Purpose: The aim of this study was to examine (a) whether distance from home to school is a determinant of active commuting to school (ACS), (b) the relationship between distance from home to heavily used facilities (school, green spaces, and sports facilities) and the weight status and cardiometabolic risk categories, and (c) whether ACS has a…

Context: The increasing prevalence of overweight in youth has been well chronicled, but less is known about the unique patterns and risks that may exist in rural and urban environments. A better understanding of possible rural-urban differences in physical activity profiles may facilitate the development of more targeted physical activity…

Overweight children would not be the first thing a visitor to Grafton, West Virginia, would think of when seeing the small farms that cling to steep hillsides and cultivate the bottomland along the Tygart River as one drives into town. Like most of the state, the landscape around this village nods to pastoral enterprise, suggesting a place where…