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Kartschmit, N.* ; Sutcliffe, R.* ; Sheldon, M.P.* ; Moebus, S.* ; Greiser, K.H.* ; Hartwig, S.* ; Thürkow, D.* ; Stentzel, U.* ; van den Berg, N.* ; Wolf, K. ; Maier, W. ; Peters, A. ; Ahmed, S.* ; Köhnke, C.* ; Mikolajczyk, R.* ; Wienke, A.* ; Kluttig, A.* ; Rudge, G.*

Walkability and its association with prevalent and incident diabetes among adults in different regions of Germany: Results of pooled data from five German cohorts.

BMC Endocr. Disord. 20:7 (2020)
Publ. Version/Full Text Research data DOI PMC
Open Access Gold
Creative Commons Lizenzvertrag
Background Highly walkable neighbourhoods may increase transport-related and leisure-time physical activity and thus decrease the risk for obesity and obesity-related diseases, such as type 2 diabetes (T2D). Methods We investigated the association between walkability and prevalent/incident T2D in a pooled sample from five German cohorts. Three walkability measures were assigned to participant's addresses: number of transit stations, points of interest, and impedance (restrictions to walking due to absence of intersections and physical barriers) within 640 m. We estimated associations between walkability and prevalent/incident T2D with modified Poisson regressions and adjusted for education, sex, age at baseline, and cohort. Results Of the baseline 16,008 participants, 1256 participants had prevalent T2D. Participants free from T2D at baseline were followed over a mean of 9.2 years (SD: 3.5, minimum: 1.6, maximum: 14.8 years). Of these, 1032 participants developed T2D. The three walkability measures were not associated with T2D. The estimates pointed toward a zero effect or were within 7% relative risk increase per 1 standard deviation with 95% confidence intervals including 1. Conclusion In the studied German settings, walkability differences might not explain differences in T2D.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Built Environment ; Walkability ; Diabetes ; Cardio-metabolic Risk Factors ; Epidemiology; Built Environment; Physical-activity; North-america; Risk-factors; Health; Population; Mellitus; Disease; Obesity; Walking
ISSN (print) / ISBN 1472-6823
e-ISSN 1472-6823
Journal BMC Endocrine Disorders
Quellenangaben Volume: 20, Issue: 1, Pages: , Article Number: 7 Supplement: ,
Publisher BioMed Central
Publishing Place Campus, 4 Crinan St, London N1 9xw, England
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology II (EPI2)
Institute of Health Economics and Health Care Management (IGM)