From: Built environmental characteristics and diabetes: a systematic review and meta-analysis
Author | Exposure | Study result | 95% confidence interval or p value | Adjustment for confounding |
---|---|---|---|---|
Ahern et al., 2011 [46] | Food environment: | Beta (SE) | Â | Age, obesity rate |
1. Percentage of households with no car living more than 1 mile from a grocery store | 1. 0.07 (0.01) | 1. P < 0.001 | ||
2. Fast-food restaurants per 1000 | 2. 0.41 (0.07) | 2. P < 0.001 | ||
3. Full service restaurants per 1000 | 3. -0.15 (0.04) | 3. P < 0.01 | ||
4. Grocery stores per 1000 | 4. -0.37 (0.09) | 4. P < 0.001 | ||
5. Convenience stores per 1000 | 5. 0.30 (0.06) | 5. P < 0.001 | ||
6. Direct money made from farm sales per capita | 6. -0.01 (0.02) | 6. P < 0.01 | ||
PA environment: | Â | Â | ||
7. Recreational facilities per 1000 | 7. -0.12 (0.21) | 7. NS | ||
AlHasan et al., 2016 [69] | Food outlet density: | Beta (SE) | Â | Age, obesity, PA, recreation facility density, unemployed, education, household with no cars and limited access to stores, race |
1. Fast-food restaurant density per 1000 residents | 1. -0.55 (0.90) | 1. NS | ||
2. Convenience store density | 2. 0.89 (0.86) | 2. NS | ||
3. Super store density | 3. -0.4 (11.66) | 3. NS | ||
4. Grocery store density | 4. -3.7 (2.13) | 4. NS | ||
Astell-Burt et al., 2014 [42] | Green space (percent): | OR: | Â | Age, sex, couple status, family history, country of birth, language spoken at home, weight, psychological distress, smoking status, hypertension, diet, walking, MVPA, sitting, economic status, annual income, qualifications, neighbourhood affluence, geographic remoteness |
1. >81 | 1. 0.94 | 1. 0.85–1.03 | ||
2. 0–20 | 2. 1 | 2. NA | ||
Auchincloss et al., 2009 [47] | Neighbourhood resources: | HR: | Â | Age, sex, family history, income, assets, education, ethnicity, alcohol, smoking, PA, diet, BMI |
1. Healthy food resources | 1. 0.63 | 1. 0.42–0.93 | ||
2. PA resources | 2. 0.71 | 2. 0.48–1.05 | ||
3. Summary score | 3. 0.64 | 3. 0.44–0.95 | ||
Bodicoat et al., 2014 [44] | Green space (percent) | OR: | Â | Age, sex, area social deprivation score, urban/rural status, BMI, PA, fasting glucose, 2Â h glucose, total cholesterol |
1. Least green space (Q1) | 1. 1 | 1. NA | ||
2. Most green space (Q4) | 2. 0.53 | 2. 0.35–0.82 | ||
Bodicoat et al., 2015 [72] | Â | OR: | Â | Age, sex, area social deprivation score, urban/rural status, ethnicity, PA |
1. Number of fast-food outlets (per 2) | 1. 1.02 | 1. 1.00–1.04 | ||
2. Density of fast-food outlet (per 200 residents) | 2. 13.84 | 2. 1.60–119.6 | ||
Booth et al., 2013 [19] | Walkability: | HR: | Â | Age, sex, income |
Men | Â | Â | ||
Recent immigrants | Â | Â | ||
1. Least walkable quintile | 1. 1.58 | 1. 1.42–1.75 | ||
2. Most walkable quintile | 2. 1 | 2. NA | ||
Long-term residents | Â | Â | ||
1. Least walkable quintile | 1. 1.32 | 1. 1.26–1.38 | ||
2. Most walkable quintile | 2. 1 | 2. NA | ||
Women | Â | Â | ||
Recent immigrants | Â | Â | ||
1. Least walkable quintile | 1. 1.67 | 1. 1.48–1.88 | ||
2. Most walkable quintile | 2. 1 | 2. NA | ||
Long-term residents | Â | Â | ||
1. Least walkable quintile | 1. 1.24 | 1. 1.18–1.31 | ||
2. Most walkable quintile | 2. 1 | 2. NA | ||
Walkability index, after residential relocation | Beta (SE) | Â | 1. Income, household size, marital status, employment status, smoking status, health problems that interfere with PA 2. Additionally, adjusted for age, sex, ethnicity, education | |
1. Fixed-effects model | 1. -0.011 (0.015) | 1. P > 0.05 | ||
2. Random-effects model | 2. -0.016 (0.010) | 2. P > 0.05 | ||
Walkability: within person change in Street Smart Walk Score | Beta (SE): 0.999 (0.002) | P > 0.05 | Age, sex, ethnicity, education, householdincome, employment status, marital status, neighbourhood SES | |
Cai et al., 2017 [82] | Daytime noise (dB) | Percentage change in fasting glucose per IQR Daytime noise: 0.2 | 95% CI, 0.1–0.3 P < 0.05 | Age, sex, season of blood draw, smoking status and pack-years, education, employment, alcohol consumption, air pollution |
Carroll et al., 2017 [71] | Count of fast-food outlets: | Beta per SD change:  − 0.0094 | -0.030–0.011 | Age, sex, marital status, education, employment status, smoking status |
1. Interaction with overweight/obesity | 1. −0.002 | 1. -0.023–0.019 | ||
2. Interaction with time | 2. 0.0003 | 2. -0.003–0.004 | ||
3. Interaction with time and overweight/obesity | 3. -0.002 | 3. -0.006–0.001 | ||
Count of healthful food resources: | 0.012 | -0.008–0.032 | ||
4. Interaction with overweight/obesity | 4. 0.021 | 4. -0.000–0.042 | ||
5. Interaction with time | 5. -0.003 | 5. -0.006–0.001 | ||
6. Interaction with time and overweight/obesity | 6. -0.006 | 6. -0.009–-0.002 | ||
Christine et al., 2015 [48] | Neighbourhood physical environment, diet related: | HR: | Â | Age, sex, family history, household per capita income, educational level, smoking, alcohol, neighbourhood SES |
1. Density of supermarkets and/or fruit and vegetable markets (GIS) | 1. 1.01 | 1. 0.96–1.07 | ||
2. Healthy food availability (self-report) | 2. 0.88 | 2. 0.78–0.98 | ||
3. GIS and self-report combined measure | 3. 0.93 | 3. 0.82–1.06 | ||
Neighbourhood physical environment, PA related: | ||||
1. Density of commercial recreational facilities (GIS) | 1. 0.98 | 1. 0.94–1.03 | ||
2. Walking environment (self-report) | 2. 0.80 | 2. 0.70–0.92 | ||
3. GIS and self-report combined measure | 3. 0.81 | 3. 0.68–0.96 | ||
Creatore et al., 2016 [20] | Walkability: | Absolute incidence rate difference over 12Â years FU: | Â | Age, sex, area income, ethnicity |
1. Low walkable neighbourhoods (Q1) | 1. -0.65 | 1. -1.65–0.39 | ||
2. High walkable neighbourhoods over (Q5) | 2. - 1.5 | 2. -2.6– -0.4 | ||
Cunningham-Myrie et al., 2015 [49] | Neighbourhood characteristics: | OR: | Â | Age, sex, district, fruit and vegetable intake |
1. Neighbourhood infrastructure | 1. 1.02 | 1. 0.95–1.1 | ||
2. Neighbourhood disorder score | 2. 0.99 | 2. 0.95–1.03 | ||
3. Home disorder score | 3. 1 | 3. 0.96–1.03 | ||
4. Recreational space in walking distance | 4. 1.12 | 4. 0.86–1.45 | ||
5. Recreational space availability | 5. 1.01 | 5. 0.77–1.32 | ||
6. Perception of safety | 6. 0.99 | 6. 0.88–1.11 | ||
Dalton et al., 2016 [59] | Green space: | HR: | Â | Age, sex, BMI, parental diabetes, SES Effect modification by urban-rural status and SES was investigated, but association was not moderated by either |
1. Least green space (Q1) | 1. 1 | 1. NA | ||
2. Most green space (Q4) | 2. 0.81 | 2. 0.65–0.99 | ||
3. Mediation by PA | 3. 0.96 | 3. 0.88–1.06 | ||
Dzhambov et al., 2016 [83] | Day-evening-night equivalent sound level: | OR: | Â | Age, sex, fine particulate matter, benzo alpha pyrene, BMI, family history of T2DM, subjective sleep disturbance, bedroom location |
1. 51–70 decibels | 1. 1 | 1. NA | ||
2. 71–80 decibels | 2. 4.49 | 2. 1.39–14.7 | ||
Eichinger et al., 2015 [50] | Characteristics of built residential environment: | Beta: | Â | Age, sex, individual-level SES |
1. Perceived distance to local facilities | 1. 0.006 | 1. P < 0.01 | ||
2. Perceived availability/maintenance of cycling/walking infrastructure | 2. NS | Â | ||
3. Perceived connectivity | 3. NS | Â | ||
4. Perceived safety with regards to traffic | 4. NS | Â | ||
5. perceived safety from crime | 5. NS | Â | ||
6. Neighbourhood as pleasant environment for walking/cycling | 6. NS | Â | ||
7. Presence of trees along the streets | 7. NS | Â | ||
Eriksson et al., 2014 [85] | Aircraft noise level: | OR: | Â | Age, sex, family history, SES based on education, PA, smoking, alcohol, annoyance due to noise |
1. <50Â dB | 1. 1 | 1. NA | ||
2. ≥55 dB | 2. 0.94 | 2. 0.33–2.70 | ||
Flynt et al., 2015 [73] | Clusters (combination of number of counties, urban-rural classification, population density, income, SES, access to food stores, obesity rate, diabetes rate): | Median standardised diabetes mellitues rate: | IQR: | - |
1 | 1. 0 | 1. -0.05 - 0.7 | ||
2 | 2. 0 | 2. -0.04–0.7 | ||
3 | 3. 0 | 3. -0.08–0.01 | ||
4 | 4. -0.04 | 4. -1.01–0.6 | ||
5 | 5. -0.08 | 5. -1.5–-0.04 ANOVA: p < 0.001 | ||
Frankenfeld et al., 2015 [74] | RFEI ≤ 1 clusters: | Predicted prevalence: |  | Demographic and SES variables |
1. Grocery stores | 1. 7.1 | 1. 6.3–7.9 | ||
2. Restaurants | 2. 5.9 | 2. 5.0–6.8, p < 0.01 | ||
3. Specialty foods | 3. 6.1 | 3. 5.0–7.2, p < 0.01 | ||
RFEI >1: | Â | Â | ||
4. Restaurants and fast-food | 4. 6.0 | 4. 4.9–7.1, p < 0.01 | ||
5. Convenience stores | 5. 6.1 | 5. 4.9–7.3, p < 0.01 | ||
Freedman et al., 2011 [68] | Built environment: | OR: | Â | Age, ethnicity, marital status, region of residence, smoking, education, income, childhood health, childhood SES, region of birth, neighbourhood scales |
Men: | Â | Â | ||
1. Connectivity (2000 Topologically Integrated | 1. 1.06 | 1. 0.86–1.29 | ||
Geographic Encoding and Referencing system) | 2. 1.05 | 2. 0.89–1.24 | ||
2. Density (number of food stores, restaurants, housing units per square mile) | Â | Â | ||
Women: | Â | Â | ||
3. Connectivity | 3. 1.01 | 3. 0.84–1.20 | ||
4. Density | 4. 0.99 | 4. 0.99–1.17 | ||
Fujiware et al., 2017 [60] | Count within neighbourhood unit (mean 6.31 ± 3.9 km2) | OR per IQR increase: |  | Age, sex, marital status, household number, income, working status, drinking, smoking, vegetable consumption, walking, going-out behaviour, frequency of meeting, BMI, depression |
1. Grocery stores | 1. 0.97 | 1. 0.88–1.08 | ||
2. Parks | 2. 1.16 | 2. 1–1.34 | ||
Gebreab et al., 2017 [61] | Density within 1-mile buffer: | HR: | Â | Age, sex, family history of diabetes, SES, smoking, alcohol consumption, physical activity, diet |
1. Favourable food stores | 1. 1.03 | 1. 0.98–1.09 | ||
2. Unfavourable food stores | 2. 1.07 | 2. 0.99–1.16 | ||
3. PA resources | 3. 1.03 | 3. 0.98–1.09 | ||
Glazier et al., 2014 [21] | Walkability index: | Rate ratio: | Â | Age, sex |
1. Q1 | 1. 1 | 1. NA | ||
2. Q5 | 2. 1.33 | 2. 1.33–1.33 | ||
Index components: | Â | Â | ||
1. Population density (Q1: Q5) | 1. 1.16 | 1. 1.16–1.16 | ||
2. Residential density (Q1: Q5) | 2. 1.33 | 2. 1.33–1.33 | ||
3. Street connectivity (Q1: Q5) | 3. 1.38 | 3. 1.38–1.38 | ||
4. Availability of walkable destinations (Q1: Q5) | 4. 1.26 | 4. 1.26–1.26 | ||
Heidemann et al., 2014Â [86] | Residential traffic intensity: | OR: | Â | Age, sex, smoking, passive smoking, heating of house, education, BMI, waist circumference, PA, family history |
1. No traffic | 1. 1 | 1. NA | ||
2. Extreme traffic | 2. 1.97 | 2. 1.07–3.64 | ||
Hipp et al., 2015 [78] | Food deserts | Correlation: NR | NS | – |
Lee et al., 2015 [45] | Walkability: | OR: | Â | Age, sex, smoking, alcohol, income level |
1. Community 1 | 1. 1 | 1. NA | ||
2. Community 2 | 2. 0.86 | 2. 0.75–0.99 | ||
Loo et al., 2017 [62] | Walkability (walk score) Difference between Q1 and Q4 | Beta for HbA1C: | Â | Age, sex, current smoking status, BMI, relevant medications and medical diagnoses, neighbourhood violent crime rates and neighbourhood indices of material deprivation, ethnic concentration, dependency, residential instability |
1. -0.06 | 1. -0.11–0.02 | |||
Beta for fasting glucose: | Â | |||
2. 0.03 | 2. -0.04–0.1 | |||
Maas et al., 2009 [66] | Green space: | OR: | Â | Demographic and socioeconomic characteristics, urbanicity |
1. Q1 | 1. 1 | 1. NA | ||
2. Q4 | 2. 0.84 | 2. 0.83–0.85 | ||
Mena et al., 2015 [53] |  | Correlation: |  | – |
1. Distance to parks | 1. NR | 1. NA | ||
2. Distance to markets | 2. -0.094 | 2. P < 0.05 | ||
Mezuk et al., 2016 [70] | Ratio of the number of health-harming food outlets to the total number of food outlets within a 1000-m buffer of each person | OR per km2: 2.11 | 1.57–2.82 | Age, sex, education, household income |
Morland et al., 2006 [75] | Presence of: | Prevalence ratio: | Â | Age, sex, income, education, ethnicity, food stores and service places, PA |
1. Supermarkets | 1. 0.96 | 1. 0.84–1.1 | ||
2. Grocery stores | 2. 1.11 | 2. 0.99–1.24 | ||
3. Convenience stores | 3. 0.98 | 3. 0.86–1.12 | ||
Müller-Riemenschneider et al., 2013 [65] | Walkability (1600 m buffer): | OR: |  | Age, sex, education, household income, marital status |
1. High walkability | 1. 0.95 | 1. 0.72–1.25 | ||
2. Low walkability | 2. 1 | 2. NA | ||
Walkability (800Â m buffer): | Â | Â | ||
3. High walkability | 3. 0.69 | 3. 0.62–0.90 | ||
4. Low walkability | 4. 1 | 4. NA | ||
Myers et al., 2017Â [63] | Physical activity: | Beta: | Â | Age |
1. Recreation facilities per 1000 | 1. -0.457 | 1. -0.809– -0.104 | ||
2. Natural amenities (1–7) | 2. 0.084 | 2. 0.042–0.127 | ||
Food: | Â | Â | ||
3. Grocery stores and supercentres per 1000 | 3. 0.059 | 3. -0.09–0.208 | ||
4. Fast-food restaurants per 1000 | 4. -0.032 | 4. -0.125–0.062 | ||
Ngom et al., 2016 [64] | Distance to green space: | Prevalence ratio: | Â | Age, sex, social and environmental predictors |
1. Q1 (0–264 m) | 1. 1 | 1. NA | ||
2. Q4 (774–27781 m) | 2. 1.09 | 2. 1.03–1.13 | ||
Paquet et al., 2014 [54] | Built environment attributes: | RR: | Â | Age, sex household income, education, duration of FU, area-level SES |
1. RFEI | 1. 0.99 | 1. 0.9–1.09 | ||
2. Walkability | 2. 0.88 | 2. 0.8–0.97 | ||
3. POS | Â | Â | ||
a. POS count | a. 1 | a. 0.92–1.08 | ||
b. POS size | b. 0.75 | b. 0.69–0.83 | ||
c. POS greenness | c. 1.01 | c. 0.9–1.13 | ||
d. POS type | d. 1.09 | d. 0.97–1.22 | ||
Schootman et al., 2007 [56] | Neighbourhood conditions (objective): | OR: | Â | Age, sex, income, perceived income adequacy, education, marital status, employment, length of time at present address, own the home, area |
1. Housing conditions | 1. 1.11 | 1. 0.63–1.95 | ||
2. Noise level from traffic, industry, etc. | 2. 0.9 | 2. 0.48–1.67 | ||
3. Air quality | 3. 1.2 | 3. 0.66–2.18 | ||
4. Street and road quality | 4. 1.03 | 4. 0.56–1.91 | ||
5. Yard and sidewalk quality | 5. 1.05 | 5. 0.59–1.88 | ||
Neighbourhood conditions (subjective): | Â | Â | ||
6. Fair–poor rating of the neighbourhood | 6. 1.04 | 6. 0.58–1.84 | ||
7. Mixed or terrible feeling about the neighbourhood | 7. 1.1 | 7. 0.6–2.02 | ||
8. Undecided or not at all attached to the neighbourhood | 8. 0.68 | 8. 0.4–1.18 | ||
9. Slightly unsafe–not at all safe in the neighbourhood | 9. 0.61 | 9. 0.35–1.06 | ||
Sørensen et al., 2013 [84] | Exposure to road traffic noise per 10 dB: | Incidence rate ratio: |  | Age, sex, education, municipality SES, smoking status, smoking intensity, smoking duration, environmental tobacco smoke, fruit intake, vegetable intake, saturated fat intake, alcohol, BMI, waist circumference, sports, walking, pollution |
1. At diagnosis | 1. 1.08 | 1. 1.02–1.14 | ||
2. 5 years preceding diagnosis | 2. 1.11 | 2. 1.05–1.18 | ||
Sundquist et al., 2015 [22] | Walkability: | OR: | Â | Age, sex, income, education, neighbourhood deprivation |
1. D1 (low) | 1. 1.16 | 1. 1.00–1.34 | ||
2. D10 (high) | 2. 1 | 2. NA |