People living in hilly residential areas in metropolitan Perth have less diabetes: spurious association or important environmental determinant?

International Journal of Health Geographics
Karen VillanuevaBillie Giles-Corti

Abstract

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. 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. 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 moderat...Continue Reading

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Citations

Jan 6, 2018·International Journal of Environmental Research and Public Health·Tashi DendupThomas Astell-Burt
Dec 28, 2018·Journal of Aging and Health·Kirsi E KeskinenErja Portegijs
Sep 22, 2018·International Journal of Environmental Research and Public Health·Mohammad Javad KoohsariKoichiro Oka
Feb 3, 2021·International Journal of Environmental Research and Public Health·Rie FukuokaToru Nabika
May 1, 2021·International Journal of Environmental Research and Public Health·Takafumi AbeToru Nabika

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