Rebecca Seguin-Fowler, Ph.D., R.D.N., L.D., C.S.C.S.
Associate director for Healthy Living

Rebecca Seguin-Fowler, Ph.D., R.D.N., L.D., C.S.C.S.
Associate director for Healthy Living
Rebecca Seguin-Fowler, Ph.D., R.D.N, L.D., C.S.C.S., associate director for Healthy Living and elected member of the National Academy of Medicine, is a renowned public health scientist with expertise in community-based nutrition and physical activity intervention research. Improving community health for underserved and underrepresented populations has been at the core of her work for more than two decades. She has led widely disseminated dietary and physical activity interventions, innovative food systems intervention projects and adapted evidence-based programs for at-risk populations.
2025 Publications
Andreyeva E, Graham ML, Eldridge GD, Folta SC, Nelson ME, Strogatz D, Seguin-Fowler RA. Cost-effectiveness of two iterations of a community-based cardiovascular disease prevention intervention. Obesity (Silver Spring). 2025 Oct 16:1-11. doi:10.1002/oby.70050. PMCID: PMC12704013.
Bailey RL, Seguin-Fowler RA, Stover PJ, Scott-Pierce M, Racine EF, Eicher-Miller HA, Penrod N, Fischer BL. Effectiveness evaluation of national nutrition education programs must be a priority to safeguard nutrition security. Nat Food. 2025 Apr 23. doi:10.1038/s43016-025-01164-5.
Busse KR, Poppe KI, Wu Q, Jilcott Pitts SB, Haynes-Maslow L, Ammerman AS, Guerra KK, Plakias Z, Hanks AS, Garrity K, Gillespie R, Houghtaling B, Seguin-Fowler RA, Garner JA. Household food sourcing patterns and their relationship to food insecurity in Appalachian Ohio. J Acad Nutr Diet. 2025;125(1):54-69.e4. doi:10.1016/j.jand.2024.07.162.
Crespo NC, Vega-Lopez S, Szeszulski J, Todd M, Behar AI, Ray F, Hartman A, Hyde ET. Efficacy of a community- and family-based intervention on cardiovascular fitness and associated risk factors among primarily Latino families. Am J Health Promot. 2025;39(5):786-795. doi:10.1177/089011712513169. PMID: 39874391. PMCID: PMC12064374.
De Mello GT, Szeszulski J, O’Connor T, Lorenzo E, Hill JL, Lee RE. Effects of sustainability via active garden education (SAGE) on preschool-aged children’s locomotor skills. Transl Behav Med. 2025;15(1):ibaf052. doi:10.1093/tbm/ibaf052. PMID: 41047236.
Faul CB, Jilcott Pitts S, Calloway E, Seligman HK, Reis H, Webb Cherry C, Hatsu IE, Toyin Babatunde O, MacMillan Uribe AL, McGuirt JT, Seguin-Fowler RA. A meta-ethnography to determine critical constructs of nutrition security. J Nutr Educ Behav. 2025;57(3):167-184. doi:10.1016/j.jneb.2024.11.004.
Gadiraju M, Kim J, Green EM, MacMillan Uribe AL, Chang H, Burgert TS, Olfert M, Vanden Brink H. Barriers and facilitators to dietary behavior change and goal setting in adolescents with polycystic ovary syndrome. Front Nutr. 2025;12. doi:10.3389/fnut.2025.1628853.
Hosain R, Michael YL, Wallace RB, Chlebowski RT, Garcia DO, Nassir R, Robinson LF, Seguin-Fowler RA, Weitlauf JC, De Roos AJ. The relationship between occupation and lung cancer incidence in the Women’s Health Initiative observational study. Work Aging Health. 2025 Sep 19;1(2):2509001299. doi:10.53941/wah.2025.100010. PMCID: PMC12904250.
Karra P, Hardikar S, Winn M, Anderson G, Haaland B, Shadyab AH, Neuhouser ML, Seguin-Fowler RA, Thomson CA, Coday M, Wactawski-Wende J, Stefanick ML, Zhang X, Cheng TYD, Karanth S, Sun Y, Saquib N, Pichado MS, Jung SY, Tabung FK, Summers SA, Holland WL, Jalili T, Gunter M, Playdon MC. Metabolic phenotype and risk of obesity related cancers in the Women’s Health Initiative. Cancer Prev Res (Phila). 2025;18(2):63-72. doi:10.1158/1940 6207.CAPR-24-0082. PMCID: PMC11790363.
Kikanian G, Tapia L, Schaefers A, Gardner J, Butler P, Szeszulski J. Spending patterns for middle schools that deliver multiple evidence-based physical activity and nutrition programs. Transl Behav Med. 2025;15(1):ibaf026. doi:10.1093/tbm/ibaf026. PMID: 40512531. PMCID: PMC12466311.
Lewis EC, Eldridge GD, Villarreal DL, Graham ML, Andrews-Trevino JY, Folta SC, Maddock JE, Patterson MS, Andreyeva E, Seguin-Fowler RA. Civic engagement and social connectedness in rural communities: the role of sociodemographic factors and social determinants of health in rural areas of the United States. Soc Sci. 2025;14(11):674. doi:10.3390/socsci14110674.
Lewis EC, Umstattd Meyer MR, Janda-Thomte KM, Maddock JE, Palma MA, McNeely AC, Olawuyi YO, Seguin-Fowler RA. Cultivating connection between community, agriculture, food, and green space: a narrative review of agrihoods and their impact on health and wellbeing. Public Health Pract (Oxf). 2025 Dec 11:100695. PMCID: PMC12794511.
Liao Y, Brannon GE, Rethorst CD, Mau M, Bevers TB, Schembre SM, Basen-Enquist KM. Using continuous glucose monitoring as a biological feedback strategy to motivate physical activity in cancer survivors: a mixed-methods pilot study. Cancer Control. 2025;32:10732748251359406.
Liu Z, Chen G, LaMonte MJ, Kamensky V, Evenson KR, Shadyab AH, Luo J, Allison M, Wild RA, Going SB, Eaton CB, Stone KL, Bea JW, Seguin-Fowler RA, Johnson KC, Kaplan RR, Rohan TE, Wassertheil-Smoller S, Qi Q. Longitudinal transitions in sedentary behavior and physical activity in relation to all-cause and cause-specific mortality among postmenopausal women. GeroScience. 2025 Nov 11. doi:10.1007/s11357-025-01945-7.
MacMillan Uribe AL, George A, McNeely A, Xin L, Cevallos EL, Rethorst C, Seguin-Fowler RA, Szeszulski J. Strong teens for healthy schools: protocol for evaluating a youth nutrition, physical activity, and civic engagement program. Front Public Health. 2025 Sep 16;13:1654678. doi:10.3389/fpubh.2025.1654678. PMCID: PMC12487017.
Maddock JE, Lewis EC, Villarreal DL, MacMillan Uribe AL, Janda-Thomte KM, Han G, Hall CR, Sturdivant RX, Patterson MS, Graham ML, Seguin-Fowler RA, Umstattd Meyer MR. Protocol for a naturalistic study of residents living in an agriculturally integrated (“agrihood”) neighborhood. Front Public Health. 2025 Nov 19;13:1679602. doi:10.3389/fpubh.2025.1679602. PMCID: PMC12675236.
McNeely A, MacMillan Uribe AL, De Mello GT, Herrero-Loza A, Ali M, Nguyen K, Olawuyi Y, Rethorst CD, Seguin Fowler RA, Szeszulski J. Educators’ perceived barriers and facilitators to implementing a school-based nutrition, physical activity, and civic engagement intervention: a qualitative analysis. Front Public Health. 2025 Jun 26;13. doi:10.3389/fpubh.2025.1616483. PMCID: PMC12247174.
Palmer JC, Davies AL, Spiga F, Heitmann BL, Summerbell CD, Higgins JPT; Inequity in ObesityPrevention Trialists Collaborative Group. Do the effects of interventions aimed at the prevention of childhood obesity reduce inequities? A re-analysis of randomized trial data from two Cochrane reviews. eClinicalMedicine. 2025;81:103130.doi:10.1016/j.eclinm.2025.103130. PMCID: PMC11925530.
Perry CK, Maddock JE, Dieckmann NR, Winkle J, Franklin H, Currier JJ, Andreyeva E, Seguin-Fowler RA. Associations of physical activity-related social norms and frequency of outdoor walking with perceived walkability among rural Oregon adults. J Public Health Manag Pract. 2025 Sep-Oct;31(5):709-715. doi:10.1097/PHH.0000000000002164. PMCID:PMC12798957.
Rethorst CD, Demment M, Graham ML, Ha S, MacMillan Uribe AL, Lo BK, Szeszulski J, Githinji P, Strogatz D, Folta SC, Nelson ME, Seguin-Fowler RA. Mechanisms of Strong Hearts, Healthy Communities-2.0 effects on weight: a mediation analysis of a community randomized trial. J Nutr Educ Behav. 2026 Feb 6. doi:10.1016/j.jneb.2025.12.008.
Seguin-Fowler RA, Hanson KL, Eldridge GD, Marshall GA, Graham ML, Nelson ME, VillarrealDL, Andrews Trevino J, Maddock JE. Associations between diet quality and psychosocial and environmental factors in rural adults. J Nutr Educ Behav. 2025 Dec 11. doi:10.1016/j.jneb.2025.10.010. PMCID: PMC12704822.
Seguin-Fowler RA, Marshall GA, Eldridge GD, Hanson KL, Maddock JE, Graham ML, NelsonME, Villarreal DL. Association between physical activity, psychosocial factors, and the built environment in rural adults. J Phys Act Health. 2025 Oct 17:1-9. doi:10.1123/jpah.2025-0325. PMCID: PMC12604732.
Szeszulski J, Schaefers A, De Mello GT, Gardner J, George A, MacMillan Uribe AL, Rethorst CD, Seguin-Fowler RA, Xin L. Design and methodology of a cluster randomized factorial trial to optimize implementation strategies for the Healthy School Recognized Campus Initiative.Front Public Health. 2025;13. doi:10.3389/fpubh.2025.1652485. PMCID: PMC12611956.
Urbina Acevedo SD, Awinbisa Agandaa S, Allsopp Castillo MA, Fialkowski MK, MacMillan Uribe AL, OoNorasak K, Santiago-Martínez BI, Worthen DI, Walker A. Narrating responses and changes to diversity, equity, and inclusion within nutrition-focused organizations. J Nutr Educ Behav. 2025;57(12):1109-1110.
Verdezoto AA, Suh B, Todd M, Szeszulski J, Lorenzo E, Bruening M, Schuchardt C, Lee RE. Eating in the absence of hunger and BMI percentiles among primarily Hispanic preschool age children. Nutrients. 2025;17(7):1266. doi:10.3390/nu17071266. PMID: 40219024. PMCID: PMC11990248.