OJPM  Vol.3 No.3 , June 2013
Assessment of cancer risk in two rural West Texas communities using anthropometrics, diet, and physical activity
ABSTRACT

Cancer risks in the United States are linked to undesirable dietary and physical activity habits that may be more common in rural communities. This study assessed the cancer risk in two rural West Texas communities through anthropometrics, diet, and physical activity measures (n = 374). No significant relationships were found between body mass index (BMI) and waist circumference (WC) with consumption of fruits, vegetables, whole grains, and sugar-sweetened beverages; however, data showed significant negative associations between BMI and WC and physical activity. Over 58% of the sample was unaware of the link between obesity and cancer risk. Further evaluation of cancer risk in rural communities is needed to develop effective interventions and reduce health disparities.


Cite this paper
Masis, N. , Reed, D. , McCool, B. , Cooper, J. and Lyford, C. (2013) Assessment of cancer risk in two rural West Texas communities using anthropometrics, diet, and physical activity. Open Journal of Preventive Medicine, 3, 285-292. doi: 10.4236/ojpm.2013.33039.
References
[1]   American Cancer Society (2013) Cancer facts & figures 2013. American Cancer Society, Atlanta.

[2]   Tai-Seale, T. and Chandler, C. (2003) Nutrition and overweight concerns in rural areas: A literature review. In: Rural Healthy People 2010: A Companion Document to Healthy People 2010, 115-130.

[3]   Reed, D.B., Patterson, P.J. and Wasserman N. (2011) Obesity in rural youth: Looking beyond nutrition and physical activity. Journal of Nutrition Education and Behavior, 43, 401-408. doi:10.1016/j.jneb.2010.12.005

[4]   Bustillos, B., Sharkey, J.R., Anding, J. and McIntosh, A. (2009) Availability of more healthful food alternatives in traditional, convenience, and nontraditional types of food stores in two rural Texas counties. Journal of the American Dietetic Association, 109, 883-889. doi:10.1016/j.jada.2009.02.011

[5]   Lin, J., Zhang, S.M., Cook, N.R., et al. (2005) Dietary intakes of fruit, vegetables, and fiber, and risk of colorectal cancer in a prospective cohort of women (United States). Cancer Causes & Control, 16, 225-233.

[6]   US Department of Agriculture (2011) Dietary guidelines for Americans 2010. http://www.cnpp.usda.gov/

[7]   Center for Disease Control and Prevention (2011) Statespecific trends in fruit and vegetable consumption among adults—United States, 2000-2009. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5935a1.htm

[8]   Pereira, M.A. (2006) The possible role of sugar-sweetened beverages in obesity etiology: A review of the evidence. International Journal of Obesity, 30, S28-S36. doi:10.1038/sj.ijo.0803489

[9]   McTiernan, A., Kooperberg, C., White, E., et al. (2003) Recreational physical activity and the risk of breast cancer in postmenopausal women: The women’s health initiative cohort study. Journal of the American Medical Association, 290, 1331-1336. doi:10.1001/jama.290.10.1331

[10]   Frost, S.S., Goins, R.T., Hunter, R.H., et al. (2010) Effects of the built environment on physical activity of adults living in rural settings. American Journal of Health Promotion, 24, 267-283. doi:10.4278/ajhp.08040532

[11]   Martin, S.L., Kirkner, G.J., Mayo, K., Matthews, C.E., Durstine, J.L. and Hebert, J.R. (2005) Urban, rural, and regional variations in physical activity. The Journal of Rural Health, 21, 239-244. doi:10.1111/j.1748-0361.2005.tb00089.x

[12]   Texas Tech University Health Science Center (2011) Demographic and economic maps. http://www.gis.ttu.edu/center/cgstARCH

[13]   Center for Disease Control and Prevention (2011) Assessing your weight. http://www.cdc.gov/healthyweight/assessing/index.html

[14]   Centers for Disease Control and Prevention (2011) Behavioral risk factor surveillance system survey questionnaire. http://www.cdc.gov/brfss/

[15]   McAndrews, J.A., McMullen, S. and Wilson, S.L. (2011) Four strategies for promoting healthy lifestyles in your practice. Family Practice Management, 18, 16-20.

[16]   McLafferty, S. and Wang, F. (2009) Rural reversal? Rural-urban disparities in late-stage cancer risk in Illinois. Cancer, 115, 2755-2764. doi:10.1002/cncr.24306

[17]   Wang, Y. and Beydoun, M.A. (2007) The obesity epidemic in the United States—Gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemiologic Reviews, 29, 6-28. doi:10.1093/epirev/mxm007

[18]   Patterson, P.D., Moore, C.G., Probst, J.C. and Shinogle, J.A. (2004) Obesity and physical inactivity in rural America. Journal of Rural Health, 20, 151-159. doi:10.1111/j.1748-0361.2004.tb00022.x

[19]   Centers for Disease Control and Prevention (2009-2010) Behavioral risk factor surveillance system survey data. US Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta.

[20]   Johnson, C.M., Sharkey, J.R. and Dean, W.R. (2010) Eating behaviors and social capital are associated with fruit and vegetable intake among rural adults. Journal of Hunger & Environmental Nutrition, 5, 302-315. doi:10.1080/19320248.2010.504094

[21]   O’Neil, C.E., Nicklas, T.A., Zanovec, M. and Cho, S. (2010) Whole-grain consumption is associated with diet quality and nutrient intake in adults: The National Health and Nutrition Examination Survey, 1999-2004. Journal of the American Dietetic Association, 110, 1461-1468. doi:10.1016/j.jada.2010.07.012

[22]   Liebman, M., Pelican, S., Moore, S.A., et al. (2006) Dietary intake-, eating behavior-, and physical activity-related determinants of high body mass index in the 2003 Wellness IN the Rockies cross-sectional study. Nutrition Research, 26, 111-117. doi:10.1016/j.nutres.2005.11.002

[23]   Centers for Disease Control and Prevention: National Diabetes Surveillance System (2012) County level estimates of leisure-time physical inactivity—US. http://apps.nccd.cdc.gov/DDTSTRS/default.aspx

[24]   Slentz, C.A., Duscha, B.D., Johnson, J.L., et al. (2004) Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE —A randomized controlled study. Archives of Internal Medicine, 164, 31-39. doi:10.1001/archinte.164.1.31

[25]   Mediano, M.F.F., Barbosa, J., Moura, A.S., Willett, W.C. and Sichieri, R. (2010) A randomized clinical trial of home-based exercise combined with a slight caloric restriction on obesity prevention among women. Preventive Medicine, 51, 247-252. doi:10.1016/j.ypmed.2010.07.012

[26]   Jilcott, S.B., Vu, M.B., Morgan, J. and Keyserling, T.C. (2012) Promoting use of nutrition and physical activity community resources among women in a family planning clinic setting. Women & Health, 52, 55-70. doi:10.1080/03630242.2011.637612

[27]   Center for Disease Control and Prevention (2011) Physical activity. http://www.cdc.gov/physicalactivity/

[28]   Adedze, P., Chapman-Novakofski, K., Witz, K., Orr, R. and Donovan, S. (2011) Knowledge, attitudes, and beliefs about nutrition and childhood overweight among WIC participants. Family & Community Health, 34, 301-310. doi:10.1097/FCH.0b013e31822b53dd

[29]   International Food Information Council Foundation (IFIC) (2012) 2011 food & health survey. http://www.foodinsight.org

[30]   Wallerstein, N. and Duran, B. (2010) Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100, S40-S46. doi:10.2105/AJPH.2009.184036

[31]   Horowitz, C.R., Robinson, M. and Seifer, S. (2009) Community-based participatory research from the margin to the mainstream: Are researchers prepared? Circulation, 119, 2633-2642. doi:10.1161/CIRCULATIONAHA.107.729863

[32]   Brownson, R.C., Baker, E.A., Boyd, R.L., et al. (2004) A community-based approach to promoting walking in rural areas. American Journal of Preventive Medicine, 27, 2834. doi:10.1016/j.amepre.2004.03.015

[33]   HEALTHY Study Group, Mobley, C.C., Stadler, D.D., et al. (2012) Effect of nutrition changes on foods selected by students in a middle school-based diabetes prevention intervention program: The HEALTHY experience. Journal of School Health, 82, 82-90. doi:10.1111/j.1746-1561.2011.00670.x

 
 
Top