Int J Health Geogr - People living in hilly residential areas in metropolitan Perth have less diabetes: spurious association or important environmental determinant?

Tópicos

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Resumo

CKGROUND: Variations in 'slope' (how steep or flat the ground is) may be good for health. As walking up hills is a physiologically vigorous physical activity and can contribute to weight control, greater neighbourhood slopes may provide a protective barrier to weight gain, and help prevent Type 2 diabetes onset. We explored whether living in 'hilly' neighbourhoods was associated with diabetes prevalence among the Australian adult population.METHODS: Participants (=25 years; n = 11,406) who completed the Western Australian Health and Wellbeing Surveillance System Survey (2003-2009) were asked whether or not they had medically-diagnosed diabetes. Geographic Information Systems (GIS) software was used to calculate a neighbourhood mean slope score, and other built environment measures at 1600 m around each participant's home. Logistic regression models were used to predict the odds of self-reported diabetes after progressive adjustment for individual measures (i.e., age, sex), socioeconomic status (i.e., education, income), built environment, destinations, nutrition, and amount of walking.RESULTS: After full adjustment, the odds of self-reported diabetes was 0.72 (95% CI 0.55-0.95) and 0.52 (95% CI 0.39-0.69) for adults living in neighbourhoods with moderate and higher levels of slope, respectively, compared with adults living in neighbourhoods with the lowest levels of slope. The odds of having diabetes was 13% lower (odds ratio 0.87; 95% CI 0.80-0.94) for each increase of one percent in mean slope.CONCLUSIONS: Living in a hilly neighbourhood may be protective of diabetes onset or this finding is spurious. Nevertheless, the results are promising and have implications for future research and the practice of flattening land in new housing developments.

Resumo Limpo

ckground variat slope steep flat ground may good health walk hill physiolog vigor physic activ can contribut weight control greater neighbourhood slope may provid protect barrier weight gain help prevent type diabet onset explor whether live hilli neighbourhood associ diabet preval among australian adult populationmethod particip year n complet western australian health wellb surveil system survey ask whether medicallydiagnos diabet geograph inform system gis softwar use calcul neighbourhood mean slope score built environ measur m around particip home logist regress model use predict odd selfreport diabet progress adjust individu measur ie age sex socioeconom status ie educ incom built environ destin nutrit amount walkingresult full adjust odd selfreport diabet ci ci adult live neighbourhood moder higher level slope respect compar adult live neighbourhood lowest level slope odd diabet lower odd ratio ci increas one percent mean slopeconclus live hilli neighbourhood may protect diabet onset find spurious nevertheless result promis implic futur research practic flatten land new hous develop

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