Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, Kentucky.
Dietetics and Human Nutrition, University of Kentucky, 206g Funkhouser, Lexington, KY 40506. Email:
Prev Chronic Dis. 2019 Jan 17;16:E07. doi: 10.5888/pcd16.180322.
Community interventions to improve access to food and physical activity resources can reduce obesity rates and improve obesity-related health outcomes. We describe a Kentucky community project that consisted of collaborating with grocery store managers to improve the consumer food environment and partnering with community members to improve walking trails, bicycle racks, and other physical activity resources. We surveyed 2 random samples of community residents in 6 participating rural counties, 741 in 2016 (year 1) and 1,807 in 2017 (year 2). Fruit and vegetable intake significantly increased from year 1 (mean servings fruits, 2.71; vegetables, 2.54) to year 2 (mean servings fruit, 2.94; vegetables, 2.72). Although moderate physical activity did not change from year 1 to year 2, concern among residents about places to be physically active improved (P = .04). Involving community members in promoting obesity prevention programs may improve dietary intake and alleviate community concern about physical activity.
社区干预措施可改善食物和身体活动资源的获取，从而降低肥胖率并改善与肥胖相关的健康结果。我们描述了肯塔基州的一个社区项目，该项目包括与杂货店经理合作以改善消费者的食物环境，并与社区成员合作以改善步行道、自行车架和其他身体活动资源。我们对参与的 6 个农村县的 2 个随机社区居民样本进行了调查，2016 年（第 1 年）有 741 人，2017 年（第 2 年）有 1807 人。从第 1 年（水果平均摄入量 2.71 份，蔬菜平均摄入量 2.54 份）到第 2 年（水果平均摄入量 2.94 份，蔬菜平均摄入量 2.72 份），水果和蔬菜的摄入量明显增加。尽管第 1 年到第 2 年的中度身体活动量没有变化，但居民对可进行身体活动场所的关注有所改善（P =.04）。让社区成员参与推广肥胖预防计划可能会改善饮食摄入，并减轻社区对身体活动的关注。
