Cited by 724
Flagged first, then by citations
Research works printed but not linked: 11
- National Center for Health Statistics. Health, United States 2006: With chartbook on trends in the health of Americans. 2007 Nov; DHHS Pub No. 2006-1232:1–543.
- Gauthier BM, , Hickner JM, , Noel MM. High prevalence of overweight children in Michigan primary care practices: An UPRNet study. J Fam Pract, 2000; 49:73–76.
- Neal WA, , Demerath E, , Gonzales E, et al. Coronary artery risk detection in Appalachian communities (CARDIAC): Preliminary findings. W V Med J, 2000; 97:102–105.
- Kuczmarski RJ, , Ogden CL, , Guo SS, et al. 2000 CDC growth charts for the United States: Methods and development. Vital Health Stat, 11 2002; 246:1–190.
- Office of Management and Budget. Final report and recommendations from the metropolitan area standards review committee to the office of management and budget concerning changes to the standards for defining metropolitan areas. Federal Register, 2000; 65:51059–51077.
- Office of Management and Budget. Standards for delineating metropolitan and micropolitan statistical areas. Federal Register, 2010; 75:37246–37252.
- Bureau of the Census. Geographic Areas Reference Manual. US Department of Commerce: Washington, DC, 1994.
- Ingram DD, , Franco S. NCHS urban-rural classification scheme for counties. Vital Health Stat, 2 2012; 154:1–65.
- 10.1089/chi.2011.0090 · DOI
- Blumberg SJ, , Olson L, , Frankel MR, et al. Design and operation of the National Survey of Children's Health, 2003. Vital Health Stat, 1 2005; 43:1–131.
- Zipf G, , Chiappa M, , Porter KS, et al. National Health and Nutrition Examination Survey: Plan and operations, 1999–2010. Vital Health Stat, 1 2013; 56:1–37.
Cited by
Sorted by citations
Martin, S. S., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., Baker-Smith, C. M., Barone Gibbs, B., Beaton, A. Z., Boehme, A. K., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001209 · Cited by 2,800
Ogden, C. L., Fryar, C. D., Hales, C. M., Carroll, M. D., Aoki, Y., & Freedman, D. S. (2018) · JAMA · doi:10.1001/jama.2018.5158 · Cited by 459
“A review of the literature, including 2 studies using NHANES data from 1999-2006 and 2003-2006, reported that obesity prevalence was higher among rural children than among children living in urban areas, and this difference was larger among older children compared with younger children.(6) The current results did not…”
Harrington, R. A., Califf, R. M., Balamurugan, A., Brown, N., Benjamin, R. M., Braund, W. E., Hipp, J. S., Konig, M., Sánchez, E., & Maddox, K. E. J. (2020) · Circulation · doi:10.1161/cir.0000000000000753 · Cited by 393
Blake, K. D., Moss, J. L., Gaysynsky, A., Srinivasan, S., & Croyle, R. T. (2017) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-17-0092 · Cited by 390
Ng, M., Dai, X., Cogen, R. M., Abdelmasseh, M., Abdollahi, A., Abdullahi, A., Aboagye, R. G., Abukhadijah, H. J., Adeyeoluwa, T. E., Afolabi, A. A., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01548-4 · Cited by 407
Metadata
- Authors
- Johnson, J. A., & Johnson, A. M.
- Affiliations
- Rollins College (US)
- Stetson University (US)
- Venue
- Childhood Obesity
- Publisher
- SAGE Publications
- Published
- 2015-04-30
- Volume
- 11
- Issue
- 3
- Pages
- 233-241
- ISSN
- 2153-2168 (ISSN-L)
- 2153-2176
- OpenAlex
- W1948287158
- Cited by
- 360
- References
- 33
- Citations by year
- 2026: 20 · 2025: 28 · 2024: 42 · 2023: 33 · 2022: 33 · 2021: 46 · 2020: 42 · 2019: 35 · 2018: 36 · 2017: 26 · 2016: 15 · 2015: 3
- FWCI
- 3.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Childhood Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- adolescent obesity, urban-rural disparities, rural children, obesity prevalence, health disparities, rural health
- MeSH terms
- Adolescent, Child, Diet, Humans, Nutrition Surveys, Risk Factors, Rural Population, Socioeconomic Factors, United States, Urban Population, Exercise, Body Mass Index, Prevalence, Odds Ratio, Pediatric Obesity
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