Association between neighborhood greenspace and fasting plasma glucose from a large cohort study in Taiwan

Lin, Boren; Yen, Yun-Ting; Lao, Xiang Qian; Chen, Yen-Hsu; Chan, Ta‐Chien

doi:10.1016/j.ufug.2019.126439

Cited by 12 publications

(15 citation statements)

References 31 publications

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“…After adjustment for air pollution, physical activities, and dietary intake, we found that lower levels of TC, LDL-C, and fasting glucose were associated with higher green space exposure. Our findings are consistent with 2 cross-sectional studies and 1 cohort study in Chinese populations, which reported that a larger amount of green space in working places or residential areas was associated with lower levels of TC, TG, LDL-C, and fasting glucose [ 15 , 37 , 38 ]. Our effect estimates are also similar to those reported in a large sample of 15,477 adults in China [ 37 ].…”

Section: Discussionsupporting

confidence: 91%

Effects of Urban Green Space on Cardiovascular and Respiratory Biomarkers in Chinese Adults: Panel Study Using Digital Tracking Devices

Lin¹,

Chan²,

Yuen³

et al. 2021

JMIR Cardio

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Background The health benefits of urban green space have been widely reported in the literature; however, the biological mechanisms remain unexplored, and a causal relationship cannot be established between green space exposure and cardiorespiratory health. Objective Our aim was to conduct a panel study using personal tracking devices to continuously collect individual exposure data from healthy Chinese adults aged 50 to 64 years living in Hong Kong. Methods A panel of cardiorespiratory biomarkers was tested each week for a period of 5 consecutive weeks. Data on weekly exposure to green space, air pollution, and the physical activities of individual participants were collected by personal tracking devices. The effects of green space exposure measured by the normalized difference vegetation index (NDVI) at buffer zones of 100, 250, and 500 meters on a panel of cardiorespiratory biomarkers were estimated by a generalized linear mixed-effects model, with adjustment for confounding variables of sociodemographic characteristics, exposure to air pollutants and noise, exercise, and nutrient intake. Results A total of 39 participants (mean age 56.4 years, range 50-63 years) were recruited and followed up for 5 consecutive weeks. After adjustment for sex, income, occupation, physical activities, dietary intake, noise, and air pollution, significant negative associations with the NDVI for the 250-meter buffer zone were found in total cholesterol (–21.6% per IQR increase in NDVI, 95% CI –32.7% to –10.6%), low-density lipoprotein (–14.9%, 95% CI –23.4% to –6.4%), glucose (–11.2%, 95% CI –21.9% to –0.5%), and high-sensitivity C-reactive protein (–41.3%, 95% CI –81.7% to –0.9%). Similar effect estimates were found for the 100-meter and 250-meter buffer zones. After adjustment for multiple testing, the effect estimates of glucose and high-sensitivity C-reactive protein were no longer significant. Conclusions The health benefits of green space can be found in some metabolic and inflammatory biomarkers. Further studies are warranted to establish the causal relationship between green space and cardiorespiratory health.

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Section: Discussionsupporting

confidence: 91%

Effects of Urban Green Space on Cardiovascular and Respiratory Biomarkers in Chinese Adults: Panel Study Using Digital Tracking Devices

Lin¹,

Chan²,

Yuen³

et al. 2021

JMIR Cardio

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“…Residential Greenness . Higher greenness or vegetation levels may influence health and T2DM risk through stress reduction, social engagement, ecosystem benefits (i.e., reducing pollution and excessive heat) and increasing physical activity ( De la Fuente et al, 2021 ; Lin et al, 2019 ; Nieuwenhuijsen et al, 2017 ), although greenness may be higher in less densely populated areas that tend to be less walkable and have fewer food outlets ( Shuvo et al, 2021 ). The Normalized Difference Vegetation Index (NDVI) is commonly used for greenspace assessment ( Reid et al, 2018 ) and is used here.…”

Section: Methodsmentioning

confidence: 99%

The changing food environment and neighborhood prevalence of type 2 diabetes

Zick

Curtis

Meeks

et al. 2023

SSM - Population Health

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“…Three studies investigated the association of urban green space with T2D, [32][33][34] two studies conducted in China 33 34 and one in Taiwan. 32 All studies used FBG as a measure of T2D; one study used 2-hour glucose, HOMA-IR.…”

Section: Urban Green Spacementioning

confidence: 99%

Associations of the built environment with type 2 diabetes in Asia: a systematic review

et al. 2023

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ObjectivesOur study aimed to systematically review the literature and synthesise findings on potential associations of built environment characteristics with type 2 diabetes (T2D) in Asia.DesignSystematic review of the literature.Data sourcesOnline databases Medline, Embase and Global Health were used to identify peer-reviewed journal articles published from inception to 23 January 2023.Eligibility criteriaEligible studies included cohort, cross-sectional and case–control studies that explored associations of built environment characteristics with T2D among adults 18 years and older in Asia.Data extraction and synthesisCovidence online was used to remove duplicates and perform title, abstract and full-text screening. Data extraction was carried out by two independent reviewers using the OVID database and data were imported into MS Excel. Out of 5208 identified studies, 28 studies were included in this systematic review. Due to heterogeneity in study design, built environment and outcome definitions, a semiqualitative analysis was conducted, which synthesised results using weighted z-scores.ResultsFive broad categories of built environment characteristics were associated with T2D in Asia. These included urban green space, walkability, food environment, availability and accessibility of services such as recreational and healthcare facilities and air pollution. We found very strong evidence of a positive association of particulate matter (PM2.5, PM10), nitrogen dioxide and sulfur dioxide (p<0.001) with T2D risk.ConclusionSeveral built environment attributes were significantly related to T2D in Asia. When compared with Western countries, very few studies have been conducted in Asia. Further research is, therefore, warranted to establish the importance of the built environment on T2D. Such evidence is essential for public health and planning policies to (re)design neighbourhoods and help improve public health across Asian countries.PROSPERO registration numberCRD42020214852.

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Association between neighborhood greenspace and fasting plasma glucose from a large cohort study in Taiwan

Cited by 12 publications

References 31 publications

Effects of Urban Green Space on Cardiovascular and Respiratory Biomarkers in Chinese Adults: Panel Study Using Digital Tracking Devices

Effects of Urban Green Space on Cardiovascular and Respiratory Biomarkers in Chinese Adults: Panel Study Using Digital Tracking Devices

The changing food environment and neighborhood prevalence of type 2 diabetes

Associations of the built environment with type 2 diabetes in Asia: a systematic review

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