Scholars@Duke
Cody D Neshteruk

Cody D Neshteruk

Assistant Professor in Population Health Sciences
Population Health Sciences

Selected Publications

Going Places: An Active Transportation Intervention to Increase Youth Physical Activity, Durham, North Carolina, 2023-2024.

Journal Article Am J Public Health · March 20, 2025 Routine youth physical activity (PA) fosters healthy habits and lasting cardiometabolic benefits into adulthood; however, significant disparities in PA persist by race, ethnicity, and income. Active transportation is an optimal intervention target to promo ... Full text Link to item Cite

Grocery intervention and DNA-based assessment to improve diet quality in pediatric obesity: a pilot randomized controlled study.

Journal Article Obesity (Silver Spring) · February 2025 OBJECTIVE: We assessed the impact of a food-provisioning intervention on diet quality in children with obesity. METHODS: Participants (n = 33, aged 6-11 years) were randomly assigned to either usual care (intensive health behavior and lifestyle treatment) ... Full text Link to item Cite

Neighborhood Public Transportation Access and Adolescent Body Mass Index: Results from the FLASHE Study.

Journal Article Child Obes · July 2024 Background: Prior investigators have examined the relationship between neighborhood public transportation access and physical activity among adolescents, but research is lacking on the association with obesity in this age group. This study examines the ass ... Full text Link to item Cite

Associations Between Neighborhood Opportunity and Indicators of Physical Fitness for New York City Public School Youth.

Journal Article Child Obes · July 2024 Background: Fewer than 1/4th of US children and adolescents meet physical activity (PA) guidelines, leading to health disparities that track into adulthood. Neighborhood opportunity may serve as a critical modifiable factor to improve fitness attainment an ... Full text Link to item Cite

The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.

Journal Article Pediatr Obes · December 2023 BACKGROUND: Neighbourhood factors are associated with cardiovascular health in adults, but these relationships are under-explored in youth. OBJECTIVES: To characterize the associations between neighbourhood factors and child and adolescent health among you ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.

Journal Article Ann Epidemiol · December 2023 PURPOSE: This paper aims to examine the association between asthma severity and one-year lagged fitness in New York City Public school youth by neighborhood opportunity. METHODS: Using the Child Opportunity Index 2.0 and individual-level repeated measures ... Full text Link to item Cite

Longitudinal Associations Between Neighborhood Child Opportunity and Physical Fitness for New York City Public School Youth.

Journal Article Am J Epidemiol · August 4, 2023 Neighborhood environments can support fitness-promoting behavior, yet little is known about their influence on youth physical fitness outcomes over time. We examined longitudinal associations between neighborhood opportunity and youth physical fitness amon ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness among new York City public school youth.

Journal Article Prev Med · May 2023 Severe persistent childhood asthma is associated with low physical activity and may be associated with poor physical fitness. Research on the asthma severity-fitness association longitudinally and across sociodemographic subgroups is needed to inform fitne ... Full text Link to item Cite

Longitudinal Association between Weight Status, Aerobic Capacity, Muscular Strength, and Endurance among New York City Youth, 2010-2017.

Journal Article Child Obes · April 2023 Background: Child weight status is inversely associated with fitness, but less is known about this relationship across fitness domains. This study examined the longitudinal association between weight status and fitness domains in a large, diverse sample of ... Full text Link to item Cite

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Journal Article Implement Sci · February 24, 2023 BACKGROUND: Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recomm ... Full text Open Access Link to item Cite

Severe obesity and fitness in New York City public school youth, 2010-2018.

Journal Article BMC Public Health · February 16, 2023 BACKGROUND: Obesity is associated with poorer youth fitness. However, little research has examined the magnitude of this relationship in youth with severe obesity. Therefore, we sought to determine the relationship between increasing weight status and fitn ... Full text Link to item Cite

Association between parenthood and cardiovascular disease risk: Analysis from NHANES 2011-2016.

Journal Article Prev Med Rep · June 2022 The objective of this study was to examine the association between parenthood and cardiovascular disease (CVD) risk factors among a nationally representative sample of United States adults. A cross sectional analysis was conducted with adults aged 20-59 ye ... Full text Link to item Cite

Patient Retention in Pediatric Weight Management Programs in the United States: Analyses of Data from the Pediatrics Obesity Weight Evaluation Registry.

Journal Article Child Obes · January 2022 Objective: Meeting recommended provider contact hours in multicomponent pediatric weight management (PWM) programs is difficult when patient retention is low. Our objective was to examine associations between individual patient characteristics, program cha ... Full text Link to item Cite

Efficacy of an Enhanced Implementation Strategy to Increase Parent Engagement with a Health Promotion Program in Childcare.

Journal Article Int J Environ Res Public Health · December 23, 2021 Previous efforts to involve parents in implementation of childcare-based health promotion interventions have yielded limited success, suggesting a need for different implementation strategies. This study evaluated the efficacy of an enhanced implementation ... Full text Link to item Cite

A Mixed-Methods Examination of Referral Processes to Clinic-Community Partnership Programs for the Treatment of Childhood Obesity.

Journal Article Child Obes · December 2021 Background: Partnerships with community programs have been used to improve access to obesity care and address clinical barriers to childhood obesity management; however, little is known about the program referral process. The objective of this study was to ... Full text Link to item Cite

The Association Between Neighborhood Public Transportation Usage and Youth Physical Activity.

Journal Article Am J Prev Med · November 2021 INTRODUCTION: Routine adolescent physical activity is a well-established predictor of positive health across the lifespan, although wide disparities in youth physical activity engagement persist across sex and race/ethnicity. Transportation barriers may be ... Full text Link to item Cite

Weight-Related Behaviors of Children with Obesity during the COVID-19 Pandemic.

Journal Article Child Obes · September 2021 Background: During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of th ... Full text Link to item Cite

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016.

Journal Article J Adolesc Health · August 2021 PURPOSE: Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aime ... Full text Link to item Cite

Implementation of a workplace physical activity intervention in child care: process evaluation results from the Care2BWell trial.

Journal Article Transl Behav Med · July 29, 2021 Care2BWell was designed to evaluate the efficacy of Healthy Lifestyles (HL), a worksite health promotion intervention to increase child care workers' physical activity. The purpose of this study was to use process evaluation to describe the implementation ... Full text Link to item Cite

Screen Time Parenting Practices and Associations with Preschool Children's TV Viewing and Weight-Related Outcomes.

Journal Article Int J Environ Res Public Health · July 9, 2021 The purpose of this study was to examine associations between screen time (ST) parenting practices and 2-5-year-old children's TV viewing and weight status. Data were collected from 252 parent-child dyads enrolled in a randomized parent-focused childhood o ... Full text Link to item Cite

The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.

Journal Article Ann Epidemiol · May 2021 PURPOSE: Striking disparities persist in cardiovascular disease risk factors among minority youth. We examined the association between multiple indicators of neighborhood quality and minority youth fitness. METHODS: The primary exposure was the Child Oppor ... Full text Link to item Cite

Results of caring and reaching for health (CARE): a cluster-randomized controlled trial assessing a worksite wellness intervention for child care staff

Journal Article International Journal of Behavioral Nutrition and Physical Activity · December 2020 AbstractBackgroundChild care workers are among the lowest paid US workers and experience a wide array of health concerns. The physical and mental demands of their job and the lack of emp ... Full text Cite

Identifying patterns of physical activity and screen time parenting practices and associations with preschool children's physical activity and adiposity.

Journal Article Prev Med Rep · June 2020 Although physical activity and screen time parenting practices influence children's behaviors, little work has examined how these practices work in combination. The purpose of this study was to identify patterns of physical activity and screen time parenti ... Full text Link to item Cite

Understanding the Role of Fathers in Children's Physical Activity: A Qualitative Study.

Journal Article J Phys Act Health · May 1, 2020 BACKGROUND: Parents are influential in supporting children's physical activity, but relatively little is known about the role of fathers in children's physical activity. METHODS: Semi-structured interviews (n = 24) were conducted with low-active and active ... Full text Link to item Cite

Means of Optimizing Physical Activity in the Preschool Environment: A Commentary on Coe (2019)

Journal Article American Journal of Lifestyle Medicine · January 2020 Full text Cite

Physical Activity and Sedentary Behaviors of Children in Family Child Care Homes: Are There Opportunities for Improvement?

Journal Article Pediatr Exerc Sci · November 1, 2018 PURPOSE: Many children attend family child care homes (FCCHs), an important setting to influence children's physical activity (PA) and sedentary behavior (SB). This study assessed children's PA and SB while in FCCHs, characteristics of the FCCH PA environm ... Full text Link to item Cite

The physical environment in family childcare homes and children's physical activity.

Journal Article Child Care Health Dev · September 2018 BACKGROUND: Family childcare homes (FCCHs) are the second largest provider of childcare in the United States, yet little is known about how this setting influences children's physical activity, particularly related to the physical environment. Thus, the pu ... Full text Link to item Cite

The influence of fathers on children's physical activity: A review of the literature from 2009 to 2015.

Journal Article Prev Med · September 2017 Parents are influential in promoting children's physical activity. Yet, most research has focused on how mothers influence children's activity, while little empirical attention has been devoted to understanding how fathers may influence children's activity ... Full text Link to item Cite