Skip to main content

Table 3 Study results of studies investigating the association of physical activity environment, food environment or residential noise with T2D

From: Correction to: Built environmental characteristics and diabetes: a systematic review and meta-analysis

Author

Exposure

Study result

95% Confidence interval or p-value

Adjustment for confounding

Ahern et al., 2011

Food environment:

Beta (SE)

 

Age and obesity rate

1. % household with no car living more than 1 mile from a grocery store

1. 0.07 (0.01)

1. P < 0.001

2. fast food restaurants per 1000

2. 0.41 (0.07)

2. P < 0.001

3. Full service restaurants per 1000

3. -0.15 (0.04)

3. P < 0.01

4. grocery stores per 1000

4. -0.37 (0.09)

4. P < 0.001

5. convenience stores per 1000

5. 0.30 (0.06)

5. P < 0.001

6. direct money made from farm sales per capita

6. -0.01 (0.02)

6. P < 0.01

PA environment:

  

7. recreational facilities per 1000

7. -0.12 (0.21)

7. NS

AlHasan et al., 2016

Food outlet density:

Beta (SE)

 

Age, obesity, PA, recreation facility density, unemployed, education, household with no cars and limited access to store and race.

1. Fast food restaurant density (per 1000 residents)

1. -0.55 (0.90)

1. NS

2. Convenience store density

2. 0.89 (0.86)

2. NS

3. Super store density

3. -0.4 (11.66)

3. NS

4. Grocery store density

4. -3.7 (2.13)

4. NS

Astell-Burt et al., 2014

Green space (percent):

OR:

95%CI:

age, sex, couple status, family history, country of birth, language spoken at home, weight, psychological distress, smoking status, hypertension, diet, walking, MVPA, sitting, economic status, annual income, qualifications, neighbourhood affluence, geographic remoteness.

1. >81

1. 0.94

1. 0.85 - 1.03

2. 0-20

2. 1

2. NA

Auchincloss et al., 2009

Neighbourhood resources:

HR:

95%CI:

Age, sex, family history, income, assets, education, ethnicity, alcohol, smoking, PA, diet, BMI

1. Healthy food resources

1. 0.63

1. 0.42 – 0.93

2. PA resources

2. 0.71

2. 0.48 – 1.05

3. Summary score

3. 0.64

3. 0.44 – 0.95

Bodicoat et al., 2014

Green space (percent)

OR:

95%CI:

Age, sex, area social deprivation score, urban/rural status, BMI, PA, fasting glucose, 2 h glucose, total cholesterol

1. Least green space (Q1)

1. 1

1. NA

2. Most green space (Q4)

2. 0.53

2. 0.35 – 0.82

Bodicoat et al., 2015

 

OR:

95%CI:

Age, sex, area social deprivation score, urban/rural status, ethnicity, PA

1. Number of fast-food outlets (per 2)

1. 1.02

1. 1.00 – 1.04

2. Density of fast-food outlet (per 200 residents)

2. 13.84

2. 1.60 – 119.6

Booth et al., 2013

Walkability:

HR:

95%CI:

Age, sex, income

Men

Men

 

Recent immigrants

Recent immigrants

 

1. Least walkable quintile

1. 1.58

1. 1.42 – 1.75

2. Most walkable quintile

2. 1

2. NA

Long-term residents

Long-term residents:

 

1. Least walkable quintile

1. 1.32

1. 1.26 – 1.38

2. Most walkable quintile

2. 1

2. NA

Women

Women

 

Recent immigrants

Recent immigrants:

 

1. Least walkable quintile

1. 1.67

1. 1.48 – 1.88

2. Most walkable quintile

2. 1

2. NA

Long-term residents

Long –term residents:

 

1. Least walkable quintile

1. 1.24

1. 1.18 – 1.31

2. Most walkable quintile

2. 1

2. NA

Braun et al., 2016

Walkability index, after residential relocation

Beta (SE)

  

1. Fixed effects model

1. -0.011 (0.015)

1. P > 0.05

1. income, household size, marital status, employment status, smoking status, health problems that interfere with PA

2. Random effects model

2. -0.016 (0.010)

2. P > 0.05

2. Additionally adjusted for age, gender, ethnicity, education

Braun et al., 2016

Walkability: within person change in Street Smart Walk Score

Beta (SE): 0.999 (0.002)

P > 0.05

Age, sex, ethnicity, education, household income, employment status, marital status, neighbourhood SES

Cai et al., 2017

Daytime noise (dB)

% change in fasting glucose per IQR daytime noise: 0.2

95%CI: 0.1 – 0.3

P < 0.05

age, sex, season of blood draw, smoking status and pack-years, education, employment and alcohol consumption, air pollution

Carroll et al., 2017

 

Beta per SD change:

95% CI:

Age, sex, marital status, education, employment status, and smoking status

Count of fast-food outlets:

−0.0094

-0.030 – 0.011

1. Interaction with overweight/obesity

1. −0.002

1. -0.023 – 0.019

2. Interaction with time

2. 0.0003

2. -0.003 – 0.004

3. Interaction with time and overweight/obesity

3. -0.002

3. -0.006 – 0.001

Count of healthful food resources:

0.012

-0.008 – 0.032

4. Interaction with overweight/obesity

4. 0.021

4. -0.000 – 0.042

5. Interaction with time

5. -0.003

5. -0.006 – 0.001

6. Interaction with time and overweight/obesity

6. -0.006

6. -0.009 – -0.002

Christine et al., 2015

Neighbourhood physical environment, diet related:

HR:

95%CI:

Age, sex, family history, household per capita income, educational level, smoking, alcohol, neighbourhood SES

1. Density of supermarkets and/or fruit and vegetable markets (GIS)

1. 1.01

1. 0.96 – 1.07

2. Healthy food availability (self-report)

2. 0.88

2. 0.78 – 0.98

3. GIS and self-report combined measure

3. 0.93

3. 0.82 – 1.06

Neighbourhood physical environment, PA related:

  

1. Density of commercial recreational facilities (GIS)

1. 0.98

1. 0.94 – 1.03

2. Walking environment (self-report)

2. 0.80

2. 0.70 – 0.92

3. GIS and self-report combined measure

3. 0.81

3. 0.68 – 0.96

Creatore et al., 2016

Walkability:

Absolute incidence rate difference over 12 year FU:

95%CI:

Age, sex, area income and ethnicity

1. Low walkable neighbourhoods (Q1)

1. -0.65

1. -1.65 – 0.39

2. High walkable neighbourhoods over (Q5)

2. - 1.5

2. -2.6 – -0.4

Cunningham-Myrie et al, 2015

Neighbourhood characteristics:

OR:

95%CI:

Age, sex, district, fruit and vegetable intake

1. Neighbourhood infrastructure

1. 1.02

1. 0.95 – 1.1

2. Neighbourhood disorder score

2. 0.99

2. 0.95 – 1.03

3. Home disorder score

3. 1

3. 0.96 – 1.03

4. Recreational space in walking distance

4. 1.12

4. 0.86 – 1.45

5. Recreational space availability

5. 1.01

5. 0.77 – 1.32

6. Perception of safety

6. 0.99

6. 0.88 – 1.11

Dalton et al., 2016

Green space:

HR:

95%CI:

Age, sex, BMI, parental diabetes, and SES.

Effect modification by urban-rural status and SES was investigated, but association was not moderated by either

1. Least green space (Q1)

1. 1

1. NA

2. Most green space (Q4)

2. 0.81

2. 0.65 – 0.99

3. Mediation by PA

3. 0.96

3. 0.88 -1.06

Dzhambov et al., 2016

Day-evening-night equivalent sound level:

OR:

95%:

Age, sex, fine particulate matter, benzo alpha pyrene, body mass index, family history of T2D, subjective sleep disturbance, and bedroom location

1. 51-70 decibels

1. 1

1. NA

2. 71-80 decibels

2. 4.49

2. 1.39 – 14.7

Eichinger et al., 2015

Characteristics of built residential environment:

Beta:

 

Age, sex, individual-level SES

1. Perceived distance to local facilities

1. 0.006

P < 0.01

2. Perceived availability / maintenance of cycling/walking infrastructure

2. NS

3. Perceived connectivity

3. NS

4. Perceived safety with regards to traffic

4. NS

5. perceived safety from crime

5. NS

6. Neighbourhood as pleasant environment for walking / cycling

6. NS

7. Presence of trees along the streets

7. NS

Eriksson et al., 2014

Aircraft noise level:

OR:

95%CI:

Age, sex, family history, SES based on education, PA, smoking, alcohol, annoyance due to noise.

1. <50 dB

1. 1

1. NA

2. ≥55 dB

2. 0.94

2. 0.33 – 2.70

Flynt et al., 2015

Clusters (combination of number of counties, urban-rural classification, population density, income, SES, access to food stores , obesity rate, diabetes rate):

Median standardized DM rate:

IQR:

-

1

1. 0

1. -0.05 - 0.7

2

2. 0

2. -0.04 – 0.7

3

3. 0

3. -0.08 – 0.01

4

4. -0.04

4. -1.01 – 0.6

5

5. -0.08

5. -1.5 – -0.04

  

ANOVA: p < 0.001

Frankenfeld et al., 2015

RFEI† ≤ 1 Clusters:

Predicted prevalence:

95%CI:

Demographic and SES variables

1. Grocery stores

1. 7.1

1. 6.3 – 7.9

2. Restaurants

2. 5.9

2. 5.0 – 6.8, p < 0.01

3. Specialty foods

3. 6.1

3. 5.0 – 7.2, p < 0.01

RFEI† > 1:

  

4. Restaurants and fast food

4. 6.0

4. 4.9 – 7.1, p < 0.01

5. Convenience stores

5. 6.1

5. 4.9 – 7.3, p < 0.01

Freedman et al., 2011

Built environment:

OR:

95%CI:

Age, ethnicity, marital status, region of residence, smoking, education, income, childhood health, childhood SES, region of birth, neighbourhood scales

Men:

  

1. Connectivity (2000 Topologically Integrated Geographic Encoding and Referencing system).

1. 1.06

1. 0.86 – 1.29

2. Density (number of food stores, restaurants, housing units per square mile)

2. 1.05

2. 0.89 – 1.24

Women:

  

3. Connectivity

3. 1.01

3. 0.84 – 1.20

4. Densityx

4. 0.99

4. 0.99 – 1.17

Fujiware et al., 2017

Count within neighbourhood unit (mean 6.31 ± 3.9 km2)

OR per IQR increase:

95%CI:

age, sex, marital status, household number, income, working status, drinking, smoking, vegetable consumption, walking, going-out behaviour, frequency of meeting, BMI, depression

1. Grocery stores

1. 0.97

1. 0.88 – 1.08

2. Parks

2. 1.15

2. 0.98 – 1.34

Gebreab et al., 2017

Density within 1 mile buffer:

HR:

95%CI:

age, sex, family history of diabetes, SES, smoking, alcohol consumption, PA and diet

1. Favourable food stores

1. 1.03

1. 0.98 – 1.09

2. Unfavourable food stores

2. 1.07

2. 0.99 – 1.16

3. PA resources

3. 1.03

3. 0.98 – 1.09

Glazier et al., 2014

Walkability index:

Rate ratio:

95%CI:

Age and sex

1. Q1

1. 1

1. NA

2. Q5

2. 1.33

2. 1.33 – 1.33

Index components:

  

1. Population density (Q1: Q5)

1. 1.16

1. 1.16 – 1.16

2. Residential density (Q1: Q5)

2. 1.33

2. 1.33 – 1.33

3. Street connectivity (Q1: Q5)

3. 1.38

3. 1.38 – 1.38

4. Availability of walkable destinations (Q1: Q5)

4. 1.26

4. 1.26 – 1.26

Heidemann et al., 2014

Residential traffic intensity:

OR:

95%CI:

Age, sex, smoking, passive smoking, heating of house, education, BMI, waist circumference, PA, family history

1. No traffic

1. 1

1. NA

2. Extreme traffic

2. 1.97

2. 1.07 – 3.64

Hipp et al., 2015

Food deserts

Correlation: NR

NS

-

Lee et al., 2015

Walkability:

OR:

95%CI:

Age, sex, smoking, alcohol, income level

1. Community 1

1. 1

1. NA

2. Community 2

2. 0.86

2. 0.75 – 0.99

Loo et al., 2017

Walkability (Walk score)

Difference between Q1 and Q4

Beta for HbA1C:

 

Age, sex, current smoking status, BMI, relevant medications and medical diagnoses, neighbourhood violent crime rates and neighbourhood indices of material deprivation, ethnic concentration, dependency and residential instability

1. -0.06

1. -0.11 – 0.02

Beta for fasting glucose:

 

2. 0.03

2. -0.04 – 0.1

Maas et al., 2009

Green space: per 10% more green space in 1 km radius

OR: 0.98

95%CI: 0.97 – 0.99

Demographic and socioeconomic characteristics, urbanity

Mena et al., 2015

 

Correlation:

 

-

1. Distance to parks

1. NR

1. NA

2. Distance to markets

2. -0,094

2. P < 0.05

Mezuk et al., 2016

Ratio of the number of health-harming food outlets to the total number of food outlets within a 1,000-m buffer of each person

OR: 2.11

95%CI: 1.57 – 2.82

Age, sex, education, and household income

Morland et al., 2006

Presence of:

Prevalence ratio:

95%CI:

Age, sex, income, education, ethnicity, food stores and service places,, PA

1. Supermarkets

1. 0.96

1. 0.84 – 1.1

2. Grocery stores

2. 1.11

2. 0.99 – 1.24

3. Convenience stores

3. 0.98

3. 0.86 – 1.12

Müller-Riemenschneider et al., 2013

Walkability (1,600 m buffer):

OR:

95%CI:

Age, sex, education, household income, marital status.

1. High walkability

1. 0.95

1. 0.72 – 1.25

2. Low walkability

2. 1

2. NA

Walkability (800 m buffer):

  

3. High walkability

3. 0.69

3. 0.62 – 0.90

4. Low walkability

4. 1

4. NA

Myers et al., 2016

Physical activity:

Beta:

95%CI:

Age

1. Recreation facilities per 1000

1. -0.457

1. -0.809 – -0.104

2. Natural amenities (1 – 7)

2. 0.084

2. 0.042 – 0.127

Food:

  

3. Grocery stores & supercentres per 1000

3. 0.059

3. -0.09 – 0.208

4. Fast food restaurants per 1000

4. -0.032

4. -0.125 – 0.062

Ngom et al., 2016

Distance to green space:

PR:

95%CI:

Age, sex, social and environmental predictors

1. Q1 (0 – 264 m)

1. 1

1. NA

2. Q4 (774 – 27781 m)

2. 1.09

2. 1.03 – 1.13

Paquet et al., 2014

Built environmental attributes:

RR:

95%CI:

Age, sex household income, education, duration of FU, area-level SES.

1. RFEIÂ¥

1. 0.99

1. 0.9 – 1.09

2. Walkability

2. 0.88

2. 0.8 – 0.97

3. POS

  

a. POS count

a. 1

a. 0.92 – 1.08

b. POS size

b. 0.75

b. 0.69 – 0.83

c. POS greenness

c. 1.01

c. 0.9 – 1.13

d. POS type

d. 1.09

d. 0.97 – 1.22

Schootman et al., 2007

Neighbourhood conditions (objective):

OR:

95%CI:

Age, sex, income, perceived income adequacy, education, marital status, employment, length of time at present address, own the home, area

1. Housing conditions

1. 1.11

1. 0.63 – 1.95

2. Noise level from traffic, industry, etc.

2. 0.9

2. 0.48 – 1.67

3. Air quality

3. 1.2

3. 0.66 – 2.18

4. Street and road quality

4. 1.03

4. 0.56 – 1.91

5. Yard and sidewalk quality

5. 1.05

5. 0.59 – 1.88

Neighbourhood conditions (subjective):

  

6. Fair - poor rating of the neighbourhood

6. 1.04

6. 0.58 – 1.84

7. Mixed or terrible feeling about the neighbourhood

7. 1.1

7. 0.6 – 2.02

8. Undecided or not at all attached to the neighbourhood

8. 0.68

8. 0.4 – 1.18

9. Slightly unsafe - not at all safe in the neighbourhood

9. 0.61

9. 0.35 – 1.06

Sørensen et al., 2013

Exposure to road traffic noise per 10 dB:

Incidence rate ratio:

95%CI:

Age, sex, education, municipality SES, smoking status, smoking intensity, smoking duration, environmental tobacco smoke, fruit intake, vegetable intake, saturated fat intake, alcohol, BMI, waist circumference, sports, walking, pollution.

1. At diagnosis

1. 1.08

1. 1.02 – 1.14

2. 5 years preceding diagnosis

2. 1.11

2. 1.05 – 1.18

Sundquist et al., 2015

Walkability:

OR:

95%CI:

Age, sex, income, education, neighbourhood deprivation.

1. D1 (low)

1. 1.16

1. 1.00 – 1.34

2. D10 (high)

2. 1

2. NA

  1. Abbreviations: NA not applicable, NS not significant, NR not reported, 95%CI 95% Confidence interval, RFEI Retail Food Environment Index, PSE Neighbourhood physical and social environment, POS Public open space, SE standard error, RR relative risk, OR odds ratio, HR hazard ratios
  2. *Prevalence; Beta (SE); RR; OR; HR, quality of accessible groceries, likelihood that neighbours help each other, examples of neighbours working together, sense of belonging, degree of trust in neighbours, poverty level
  3. † RFEI = ratio of fast-food restaurants and unhealthful food stores to healthful food stores