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CONTEXT: In rural communities, physical activity may influence and predict nutritional behaviors. PURPOSE: The purpose of this investigation was to determine if an individual's stage of participation in moderate physical activity was related to select measures of a healthy diet. METHODS: Data were collected using a mail-in survey from a random sample conducted in the rural/frontier communities of Idaho, Montana, and Wyoming. A total of 6 communities, 2 from each state, were surveyed with approximately 575 surveys sent to each community. The response rate was 51.5%. FINDINGS: Regression analysis revealed that there was a significant difference (P < 05) in select measures of a healthy diet between those in the maintenance stage of moderate levels of physical activity (physically active for 6 months or more) and those in precontemplation (not currently active and with no intention of starting), contemplation (not currently active but considering starting within the next 6 months), and preparation (not currently active but taking steps to become active within the next 30 days). Those in maintenance had a healthier diet. Additionally, women, older people, those with at least some college education, and those who were employed had healthier diets. CONCLUSIONS: These results lend preliminary support to the idea that moderate physical activity could act as a gateway behavior, a behavior that, if adopted, could lead to the adoption of other healthy behaviors. However, additional research is needed to confirm the nature, if any, of this relationship.
Blakely et al. (Mon,) studied this question.
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