Built environmental characteristics and diabetes: a systematic review and meta-analysis.
Built environmental characteristics and diabetes: a systematic review and meta-analysis.
复制标题
DOI：
10.1186/s12916-017-0997-z
复制
发表时间：
2018-01-31
期刊：
影响因子：
9.3
通讯作者：
Beulens JWJ
中科院分区：
文献类型：
--
作者：
den Braver NR;Lakerveld J;Rutters F;Schoonmade LJ;Brug J;Beulens JWJ
建筑环境会影响身体活动、饮食和睡眠等行为，从而影响 2 型糖尿病 (T2DM) 的风险。本研究系统回顾并荟萃分析了全球范围内与生活方式行为相关的建筑环境特征与 T2DM 风险/患病率之间关联的证据。我们系统地检索了 PubMed、EMBASE.com 和 Web of Science，从其成立到 2017 年 6 月 6 日。研究纳入了成年人群（>18 岁）、T2DM 或血糖标志物作为结果，以及体力活动和/或食物环境和/或居住噪音作为自变量。我们排除了针对特定人群子样本的研究，这些研究侧重于直接影响心血管系统的建筑环境特征，进行预测分析并且不报告原始研究。数据评估和提取基于已发表的报告（PROSPERO-ID：CRD42016035663）。在 11,279 项研究中，109 项符合条件，40 项进行了荟萃分析。与居住在农村住宅相比，居住在城市住宅与较高的 T2DM 风险/患病率相关（n = 19，比值比 (OR) = 1.40；95% CI，1.2–1.6；I2 = 83%）。较高的社区步行适宜性与较低的 T2DM 风险/患病率相关（n = 8，OR = 0.79；95% CI，0.7–0.9；I2 = 92%），更多的绿地往往与较低的 T2DM 风险/患病率相关（n = 6，OR = 0.90；95% CI， 0.8–1.0；I2 = 95%）。没有发现令人信服的证据表明食品环境与 T2DM 风险/患病率之间存在关联。该研究的一个重要优势是对文献的全面概述，但我们的研究主要受到横断面研究结论的限制。除了步行性和绿色空间的其他积极影响外，这些环境特征也可能有助于预防 T2DM。这些结果可能与基础设施规划相关。本文的在线版本 (doi:10.1186/s12916-017-0997-z) 包含补充材料，可供授权用户使用。
The built environment influences behaviour, like physical activity, diet and sleep, which affects the risk of type 2 diabetes mellitus (T2DM). This study systematically reviewed and meta-analysed evidence on the association between built environmental characteristics related to lifestyle behaviour and T2DM risk/prevalence, worldwide. We systematically searched PubMed, EMBASE.com and Web of Science from their inception to 6 June 2017. Studies were included with adult populations (>18 years), T2DM or glycaemic markers as outcomes, and physical activity and/or food environment and/or residential noise as independent variables. We excluded studies of specific subsamples of the population, that focused on built environmental characteristics that directly affect the cardiovascular system, that performed prediction analyses and that do not report original research. Data appraisal and extraction were based on published reports (PROSPERO-ID: CRD42016035663). From 11,279 studies, 109 were eligible and 40 were meta-analysed. Living in an urban residence was associated with higher T2DM risk/prevalence (n = 19, odds ratio (OR) = 1.40; 95% CI, 1.2–1.6; I2 = 83%) compared to living in a rural residence. Higher neighbourhood walkability was associated with lower T2DM risk/prevalence (n = 8, OR = 0.79; 95% CI, 0.7–0.9; I2 = 92%) and more green space tended to be associated with lower T2DM risk/prevalence (n = 6, OR = 0.90; 95% CI, 0.8–1.0; I2 = 95%). No convincing evidence was found of an association between food environment with T2DM risk/prevalence. An important strength of the study was the comprehensive overview of the literature, but our study was limited by the conclusion of mainly cross-sectional studies. In addition to other positive consequences of walkability and access to green space, these environmental characteristics may also contribute to T2DM prevention. These results may be relevant for infrastructure planning. The online version of this article (doi:10.1186/s12916-017-0997-z) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
4.9
作者：
Ahern, Melissa;Brown, Cheryl;Dukas, Stephen
通讯作者：
Dukas, Stephen
影响因子：
4.5
作者：
AlHasan, Dana M.;Marie Eberth, Jan
通讯作者：
Marie Eberth, Jan
影响因子：
5.1
作者：
Bernabe-Ortiz, Antonio;Carrillo-Larco, Rodrigo M.;Jaime Miranda, J.
通讯作者：
Jaime Miranda, J.
影响因子：
3.2
作者：
Bodicoat, Danielle H.;Carter, Patrice;Khunti, Kamlesh
通讯作者：
Khunti, Kamlesh
DOI：
10.1007/s11524-011-9586-1
发表时间：
2011-10-01
影响因子：
6.6
作者：
Allender, Steven;Wickramasinghe, Kremlin;Katulanda, Prasad
通讯作者：
Katulanda, Prasad