The DOI matches its Crossref record; 29 of the 30 references it cites were found in a registry or an index.
Environmental Correlates of Physical Activity Among Individuals With Diabetes in the Rural Midwest
Open accessAbstract
OBJECTIVE—To determine the relationship between physical and social environment attributes and levels of physical activity in a population-based sample of diabetic individuals living in rural areas. RESEARCH DESIGN AND METHODS—Cross-sectional telephone survey data from rural communities of southeastern Missouri, Tennessee, and Arkansas were used. Logistic regression was used to calculate crude and adjusted prevalence odds ratios (PORs) and 95% CIs. RESULTS—A total of 278 (11%) individuals with diabetes were identified. Almost 37% of this group reported no leisure-time physical activity. Individuals with diabetes who reported regular physical activity were more likely to report better general health status, normal BMI, and no physical impairment. After adjustment, regular activity was positively associated with use of three or more facilities (POR 14.3, 95% CI 3.0–67.3) in the past 30 days, the availability of many nearby places to walk (2.3, 1.1–4.8), the availability of shoulders on streets (2.4, 1.3–4.5), often walking to nearby places (4.1, 2.0–8.3), and rating the community for physical activity as generally pleasant (2.3, 1.1–4.8). Additionally, the regular activity group was more likely to report their physician had helped make a plan to increase physical activity (2.8, 1.3–5.8) and followed up on their plan (2.2, 1.1–4.4). Social environment variables were not associated with physical activity after adjustment. CONCLUSIONS—Physical inactivity is a significant problem in rural diabetic populations. We have identified aspects of the social and physical environment that are positively associated with physical activity. Understanding the role of the environment may result in increased physical activity for individuals with diabetes.
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“The availability of facilities or pleasant and safe places to walk may also be important predictors of regular PA ( 59 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [59]
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Global Burden of Diabetes, 1995–2025: Prevalence, numerical estimates, and projections
King, H. O. M., Aubert, R. E., & Herman, W. H. (1998) · Diabetes Care · doi:10.2337/diacare.21.9.1414 · Cited by 6,294
Physical Activity and Health: A Report of the Surgeon General
(1995) · PsycEXTRA Dataset · doi:10.1037/e525162010-001 · Cited by 5,488
Saelens, B. E., Sallis, J. F., & Frank, L. D. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2502_03 · Cited by 2,285
Neighborhood-based differences in physical activity: an environment scale evaluation
Saelens, B. E., Sallis, J. F., Black, J. B., & Chen, D. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.9.1552 · Cited by 1,954
Boulé, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001) · JAMA · doi:10.1001/jama.286.10.1218 · Cited by 1,889
Environmental factors associated with adults' participation in physical activity A review
Humpel, N. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00426-3 · Cited by 1,783
Giles‐Corti, B., & Donovan, R. J. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00150-2 · Cited by 1,333
Is physical activity or physical fitness more important in defining health benefits?
Blair, S. N., Cheng, Y. J., & HOLDER, J. S. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200106001-00007 · Cited by 1,140
Environmental and Policy Determinants of Physical Activity in the United States
Brownson, R. C., Baker, E. A., Housemann, R., Brennan, L. K., & Bacak, S. J. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.12.1995 · Cited by 994
Self-citationPerceived and objective environmental measures and physical activity among urban adults
Hoehner, C. M., Ramirez, L. K. B., Elliott, M., Handy, S., & Brownson, R. C. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.10.023 · Cited by 898
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Almalki, Y. H., Alfaifi, A. J., Mosawa, A. A., Mahzara, A. M., & Abutaleb, M. (2026) · Healthcare · doi:10.3390/healthcare14111530
Avis, C. A. (2011) · Cornerstone (Minnesota State University, Mankato)
Metadata
- Authors
- Deshpande, A. D., Baker, E. A., Lovegreen, S. L., & Brownson, R. C.
- Affiliations
- Saint Louis University (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2005-05-01
- Volume
- 28
- Issue
- 5
- Pages
- 1012-1018
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2108333037
- Cited by
- 103
- References
- 30
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 7 · 2013: 2 · 2012: 3
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Missouri
- McGill University
- National Institutes of Health (5r18dk061706-04)
- Centers for Disease Control and Prevention (U48/CCU 710806)
- National Institute of Diabetes and Digestive and Kidney Diseases (5 R18DK061706)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Transportation › Urban Transport and Accessibility
- Social Sciences › Urban Studies › Urban Green Space and Health
- Keywords
- physical activity, diabetes mellitus, rural population, built environment, social environment, leisure-time physical activity, physical inactivity, walking, neighborhood amenities, physician recommendations, health status, body mass index, rural Midwest
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Diabetes Mellitus, Environment, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Rural Population, Telephone, Midwestern United States, Prevalence
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