title: Health behaviors and weight status among urban and rural children.
abstract: BACKGROUND
  Pediatric overweight is currently reaching epidemic proportions but little information exists on differences in weight related behaviors between urban and rural children.
  
  
  OBJECTIVE
  To assess health behaviors and weight status among urban and rural school-age children.
  
  
  METHODS
  Fifth-grade children at two urban and two rural schools were invited to participate in an assessment study of their health behaviors and weight status. A total of 138 children (mean age = 10 years; % female = 54.6) chose to participate.
  
  
  RESULTS
  Children in rural and urban areas consumed equivalent calories per day and calories from fat, but rural children ate more junk food and urban children were more likely to skip breakfast. Urban children engaged in more metabolic equivalent tasks and had slightly higher total sedentary activity than rural children. The BMI percentile was equivalent across rural and urban children but rural children were more often overweight and urban children were more often at risk for overweight.
  
  
  CONCLUSIONS
  Although some variables were equivalent across urban and rural children, results indicate some key health behavior differences between groups. Results should be interpreted with caution as the sample size was small and there were demographic differences between urban and rural samples.
authors.affiliation: University of Kansas Medical Center, Department of Pediatrics, Kansas City, Kansas, USA. adavis6@kumc.edu
authors.forename: Ann M
authors.initials: AM
authors.lastname: Davis
authors.forename: Richard E
authors.initials: RE
authors.lastname: Boles
authors.forename: Rochelle L
authors.initials: RL
authors.lastname: James
authors.forename: Debra K
authors.initials: DK
authors.lastname: Sullivan
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Donnelly
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Swirczynski
authors.forename: Jeannine
authors.initials: J
authors.lastname: Goetz
mesh_terms: D015992:Body Mass Index; D002648:Child; D004032:Diet; D005260:Female; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D007615:Kansas / Q000453:epidemiology; D008297:Male; D009043:Motor Activity; D015596:Nutrition Assessment; D050177:Overweight / Q000453:epidemiology*; D015995:Prevalence; D012424:Rural Population; D014505:Urban Population