Table 1.

Individual (Intrinsic) and Community (Extrinsic) Environmental Determinants of Physical Activity and Eating Behavior, a North Carolina Family Medicine Research Network Study, 2004^a

Psychobiologic Core	Cultural	Social	Enablers of Choice	Behavioral Settings	Proximal Leverage Points	Distal Leverage Points
Self-identities Pleasures Genetics Hierarchy of needs Physiology (physical health)	Habits Ethnic identities Beliefs Values Life experience	Social roles Life stage Interpersonal relationships Educational attainment Socioeconomic status	Social trends Seasonality Convenience Accessibility Situation or context – physical and social Source of information Cost Time Safety Knowledge	Home Food stores Health clubs Workplace Community activity providers Restaurants Religious, community, and nongovernmental organizations Parks, recreation centers, senior centers Vehicle for transport Shopping malls Neighborhood Daycare Local school	FamilyFood stores Local government Developers Property owners Restaurants and food outlets Recreation facilities Nongovernmental organizations Nonprofit providersCommunity Shopping malls Health care providers School board district Employer	Political advocacy/lobbying Food industry Transportation system Architecture and building codes Exercise, physical activity, sports industry Recreation industry Health care industry Education system Entertainment industry Labor-saving device industryInformation industry National government

^a Adapted from reference 11.