{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:21:21Z","timestamp":1788340881671,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the association between residential location\u2014urban area and urban expansion area and sociodemographic characteristics, health behaviors, and clinical\u2010metabolic outcomes among schoolchildren aged 6 to 9 years in the municipality of Rio das Ostras, Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional study involving 420 students from public municipal schools. Sociodemographic and behavioral data were collected using validated questionnaires (QUADA\u20103 and QUAFDA). Anthropometric measurements, blood pressure, and biochemical analyses were conducted. Associations were assessed using Pearson's chi\u2010square or Fisher's exact tests and logistic regression models, both crude and adjusted for age, sex, maternal and paternal education, and household income.were estimated with 95% confidence intervals (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Children living in urban expansion areas had lower paternal education levels (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.021) and were less likely to engage in active commuting to school (2.4%\u00a0vs. 42.6%;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). No significant differences were observed in excess weight, physical activity scores, or ultra\u2010processed food consumption between the two groups. However, children from urban expansion areas showed a higher prevalence of prediabetes (OR = 0.133; 95% CI = 0.045\u20130.358;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), elevated total cholesterol (OR = 0.423;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), low HDL\u2010c (OR = 0.324;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), elevated LDL\u2010c (OR = 0.304;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and elevated triglycerides (OR = 0.484;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.029).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Residing in urban expansion areas was associated with worse clinical\u2013metabolic outcomes among schoolchildren, independent of nutritional status, physical activity, and ultra\u2010processed food consumption. These findings highlight the need for intersectoral and place\u2010based policies to promote healthier environments for children in territories undergoing urbanization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70156","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T08:39:48Z","timestamp":1784104788000},"page":"1180-1189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Urban\u2013Rural Continuum and Child Health: Influence of Residential Location on Ultra\u2010Processed Food Consumption, Physical Activity, and Metabolic Biomarkers"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5513-0011","authenticated-orcid":false,"given":"Luiz Felipe da Cruz","family":"Rangel","sequence":"first","affiliation":[{"name":"Laboratory of Research and Innovation in Sports Science and Nutrition Federal University of Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Josu\u00e9 de Castro Institute of NutritionFederal University of Rio de Janeiro Federal University of Rio de Janeiro Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Higher Institutes of Education of CENSA ISECENSA Campos dos Goytacazes Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia Gon\u00e7alves","family":"Silva","sequence":"additional","affiliation":[{"name":"Laboratory of Research and Innovation in Sports Science and Nutrition Federal University of Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Josu\u00e9 de Castro Institute of NutritionFederal University of Rio de Janeiro Federal University of Rio de Janeiro Rio de Janeiro Maca\u00e9 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7938-4198","authenticated-orcid":false,"given":"Alessandra Alegre","family":"de Matos","sequence":"additional","affiliation":[{"name":"Laboratory of Research and Innovation in Sports Science and Nutrition Federal University of Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Josu\u00e9 de Castro Institute of NutritionFederal University of Rio de Janeiro Federal University of Rio de Janeiro Rio de Janeiro Maca\u00e9 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0640-5570","authenticated-orcid":false,"given":"Francisco Martins","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Maca\u00e9 Campus Federal University of Rio de Janeiro  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz Gon\u00e7alves","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Laboratory of Research and Innovation in Sports Science and Nutrition Federal University of Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Josu\u00e9 de Castro Institute of NutritionFederal University of Rio de Janeiro Federal University of Rio de Janeiro Rio de Janeiro Maca\u00e9 Brazil"},{"name":"Maca\u00e9 Campus Federal University of Rio de Janeiro  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102\u2010311x2009000800018"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2022.107319"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/foods12244457"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.12820\/rbafs.v.16n2p100\u2010106"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102020\u2010103640"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102020\u2010103640"},{"issue":"3","key":"e_1_2_14_8_1","first-page":"1","article-title":"7a Diretriz Brasileira de Hipertens\u00e3o Arterial","volume":"107","author":"Cardiologia S. 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