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. 2022 Jan 16;21(1):18.
doi: 10.1186/s12940-021-00824-w.

Neighborhood greenspace and risk of type 2 diabetes in a prospective cohort: the Multi-Ethncity Study of Atherosclerosis

Annie Doubleday #  1 , Catherine J Knott #  2 , Marnie F Hazlehurst  2 , Alain G Bertoni  3 , Joel D Kaufman  4   2   5 , Anjum Hajat  2
Affiliations

Neighborhood greenspace and risk of type 2 diabetes in a prospective cohort: the Multi-Ethncity Study of Atherosclerosis

Annie Doubleday et al. Environ Health. .

Erratum in

Abstract

Background: Neighborhood greenspaces provide opportunities for increased physical activity and social interaction, and thus may reduce the risk of Type 2 diabetes. However, there is little robust research on greenspace and diabetes. In this study, we examine the longitudinal association between neighborhood greenspace and incident diabetes in the Multi-Ethnic Study of Atherosclerosis.

Methods: A prospective cohort study (N = 6814; 2000-2018) was conducted to examine the association between greenspace, measured as annual and high vegetation season median greenness determined by satellite (Normalized Difference Vegetation Index) within 1000 m of participant homes, and incident diabetes assessed at clinician visits, defined as a fasting glucose level of at least 126 mg/dL, use of insulin or use of hypoglycemic medication, controlling for covariates in stages. Five thousand five hundred seventy-four participants free of prevalent diabetes at baseline were included in our analysis.

Results: Over the study period, 886 (15.9%) participants developed diabetes. Adjusting for individual characteristics, individual and neighborhood-scale SES, additional neighborhood factors, and diabetes risk factors, we found a 21% decrease in the risk of developing diabetes per IQR increase in greenspace (HR: 0.79; 95% CI: 0.63, 0.99).

Conclusions: Overall, neighborhood greenspace provides a protective influence in the development of diabetes, suggesting that neighborhood-level urban planning that supports access to greenspace--along with healthy behaviors--may aid in diabetes prevention. Additional research is needed to better understand how an area's greenness influences diabetes risk, how to better characterize greenspace exposure and usage, and future studies should focus on robust adjustment for neighborhood-level confounders.

Keywords: Environmental epidemiology; Neighborhood greenspace; Type 2 diabetes.

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Conflict of interest statement

Authors declare no conflicts of interest.

References

    1. DHHS. National Diabetes Statistics Report, 2020. Natl Diabetes Stat Rep. 2020;2:1-30.
    1. National Institute of Diabetes and Digestive and Kidney Diseases . Risk Factors for Type 2 Diabetes [Internet] 2021.
    1. Dendup T, Feng X, Clingan S, Astell-Burt T. Environmental risk factors for developing type 2 diabetes mellitus: a systematic review. Int J Environ Res Public Health. 2018;15(1):78. 10.3390/ijerph15010078. - PMC - PubMed
    1. Bilal U, Auchincloss AH, Diez-roux AV. Neighborhood environments and diabetes risk and control. Curr Diab Rep. 2018;18(62). 10.1007/s11892-018-1032-2. - PubMed
    1. De la Fuente F, Saldías MA, Cubillos C, Mery G, Carvajal D, Bowen M, et al. Green space exposure association with type 2 diabetes mellitus, physical activity, and obesity: a systematic review. Int J Environ Res Public Health. 2021;18(1):1–18. - PMC - PubMed

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