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

Nadja Kartschmit; Robynne  Sutcliffe; Mark Patrick  Sheldon; Susanne  Moebus; Karin Halina  Greiser; Saskia  Hartwig; Detlef  Thürkow; Ulrike  Stentzel; Neeltje  van den Berg; Kathrin  Wolf; Werner  Maier; Annette Peters; Salman  Ahmed; Corinna  Köhnke; Rafael  Mikolajczyk; Andreas  Wienke; Alexander  Kluttig; Gavin Rudge

doi:10.1186/s12902-019-0485-x

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

Nadja Kartschmit , Robynne Sutcliffe, Mark Patrick Sheldon, Susanne Moebus, Karin Halina Greiser, Saskia Hartwig, Detlef Thürkow, Ulrike Stentzel, Neeltje van den Berg, Kathrin Wolf, Werner Maier, Annette Peters, Salman Ahmed, Corinna Köhnke, Rafael Mikolajczyk, Andreas Wienke, Alexander Kluttig, Gavin Rudge

Applied Health Research

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Abstract

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.

Original language	English
Article number	7
Number of pages	9
Journal	BMC Endocrine Disorders
Volume	20
Issue number	1
Early online date	13 Jan 2020
DOIs	https://doi.org/10.1186/s12902-019-0485-x
Publication status	E-pub ahead of print - 13 Jan 2020

Keywords

Built environment
Cardio-metabolic risk factors
Diabetes
Epidemiology
Walkability

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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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. (2020). 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 Endocrine Disorders, 20(1), Article 7. Advance online publication. https://doi.org/10.1186/s12902-019-0485-x

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title = "Walkability and its association with prevalent and incident diabetes among adults in different regions of Germany: results of pooled data from five German cohorts",

abstract = "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{\textquoteright}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.",

keywords = "Built environment, Cardio-metabolic risk factors, Diabetes, Epidemiology, Walkability",

author = "Nadja Kartschmit and Robynne Sutcliffe and Sheldon, {Mark Patrick} and Susanne Moebus and Greiser, {Karin Halina} and Saskia Hartwig and Detlef Th{\"u}rkow and Ulrike Stentzel and {van den Berg}, Neeltje and Kathrin Wolf and Werner Maier and Annette Peters and Salman Ahmed and Corinna K{\"o}hnke and Rafael Mikolajczyk and Andreas Wienke and Alexander Kluttig and Gavin Rudge",

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doi = "10.1186/s12902-019-0485-x",

language = "English",

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journal = "BMC Endocrine Disorders",

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Kartschmit , N, Sutcliffe, R, Sheldon, MP, Moebus, S, Greiser, KH, 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 2020, '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 Endocrine Disorders, vol. 20, no. 1, 7. https://doi.org/10.1186/s12902-019-0485-x

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T1 - Walkability and its association with prevalent and incident diabetes among adults in different regions of Germany

T2 - results of pooled data from five German cohorts

AU - Kartschmit , Nadja

AU - Sutcliffe, Robynne

AU - Sheldon, Mark Patrick

AU - Moebus, Susanne

AU - Greiser, Karin Halina

AU - Hartwig, Saskia

AU - Thürkow, Detlef

AU - Stentzel, Ulrike

AU - van den Berg, Neeltje

AU - Wolf, Kathrin

AU - Maier, Werner

AU - Peters, Annette

AU - Ahmed, Salman

AU - Köhnke, Corinna

AU - Mikolajczyk, Rafael

AU - Wienke, Andreas

AU - Kluttig, Alexander

AU - Rudge, Gavin

PY - 2020/1/13

Y1 - 2020/1/13

N2 - 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.

AB - 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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KW - Cardio-metabolic risk factors

KW - Diabetes

KW - Epidemiology

KW - Walkability

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U2 - 10.1186/s12902-019-0485-x

DO - 10.1186/s12902-019-0485-x

M3 - Article

SN - 1472-6823

VL - 20

JO - BMC Endocrine Disorders

JF - BMC Endocrine Disorders

IS - 1

M1 - 7

ER -

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

Abstract

Keywords

UN SDGs

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