The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2005
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Regular Physical Activity

Physical activity plays a key role in health by helping children to maintain an appropriate energy balance, which in turn helps to regulate weight. Physical activity also reduces the risk for certain cancers, diabetes, and high blood pressure, and contributes to healthy bones and muscles.1 According to parent reports, 71.3 percent of children aged 10-17 exercise on three or more days per week. Children in rural areas are more likely than children in urban areas to participate in regular physical activity. Among children in urban areas, 70.4 percent exercise regularly, compared to 73.9 percent of children in large rural areas and 75.3 percent of children in small rural areas.

*Federal Poverty Level, equal to $18,400 for a family of four in 2003. Boys, younger children, and children with higher family incomes are most likely to exercise. Regular physical activity is more common among children in rural areas than urban areas across all sex, age, and family income groups. Among boys, rates of physical activity in urban, large rural, and small rural areas are 76.3, 77.6, and 79.6 percent, respectively; rates among girls in these areas of residence are 64.3, 70.3, and 70.5 percent. Patterns are similar for all three age groups, with children aged 10-11 years living in small rural areas being especially likely to exercise on 3 or more days per week (82.4 percent).

Children from all family income levels are more likely to exercise in rural areas, but one of the largest disparities between urban and rural areas occurs among children with family incomes below the Federal poverty level (FPL): rates among those children are 62.1 percent in urban areas, compared to 74.5 percent in large rural areas and 75.1 percent in small rural areas. Children with family incomes of 400 percent of FPL and above and living in large rural and small rural areas are particularly likely to exercise (78.4 and 78.8 percent, respectively).

1 Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition and Physical Activity. Overweight and obesity: contributing factors. Atlanta, GA: The Centers; 2005 Apr.

Graph: Percent of children aged 10-17 years who participate in physical activity on 3 or more days per week, by location

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This chartbook is based on data from the National Survey of Children's Health. Suggested citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The National Survey of Children's Health 2003. Rockville, Maryland: U.S. Department of Health and Human Services, 2005.