{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:00:19Z","timestamp":1787032819703,"version":"build-2736575974"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,20]]},"DOI":"10.7759\/cureus.15770","type":"journal-article","created":{"date-parts":[[2021,6,20]],"date-time":"2021-06-20T09:59:36Z","timestamp":1624183176000},"source":"Crossref","is-referenced-by-count":41,"title":["The Burden of Obesity in the Rural Adult Population of America"],"prefix":"10.7759","author":[{"given":"Okelue E","family":"Okobi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olamide O","family":"Ajayi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobechukwu  J","family":"Okobi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifeoma C","family":"Anaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oyinlola O","family":"Fasehun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiamaka S","family":"Diala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Endurance O","family":"Evbayekha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abimbola O","family":"Ajibowo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iyanu V","family":"Olateju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna J","family":"Ekabua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireille B","family":"Nkongho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ijeoma O","family":"Amanze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthonette","family":"Taiwo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ovie","family":"Okorare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugochi S","family":"Ojinnaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omosefe E","family":"Ogbeifun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nnenna","family":"Chukwuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel J","family":"Nebuwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet A","family":"Omole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iboro O","family":"Udoete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita K","family":"Okobi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Prevalence of obesity and severe obesity among adults: United States, 2017-2018","author":"Hales CM","year":"2020","unstructured":"Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity and severe obesity among adults: United States, 2017-2018. NCHS Data Brief. 2020, 1-8.","journal-title":"NCHS Data Brief"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12207","article-title":"A closer look at rural\u2010urban health disparities: Associations between obesity and rurality vary by geospatial and sociodemographic factors","volume":"33","author":"Cohen SA","year":"2017","unstructured":"Cohen SA, Cook SK, Kelley L, et al.. A closer look at rural\u2010urban health disparities: Associations between obesity and rurality vary by geospatial and sociodemographic factors. J Rural Health. 2017, 33:167-79. 10.1111\/jrh.12207","journal-title":"J Rural Health"},{"key":"ref3","unstructured":"CDC. More obesity in U.S. rural counties than in urban counties. (2018). Accessed: November 12, 2020: https:\/\/www.cdc.gov\/media\/releases\/2018\/s0614-obesity-rates.html."},{"key":"ref4","article-title":"Physical activity-related policy and environmental strategies to prevent obesity in rural communities: a systematic review of the literature, 2002-2013","volume":"13","author":"Meyer MRU","year":"2016","unstructured":"Meyer MRU, Perry CK, Sumrall JC, et al.. Physical activity-related policy and environmental strategies to prevent obesity in rural communities: a systematic review of the literature, 2002-2013. Prev Chronic Dis. 2016, 13:E03.","journal-title":"Prev Chronic Dis"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2473081","article-title":"Obesity reduces cognitive and motor functions across the lifespan","volume":"2016","author":"Wang C","year":"2016","unstructured":"Wang C, Chan JS, Ren L, et al.. Obesity reduces cognitive and motor functions across the lifespan. Neural Plast. 2016, 2016:2473081. 10.1155\/2016\/2473081","journal-title":"Neural Plast"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0396-x","article-title":"Telemedicine and primary care obesity management in rural areas - an innovative approach for older adults?","volume":"7","author":"Batsis JA","year":"2017","unstructured":"Batsis JA, Pletcher SN, Stahl JE. Telemedicine and primary care obesity management in rural areas - an innovative approach for older adults?. BMC Geriatr. 2017, 7:6. 10.1186\/s12877-016-0396-x","journal-title":"BMC Geriatr"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.2884","article-title":"Identification of factors associated with variation in US county-level obesity prevalence rates using epidemiologic vs machine learning models","volume":"2","author":"Scheinker D","year":"2019","unstructured":"Scheinker D, Valencia A, Rodriguez F. Identification of factors associated with variation in US county-level obesity prevalence rates using epidemiologic vs machine learning models. JAMA Netw Open. 2019, 2:4. 10.1001\/jamanetworkopen.2019.2884","journal-title":"JAMA Netw Open"},{"key":"ref8","unstructured":"United States Census Bureau. (2020). Accessed. June 16, 2021: https:\/\/www.census.gov\/programs-surveys\/geography\/guidance\/geo-areas\/urban-rural.html."},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208268","article-title":"Assessment of dietary patterns, physical activity and obesity from a national survey: rural-urban health disparities in older adults","volume":"13","author":"Cohen SA","year":"2018","unstructured":"Cohen SA, Greaney ML, Sabik NJ. Assessment of dietary patterns, physical activity and obesity from a national survey: rural-urban health disparities in older adults. PLoS One. 2018, 13:e0208268. 10.1371\/journal.pone.0208268","journal-title":"PLoS One"},{"key":"ref10","article-title":"Rural-urban disparity in poverty persistence","volume":"34","author":"Kyzyma I","year":"2018","unstructured":"Kyzyma I. Rural-urban disparity in poverty persistence. IRP Focus. 2018, 34:1-7.","journal-title":"IRP Focus"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.5888\/pcd13.160250external icon","article-title":"Community perspectives on access to and availability of healthy food in rural, low-resource, Latino communities","volume":"13","author":"Valdez Z","year":"2016","unstructured":"Valdez Z, Ramirez AS, Estrada E, et al.. Community perspectives on access to and availability of healthy food in rural, low-resource, Latino communities. Prev Chronic Dis. 2016, 13:160250. 10.5888\/pcd13.160250external icon","journal-title":"Prev Chronic Dis"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2017.10.005","article-title":"Association of residential greenness with obesity and physical activity in a US cohort of women","volume":"160","author":"Villeneuve PJ","year":"2018","unstructured":"Villeneuve PJ, Jerrett M, Su JG, et al.. Association of residential greenness with obesity and physical activity in a US cohort of women. Environ Res. 2018, 160:372-84. 10.1016\/j.envres.2017.10.005","journal-title":"Environ Res"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14111366","article-title":"Food swamps predict obesity rates better than food deserts in the United States","volume":"14","author":"Cooksey-Stowers K","year":"2017","unstructured":"Cooksey-Stowers K, Schwartz MB, Brownell KD. Food swamps predict obesity rates better than food deserts in the United States. Int J Environ Res Public Health. 2017, 14:1366. 10.3390\/ijerph14111366","journal-title":"Int J Environ Res Public Health"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-014-0136-5","article-title":"Rural and remote food environments and obesity","volume":"4","author":"Lenardson J","year":"2015","unstructured":"Lenardson J, Hansen A, Hartley D. Rural and remote food environments and obesity. Curr Obes Rep. 2015, 4:46-53. 10.1007\/s13679-014-0136-5","journal-title":"Curr Obes Rep"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2016.03.001","article-title":"Assessing preliminary impact of the North Carolina community transformation grant project farmers' market initiatives among rural residents","volume":"48","author":"Pitts SB","year":"2016","unstructured":"Pitts SB, McGuirt JT, Wu Q, et al.. Assessing preliminary impact of the North Carolina community transformation grant project farmers' market initiatives among rural residents. J Nutr Educ Behav. 2016, 48:343-9.e1. 10.1016\/j.jneb.2016.03.001","journal-title":"J Nutr Educ Behav"},{"key":"ref16","article-title":"Rural health inequities and the role of cooperative extension","volume":"54","author":"Fitch C","year":"2016","unstructured":"Fitch C. Rural health inequities and the role of cooperative extension. J Ext. 2016, 54:3FEA4.","journal-title":"J Ext"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4498-y","article-title":"Household food insecurity and dietary patterns in rural and urban American Indian families with young children","volume":"17","author":"Tomayko EJ","year":"2017","unstructured":"Tomayko EJ, Mosso KL, Cronin KA, et al.. Household food insecurity and dietary patterns in rural and urban American Indian families with young children. BMC Public Health. 2017, 17:611. 10.1186\/s12889-017-4498-y","journal-title":"BMC Public Health"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031914-122755","article-title":"The double disparity facing rural local health departments","volume":"37","author":"Harris JK","year":"2016","unstructured":"Harris JK, Beatty K, Leider JP, et al.. The double disparity facing rural local health departments. Annu Rev Public Health. 2016, 37:167-84. 10.1146\/annurev-publhealth-031914-122755","journal-title":"Annu Rev Public Health"},{"key":"ref19","unstructured":"Rural Health Information Hub. (2020). Accessed. August 7, 2020: https:\/\/www.ruralhealthinfo.org\/topics\/obesity-and-weight-control."},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2456518","article-title":"Community-based diabetes screening and risk assessment in rural West Virginia","volume":"2016","author":"Misra R","year":"2016","unstructured":"Misra R, Fitch C, Wright D. Community-based diabetes screening and risk assessment in rural West Virginia. J Diabetes Res. 2016, 2016:2456518. 10.1155\/2016\/2456518","journal-title":"J Diabetes Res"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/2333721416678076","article-title":"Use of a wearable activity device in rural older obese adults: a pilot study","volume":"2","author":"Batsis JA","year":"2016","unstructured":"Batsis JA, Naslund JA, Gill LE, et al.. Use of a wearable activity device in rural older obese adults: a pilot study. Gerontol Geriatr Med. 2016, 2:2333721416678076. 10.1177\/2333721416678076","journal-title":"Gerontol Geriatr Med"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuz046","article-title":"Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review","volume":"78","author":"Fl\u00f3rez KR","year":"2020","unstructured":"Fl\u00f3rez KR, Pay\u00e1n DD, Palar K, et al.. Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review. Nutr Rev. 2020, 78:304-22. 10.1093\/nutrit\/nuz046","journal-title":"Nutr Rev"},{"key":"ref23","article-title":"Obesity \u2014 United States, 1999-2010","volume":"62","author":"May AL","year":"2013","unstructured":"May AL, Freedman D, Sherry B, Blanck HM. Obesity \u2014 United States, 1999-2010. Center for disease control and Prevention. 2013, 62:120-8.","journal-title":"Center for disease control and Prevention"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/62.4.s238","article-title":"Religious and spiritual involvement among older African Americans, Caribbean blacks, and non-Hispanic whites: findings from the national survey of American life","volume":"62","author":"Taylor RJ","year":"2007","unstructured":"Taylor RJ, Chatters LM, Jackson JS. Religious and spiritual involvement among older African Americans, Caribbean blacks, and non-Hispanic whites: findings from the national survey of American life. J Gerontol B Psychol Sci Soc Sci. 2007, 62:S238-50. 10.1093\/geronb\/62.4.s238","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-015-0212-2","article-title":"Factors correlated to protective and risk dietary patterns in immigrant Latino mothers in non-metropolitan rural communities","volume":"18","author":"Torres-Aguilar P","year":"2016","unstructured":"Torres-Aguilar P, Teran-Garcia M, Wiley A, et al.. Factors correlated to protective and risk dietary patterns in immigrant Latino mothers in non-metropolitan rural communities. J Immigr Minor Health. 2016, 18:652-9. 10.1007\/s10903-015-0212-2","journal-title":"J Immigr Minor Health"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12232","article-title":"Support and sabotage: a qualitative study of social influences on health behaviors among rural adults","volume":"34","author":"Sriram U","year":"2018","unstructured":"Sriram U, Morgan EH, Graham ML, Folta SC, Seguin RA. Support and sabotage: a qualitative study of social influences on health behaviors among rural adults. J Rural Health. 2018, 34:88-97. 10.1111\/jrh.12232","journal-title":"J Rural Health"},{"key":"ref27","article-title":"Prevalence of obesity among adults and youth: United States, 2015-2016","author":"Hales CM","year":"2017","unstructured":"Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief. 2017, 1-8.","journal-title":"NCHS Data Brief"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21578","article-title":"Uptake of the centers for Medicare and Medicaid obesity benefit: 2012-2013","volume":"24","author":"Batsis JA","year":"2016","unstructured":"Batsis JA, Bynum JP. Uptake of the centers for Medicare and Medicaid obesity benefit: 2012-2013. Obesity (Silver Spring). 2016,  24:1983-8. 10.1002\/oby.21578","journal-title":"Obesity (Silver Spring)"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12622","article-title":"Weight loss and improved metabolic outcomes amongst rural African American women in the Deep South: six-month outcomes from a community-based randomized trial","volume":"282","author":"Ard JD","year":"2017","unstructured":"Ard JD, Carson TL, Shikany JM, et al.. Weight loss and improved metabolic outcomes amongst rural African American women in the Deep South: six-month outcomes from a community-based randomized trial. J Intern Med. 2017, 282:102-13. 10.1111\/joim.12622","journal-title":"J Intern Med"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00720-y","article-title":"Opportunities to improve a mobile obesity wellness intervention for rural older adults with obesity. Access millions of research papers in one click","volume":"45","author":"Batsis JA","year":"2020","unstructured":"Batsis JA, Dokko R, Naslund JA, et al.. Opportunities to improve a mobile obesity wellness intervention for rural older adults with obesity. Access millions of research papers in one click. J Community Health. 2020, 45:194-200. 10.1007\/s10900-019-00720-y","journal-title":"J Community Health"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303750","article-title":"Mass media campaign to reduce consumption of sugar-sweetened beverages in a rural area of the United States. PubMed Central","volume":"107","author":"Farley TA","year":"2017","unstructured":"Farley TA, Halper HS, Carlin AM, et al.. Mass media campaign to reduce consumption of sugar-sweetened beverages in a rural area of the United States. PubMed Central. Am J Public Health. 2017, 107:989-95. 10.2105\/AJPH.2017.303750","journal-title":"Am J Public Health"},{"key":"ref32","unstructured":"Rural Americans at Higher Risk of Death From Five Leading Causes. (2017). Accessed. January 12, 2017: https:\/\/www.cdc.gov\/media\/releases\/2017\/p0112-rural-death-risk.html."},{"key":"ref33","unstructured":"Issue Brief. Health Disparities Related to Obesity in Appalachia. (2016). Accessed: April 12, 2019: https:\/\/healthinappalachia.org\/issue-briefs\/obesity\/."}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/61370-the-burden-of-obesity-in-the-rural-adult-population-of-america","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T14:30:56Z","timestamp":1707489056000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/61370-the-burden-of-obesity-in-the-rural-adult-population-of-america"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,20]]},"references-count":33,"URL":"https:\/\/doi.org\/10.7759\/cureus.15770","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6,20]]}}}