References
1. Lutfiyya MN, Chang LF, Lipsky MS. A cross-sectional study of US rural adults' consumption of fruits and vegetables: do they consume at least five servings daily? BMC Public Health 2012;12:280.
2. Parks SE, Housemann RA, Brownson RC. Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. J Epidemiol Community Health 2003;57:29-35.
3. Schoenberg NE, Swanson M. Rural religious leaders' perspectives on their communities' health priorities and health. South Med J 2017;110:447-451.
4. McGarvey EL, Leon-Verdin M, Killos LF, et al. Health disparities between Appalachian and non-Appalachian counties in Virginia USA. J Community Health 2011;36:348-356.
5. Behringer B, Friedell GH. Appalachia: where place matters in health. Prev Chronic Dis 2006;3:A113.
6. Schoenberg NE, Huang B, Seshadri S, et al. Trends in cigarette smoking and obesity in Appalachian Kentucky. South Med J 2015;108:170-177.
7. Short VL, Oza-Frank R, Conrey EJ. Preconception health indicators: a comparison between non-Appalachian and Appalachian women. Matern Child Health J 2012;16(suppl 2):238-249.
8. Schwartz F, Ruhil AV, Denham S, et al. High self-reported prevalence of diabetes mellitus, heart disease, and stroke in 11 counties of rural Appalachian Ohio. J Rural Health 2009;25:226-230.
9. Haaga J. Demographic and Socioeconomic Change in Appalachia: The Aging of Appalachia. Washington, DC:Appalachian Regional Commission/Population Reference Bureau;2004.
10. Borak J, Salipante-Zaidel C, Slade MD, et al. Mortality disparities in Appalachia: reassessment of major risk factors. J Occup Environ Med 2012;54:146-156.
11. Booth J, Wei K, Little A. Examining the impact of food environment changes on county-level obesity prevalence in the Appalachian region. J Health Dispar Res Pract 2017;10:14-33.
12. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System (BRFSS) Prevalence & Trends Data. Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion; 2015.
13. Schoenberg NE, Howell BM, Swanson M, et al. Perspectives on healthy eating among Appalachian residents. J Rural Health 2013;29(suppl 1):s25-s34.
14. Seguin R, Connor L, Nelson M, et al. Understanding barriers and facilitators to healthy eating and active living in rural communities. J Nutr Metab 2014;2014:146502.
15. Center for Regional Economic Competitiveness, West Virginia University. Appalachia Then and Now: Examining Changes to the Appalachian Region Since 1965. Washington, DC: Appalachian Regional Commission; 2015.
16. Vitolins MZ, Quandt SA, Bell RA, et al. Quality of diets consumed by older rural adults. J Rural Health 2002;18:49-56.
17. Vitolins MZ, Tooze JA, Golden SL, et al. Older adults in the rural South are not meeting healthful eating guidelines. J Am Diet Assoc 2007;107:265-272.
18. Rehm CD, Penalvo JL, Afshin A, et al. Dietary intake among US adults, 1999-2012. JAMA 2016;315:2542-2553.
19. Wilcox S, Castro C, King AC, et al. Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. J Epidemiol Community Health 2000;54:667-672.
20. Guenther PM, Kirkpatrick SI, Reedy J, et al. The Healthy Eating Index-2010 is a valid and reliable measure of diet quality according to the 2010 Dietary Guidelines for Americans. J Nutr 2014;144:399-407.
21. Schoenberg NE, Tarasenko Y, Snell-Rood C. Are evidence-based, community-engaged energy balance interventions enough for extremely vulnerable populations? Transl Behav Med 2018;8:733-738.
23. Resnicow K, Odom E, Wang T, et al. Validation of three food frequency questionnaires and 24-hour recalls with serum carotenoid levels in a sample of African-American adults. Am J Epidemiol 2000;152:1072-1080.
24. Block G, Hartman AM, Dresser CM, et al. A data-based approach to diet questionnaire design and testing. Am J Epidemiol 1986;124:453-469.
25. Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 1985;10:141-146.
26. Jacobs DR, Jr Ainsworth BE, Hartman TJ, et al. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 1993;25:81-91.
27. Baltic RD, Weier RC, Katz ML, et al. Study design, intervention, and baseline characteristics of a group randomized trial involving a faith-based healthy eating and physical activity intervention (Walk by Faith) to reduce weight and cancer risk among overweight and obese Appalachian adults. Contemp Clin Trials 2015;44:1-10.
28. Brown JL, Wenrich TR. Intra-family role expectations and reluctance to change identified as key barriers to expanding vegetable consumption patterns during interactive family-based program for Appalachian low-income food preparers. J Acad Nutr Diet 2012;112:1188-1200.
29. Sharkey JR, Johnson CM, Dean WR, et al. Association between proximity to and coverage of traditional fast-food restaurants and non-traditional fast-food outlets and fast-food consumption among rural adults. Int J Health Geogr 2011;10:37.
30. Miller WC, Rogalla D, Spencer D, et al. Community adaptations to an impending food desert in rural Appalachia, USA. Rural Remote Health 2016;16:3901.
31. Zenk SN, Powell LM, Isgor Z, et al. Prepared food availability in U.S. food stores: a national study. Am J Prev Med 2015;49:553-562.
32. Seguin RA, Aggarwal A, Vermeylen F, et al. Consumption frequency of foods away from home linked with higher body mass index and lower fruit and vegetable intake among adults: a cross-sectional study. J Environ Public Health 2016;2016:3074241.
33. Forbes SL, Kahiya E, Balderstone C. Analysis of snack food purchasing and consumption behavior. J Food Prod Market 2016;22:65-88.
34. Kruger TM, Swanson M, Davis RE, et al. Formative research conducted in rural Appalachia to inform a community physical activity intervention. Am J Health Promot 2012;26:143-151.
35. Shores KA, West ST, Theriault DS, et al. Extra-individual correlates of physical activity attainment in rural older adults. J Rural Health 2009;25:211-218.
36. Nelson MC. Environmental influences on diet and physical activity in childhood: opportunities for intervention. South Med J 2005;98:1161-1162.
37. van Sluijs EM, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ 2007;335:703.
38. Arcury TA, Gesler WM, Preisser JS, et al. The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Serv Res 2005;40:135-155.
39. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System (BRFSS) 2016 Summary Data Quality Report. Atlanta, GA: CDC; 2017.
40. Jackson SE, Steptoe A, Wardle J. The influence of partner' behavior on health behavior change: the English Longitudinal Study of Ageing. JAMA Intern Med 2015;175:385-392.
41. Koeneman MA, Verheijden MW, Chinapaw MJ, et al. Determinants of physical activity and exercise in healthy older adults: a systematic review. Int J Behav Nutr Phys Act 2011;8:142.
42. Zanjani FA, Schaie KW, Willis SL. Age group and health status effects on health behavior change. Behav Med 2006;32:36-46.