Neighborhood Resources for Physical Activity and Healthy Foods and Incidence of Type 2 Diabetes Mellitus
dc.contributor.author | Auchincloss, Amy H. | |
dc.contributor.author | Diez Roux, Ana V. | |
dc.contributor.author | Mujahid, Mahasin S. | |
dc.contributor.author | Shen, Mingwu | |
dc.contributor.author | Bertoni, Alan | |
dc.contributor.author | Carnethon, Mercedes | |
dc.date.accessioned | 2009-10-27T16:31:41Z | |
dc.date.available | 2009-10-27T16:31:41Z | |
dc.date.issued | 2009-10-12 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/64274 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19822827&dopt=citation | en_US |
dc.description.abstract | 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. | en_US |
dc.description.sponsorship | This research was supported by contracts R01 HL071759 and N01-HC-95159 through N01-HC-95165 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, National Institutes of Health. | en_US |
dc.format.extent | 104430 bytes | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en_US | en_US |
dc.subject | Physical Activity | en_US |
dc.subject | Neighborhood Resources | en_US |
dc.subject | Type 2 Diabetes | en_US |
dc.title | Neighborhood Resources for Physical Activity and Healthy Foods and Incidence of Type 2 Diabetes Mellitus | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Epidemiology, Department of | en_US |
dc.contributor.affiliationother | Dexel University | en_US |
dc.contributor.affiliationother | University of California, Berkeley | en_US |
dc.contributor.affiliationother | Wake Forest University | en_US |
dc.contributor.affiliationother | Northwestern University | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 19822827 | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/64274/1/auchincloss_archiveinternalmedicine_oct2009.pdf | |
dc.identifier.source | Archives Internal Medicine | en_US |
dc.owningcollname | Epidemiology, Department of (SPH) |
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