Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/64586 |
Resumo: | Diabetes poses a substantial disease burden, prompting preventive interventions. Physical inactivity, a major risk factor for type 2 diabetes, can potentially be mitigated by enhancing area-level walkability. Despite this, limited population-based studies have investigated the link between walkability and objective diabetes measures. Our study aims to estimate the association between area-level walkability and individual glycated haemoglobin levels in the Portuguese adult population without the diagnosis of diabetes. Data from the 2011 census and an updated street map were obtained to construct a walkability index based on residential density, land-use mix, and street connectivity. Individual health data were sourced from The National Health Examination Survey (INSEF) 2015, a representative survey of the Portuguese adult population. Gamma regression was employed for estimation of the main associations, revealing that residing in moderately walkable areas signifcantly reduced average glycated haemoglobin levels (Exp(β)=0.906; 95% CI: 0.821, 0.999) compared to the least walkable areas. The association was less pronounced and not statistically signifcant for the third tertile of walkability (Exp(β)=0.919; 95% CI: 0.822, 1.028). Our fndings highlight a nonlinear protective association between walkability and glycated haemoglobin, emphasizing the potential policy implications for urban planning, diabetes prevention, and health promotion. |
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Association between area-level walkability and glycated haemoglobin: a Portuguese population-based studyBuilt environmentUrban planningWalkabilityDiabetesGlycated haemoglobinPortugalDiabetes poses a substantial disease burden, prompting preventive interventions. Physical inactivity, a major risk factor for type 2 diabetes, can potentially be mitigated by enhancing area-level walkability. Despite this, limited population-based studies have investigated the link between walkability and objective diabetes measures. Our study aims to estimate the association between area-level walkability and individual glycated haemoglobin levels in the Portuguese adult population without the diagnosis of diabetes. Data from the 2011 census and an updated street map were obtained to construct a walkability index based on residential density, land-use mix, and street connectivity. Individual health data were sourced from The National Health Examination Survey (INSEF) 2015, a representative survey of the Portuguese adult population. Gamma regression was employed for estimation of the main associations, revealing that residing in moderately walkable areas signifcantly reduced average glycated haemoglobin levels (Exp(β)=0.906; 95% CI: 0.821, 0.999) compared to the least walkable areas. The association was less pronounced and not statistically signifcant for the third tertile of walkability (Exp(β)=0.919; 95% CI: 0.822, 1.028). Our fndings highlight a nonlinear protective association between walkability and glycated haemoglobin, emphasizing the potential policy implications for urban planning, diabetes prevention, and health promotion.SpringerRepositório da Universidade de LisboaSá, ReginaRoquette, RitaRebecchi, AndreaMatias, JuditeRocha, JorgeBuffoli, MaddalenaCapolongo, StefanoRibeiro, Ana IsabelNunes, BaltazarDias, CarlosSousa Uva, Mafalda2024-04-26T14:08:41Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/64586engSá, R., Roquette, R., Rebecchi, A., Matias, J., Rocha, J., Buffoli, M., … Sousa Uva, M. (2024). Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study. BMC Public Health, 24(1), 1116. https://doi.org/10.1186/s12889-024-18627-21471-245810.1186/s12889-024-18627-2info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-11-20T18:30:09Zoai:repositorio.ul.pt:10451/64586Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-11-20T18:30:09Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
title |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
spellingShingle |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study Sá, Regina Built environment Urban planning Walkability Diabetes Glycated haemoglobin Portugal |
title_short |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
title_full |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
title_fullStr |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
title_full_unstemmed |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
title_sort |
Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study |
author |
Sá, Regina |
author_facet |
Sá, Regina Roquette, Rita Rebecchi, Andrea Matias, Judite Rocha, Jorge Buffoli, Maddalena Capolongo, Stefano Ribeiro, Ana Isabel Nunes, Baltazar Dias, Carlos Sousa Uva, Mafalda |
author_role |
author |
author2 |
Roquette, Rita Rebecchi, Andrea Matias, Judite Rocha, Jorge Buffoli, Maddalena Capolongo, Stefano Ribeiro, Ana Isabel Nunes, Baltazar Dias, Carlos Sousa Uva, Mafalda |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Sá, Regina Roquette, Rita Rebecchi, Andrea Matias, Judite Rocha, Jorge Buffoli, Maddalena Capolongo, Stefano Ribeiro, Ana Isabel Nunes, Baltazar Dias, Carlos Sousa Uva, Mafalda |
dc.subject.por.fl_str_mv |
Built environment Urban planning Walkability Diabetes Glycated haemoglobin Portugal |
topic |
Built environment Urban planning Walkability Diabetes Glycated haemoglobin Portugal |
description |
Diabetes poses a substantial disease burden, prompting preventive interventions. Physical inactivity, a major risk factor for type 2 diabetes, can potentially be mitigated by enhancing area-level walkability. Despite this, limited population-based studies have investigated the link between walkability and objective diabetes measures. Our study aims to estimate the association between area-level walkability and individual glycated haemoglobin levels in the Portuguese adult population without the diagnosis of diabetes. Data from the 2011 census and an updated street map were obtained to construct a walkability index based on residential density, land-use mix, and street connectivity. Individual health data were sourced from The National Health Examination Survey (INSEF) 2015, a representative survey of the Portuguese adult population. Gamma regression was employed for estimation of the main associations, revealing that residing in moderately walkable areas signifcantly reduced average glycated haemoglobin levels (Exp(β)=0.906; 95% CI: 0.821, 0.999) compared to the least walkable areas. The association was less pronounced and not statistically signifcant for the third tertile of walkability (Exp(β)=0.919; 95% CI: 0.822, 1.028). Our fndings highlight a nonlinear protective association between walkability and glycated haemoglobin, emphasizing the potential policy implications for urban planning, diabetes prevention, and health promotion. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-26T14:08:41Z 2024 2024-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/64586 |
url |
http://hdl.handle.net/10451/64586 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Sá, R., Roquette, R., Rebecchi, A., Matias, J., Rocha, J., Buffoli, M., … Sousa Uva, M. (2024). Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study. BMC Public Health, 24(1), 1116. https://doi.org/10.1186/s12889-024-18627-2 1471-2458 10.1186/s12889-024-18627-2 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817549290774462464 |