Walkability and its association with prevalent and incident diabetes among adults in different regions of Germany: results of pooled data from five German cohorts

BMC Endocrine Disorders

卷:20

Robynne Sutcliffe¹  Susanne Moebus¹  Salman Ahmed¹  Werner Maier²  Annette Peters²  Kathrin Wolf²  Neeltje van den Berg³  Ulrike Stentzel³  Mark Patrick Sheldon⁴  Gavin Rudge⁴  Corinna Köhnke⁵  Detlef Thürkow⁶  Andreas Wienke⁷  Nadja Kartschmit⁷  Rafael Mikolajczyk⁷  Alexander Kluttig⁷  Karin Halina Greiser⁷  Saskia Hartwig⁷ 

[1] Centre for Urban Epidemiology, University Clinics Essen;

[2] German Center for Diabetes Research (Deutsches Zentrum für Diabetesforschung DZD);

[3] Institute for Community Medicine, University Medicine Greifswald;

[4] Institute of Applied Health Research, University of Birmingham;

[5] Institute of Epidemiology and Social Medicine, University of Münster;

[6] Institute of Geosciences and Geography, Martin-Luther-University Halle-Wittenberg;

[7] Institute of Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg;

关键词: Built environment;    Walkability;    Diabetes;    Cardio-metabolic risk factors;    Epidemiology;   

DOI  :  10.1186/s12902-019-0485-x

来源: DOAJ

【 摘 要 】

Abstract Background Highly walkable neighbourhoods may increase transport-related and leisure-time physical activity and thus decrease the risk for obesity and obesity-related diseases, such as type 2 diabetes (T2D). Methods We investigated the association between walkability and prevalent/incident T2D in a pooled sample from five German cohorts. Three walkability measures were assigned to participant’s addresses: number of transit stations, points of interest, and impedance (restrictions to walking due to absence of intersections and physical barriers) within 640 m. We estimated associations between walkability and prevalent/incident T2D with modified Poisson regressions and adjusted for education, sex, age at baseline, and cohort. Results Of the baseline 16,008 participants, 1256 participants had prevalent T2D. Participants free from T2D at baseline were followed over a mean of 9.2 years (SD: 3.5, minimum: 1.6, maximum: 14.8 years). Of these, 1032 participants developed T2D. The three walkability measures were not associated with T2D. The estimates pointed toward a zero effect or were within 7% relative risk increase per 1 standard deviation with 95% confidence intervals including 1. Conclusion In the studied German settings, walkability differences might not explain differences in T2D.

【 授权许可】

Unknown