Neighborhood Resources for Physical Activity and Healthy Foods and Incidence of Type 2 Diabetes Mellitus
The Multi-Ethnic Study of Atherosclerosis
Bibliographic Data
| ID | 23317152 |
|---|---|
| Authors | Amy H Auchinclo (0000-0002-5844-6721, Drexel University, corresponding author), Amy H Auchincloss |
| Year | 2009 |
| Volume | 169 |
| Issue | 18 |
| Pages | 1698 |
| Publication date | 2009-10-12 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | A.M.A. Archives of Internal Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0888-2479 • E-ISSN: 0730-188X |
| Publisher | American Medical Association (AMA) (PUBLISHER) |
| DOI | 10.1001/archinternmed.2009.302 |
| PMID | 19822827 |
| PMCID | PMC2828356 |
| OpenAlex | W1598295536 |
| Language | EN |
| Citations received | 75 |
| References cited | 14 |
Background: Despite increasing interest in the extent to which features of residential environments contribute to incidence of type 2 diabetes mellitus, no multisite prospective studies have investigated this question. We hypothesized that neighborhood resources supporting physical activity and healthy diets are associated with a lower incidence of type 2 diabetes. Methods: Person-level data came from 3 sites of the Multi-Ethnic Study of Atherosclerosis, a population-based, prospective study of adults aged 45 to 84 years at baseline. Neighborhood data were derived from a populationbased residential survey. Type 2 diabetes was defined as a fasting glucose level of 126 mg/dL or higher ( 7 mmol/L) or taking insulin or oral hypoglycemic agents. We estimated the hazard ratio of type 2 diabetes incidence associated with neighborhood (US Census tract) resources. Results: Among 2285 participants, 233 new type 2 diabetes cases occurred during a median of 5 follow-up yearsBetter neighborhood resources, determined by a combined score for physical activity and healthy foods, were associated with a 38% lower incidence of type 2 diabetes (hazard ratio corresponding to a difference between the 90th and 10th percentiles for resource distribution, 0.62; 95% confidence interval, 0.43-0.88 adjusted for age, sex, family history of diabetes, race/ethnicity, income, assets, educational level, alcohol use, and smoking status). The association remained statistically significant after further adjustment for individual dietary factors, physical activity level, and body mass index. Conclusion: Better neighborhood resources were associated with lower incidence of type 2 diabetes, which suggests that improving environmental features may be a viable population-level strategy for addressing this disease.
Diabetes mellitus · Environmental health · Incidence (geometry) · Physical activity · Physical therapy · Type 2 Diabetes Mellitus · Endocrinology · Mathematics · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Urban Transport and Accessibility · Gerontology
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| Unique citing works | 75 |
|---|---|
| Citations per year | 4,69 |
| Citation span | 2010 - 2026 (17) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 74 |