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Research published in the American Journal of Preventive Medicine (December 2006) found that teenagers living in suburban areas were more than twice as likely to be overweight as those living in urban settings. Earlier research reported similar patterns in adults, with higher rates of overweight and obesity among suburban residents compared to city dwellers.

The study linked suburban sprawl—characterized by long distances between homes, schools, workplaces, and shopping—to higher obesity rates in children. As sprawl increased, so did the likelihood of excess weight.

One explanation is differences in daily movement. People living in cities tend to walk more as part of everyday life, while suburban residents often rely on cars for nearly all transportation. Many suburban neighborhoods lack sidewalks, and destinations are spread far apart, reducing opportunities for routine physical activity. Longer commutes may also leave less time for exercise, and eating meals or snacks in the car is more common.

These findings suggest that the built environment can influence physical activity patterns and body weight, particularly in children and adolescents.