Physical Activity, Sedentary Behavior, Fruit and Vegetable Consumption and Access: What Influences Obesity in Rural Children?

The purpose of this project was to determine the effect of diet, physical activity, and access to fruits, vegetables on weight status of children who reside in a low-income rural area. 153 3rd–6th graders were assessed for physical activity, sedentary behavior, fruit and vegetable consumption and access to physical activity, fruits and vegetables. Physical activity and sedentary behavior was objectively assessed via accelerometery. Fruit and vegetable consumption was assessed by direct observation and a recall questionnaire. Access was assessed by a questionnaire. Regression analysis was used to determine relationships with weight status as measured by BMI. On average children met physical activity requirements (71 min of MVPA) per day which significantly related to children’s weight status (p = .016). Sedentary behavior was also related to weight status (p = < 0.001). Participants’ access to physical activity opportunities near the home was not significantly related to their physical activity levels or weight status. Fruit and vegetable consumption was not related to BMI or access to fruits and vegetables. The results of this study suggested that children’s physical activity and sedentary behavior impacts weight status of children residing in a rural environment.