Association between area-level walkability and glycated haemoglobin: a Portuguese population-based study

Detalhes bibliográficos
Autor(a) principal: Sá, Regina
Data de Publicação: 2024
Outros Autores: Roquette, Rita, Rebecchi, Andrea, Matias, Judite, Rocha, Jorge, Buffoli, Maddalena, Capolongo, Stefano, Ribeiro, Ana Isabel, Nunes, Baltazar, Dias, Carlos, Sousa Uva, Mafalda
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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spelling 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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