Green space and cardiovascular health in people with type 2 diabetes

Thomas Astell-Burt¹, Michael A Navakatikyan², Ramya Walsan³, Walt Davis⁴, Gemma Figtree⁵, Leonard Arnolda⁶, Xiaoqi Feng⁷

Affiliations

¹ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; Illawarra Health and Medical Research Institute (IHMRI) and University of Wollongong, Wollongong, Australia; Menzies Centre for Health Policy, University of Sydney, Sydney, Australia; National Institute of Environmental Health, China CDC, Beijing, China; School of Population Medicine and Public Health, Peking Union Medical College and the Chinese Academy of Medical Sciences, China. Electronic address: thomasab@uow.edu.au.
² Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia.
³ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; School of Population Health, Faculty of Medicine and Health, UNSW, Sydney, Australia.
⁴ Australian Health Services Research Institute, Sydney Business School, Faculty of Business and Law, University of Wollongong, Australia.
⁵ Kolling Institute, University of Sydney and Royal North Shore Hospital, Sydney, Australia.
⁶ Illawarra Health and Medical Research Institute (IHMRI) and University of Wollongong, Wollongong, Australia.
⁷ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; School of Population Health, Faculty of Medicine and Health, UNSW, Sydney, Australia; Menzies Centre for Health Policy, University of Sydney, Sydney, Australia; National Institute of Environmental Health, China CDC, Beijing, China.

PMID: 33857869
DOI: 10.1016/j.healthplace.2021.102554

Green space and cardiovascular health in people with type 2 diabetes

Thomas Astell-Burt et al. Health Place. 2021 May.

. 2021 May:69:102554.

doi: 10.1016/j.healthplace.2021.102554. Epub 2021 Apr 12.

Authors

Thomas Astell-Burt¹, Michael A Navakatikyan², Ramya Walsan³, Walt Davis⁴, Gemma Figtree⁵, Leonard Arnolda⁶, Xiaoqi Feng⁷

Affiliations

¹ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; Illawarra Health and Medical Research Institute (IHMRI) and University of Wollongong, Wollongong, Australia; Menzies Centre for Health Policy, University of Sydney, Sydney, Australia; National Institute of Environmental Health, China CDC, Beijing, China; School of Population Medicine and Public Health, Peking Union Medical College and the Chinese Academy of Medical Sciences, China. Electronic address: thomasab@uow.edu.au.
² Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia.
³ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; School of Population Health, Faculty of Medicine and Health, UNSW, Sydney, Australia.
⁴ Australian Health Services Research Institute, Sydney Business School, Faculty of Business and Law, University of Wollongong, Australia.
⁵ Kolling Institute, University of Sydney and Royal North Shore Hospital, Sydney, Australia.
⁶ Illawarra Health and Medical Research Institute (IHMRI) and University of Wollongong, Wollongong, Australia.
⁷ Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; School of Population Health, Faculty of Medicine and Health, UNSW, Sydney, Australia; Menzies Centre for Health Policy, University of Sydney, Sydney, Australia; National Institute of Environmental Health, China CDC, Beijing, China.

PMID: 33857869
DOI: 10.1016/j.healthplace.2021.102554

Abstract

Associations between green space type and 9-year risk of incident cardiovascular disease (CVD) hospitalisations and deaths were analysed in 4166 people with type 2 diabetes in the Sax Institute's 45 and Up Study. Incidence of all-cause mortality, cardiovascular mortality, fatal or non-fatal CVD events and acute myocardial infarctions (AMI) were 14.67%, 7.23%, 47.36%, and 4.51%, respectively. After full adjustment, more tree canopy was associated with lower CVD mortality, lower fatal or non-fatal CVD events, and lower AMI risk. More open grass was associated with lower all-cause mortality, lower CVD mortality and lower fatal or non-fatal CVD events, but higher AMI risk.

Keywords: Death; Green space; Heart disease; Hospital; Type 2 diabetes.

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Green space and cardiovascular health in people with type 2 diabetes

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Green space and cardiovascular health in people with type 2 diabetes

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Abstract

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Medical