Cited by 167Urban Transport and AccessibilityHealth disparities and outcomesUrban Green Space and Health

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Neighborhood Resources for Physical Activity and Healthy Foods and Their Association With Insulin Resistance

Auchincloss, Amy H., Diez Roux, Ana V., Brown, Daniel G., Erdmann, Christine A., Bertoni, Alain G.·2008·Epidemiology

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Abstract

OBJECTIVE: : Little is known about the influence of the built environment, and in particular neighborhood resources, on health. We hypothesized that neighborhood resources for physical activity and healthy foods are associated with insulin resistance. METHODS: : Person-level data (n = 2026) came from 3 sites of The Multi-Ethnic Study of Atherosclerosis, a study of adults aged 45-84 years. Area-level data were derived from a population-based residential survey. The homeostasis model assessment index was used as an insulin resistance measure among persons not treated for diabetes. We used linear regression to estimate associations between area features and insulin resistance. RESULTS: : Greater neighborhood physical activity resources consistently were associated with lower insulin resistance. Adjusted for age, sex, family history of diabetes, race/ethnicity, income and education, insulin resistance was reduced by 17% (95% confidence interval = -31% to -1%) for an increase from the 10th to 90th percentiles of resources. Greater healthy food resources were also inversely related to insulin resistance, although the association was not robust to adjustment for race/ethnicity. Analyses including diet, physical activity, and body mass index suggested that these variables partly mediated observed associations. Results were similar when impaired fasting glucose/diabetes was considered as the outcome variable. CONCLUSION: : Diabetes prevention efforts may need to consider features of residential environment.

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Authors: Auchincloss, A. H., Diez Roux, A. V., Brown, D. G., Erdmann, C. A., & Bertoni, A. G.
Affiliations: University of Michigan (US)
Wake Forest University Health Sciences (US)
Corresponding author: Auchincloss, Amy H.
Erdmann, Christine A.
ORCID: Auchincloss, Amy H.
Brown, Daniel G.
Bertoni, Alain G.
Venue: Epidemiology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2008-01
Volume: 19
Issue: 1
Pages: 146-157
ISSN: 1044-3983 (ISSN-L)
DOI: 10.1097/ede.0b013e31815c480
OpenAlex: W2097353971
Cited by: 167
References: 61
Citations by year: 2024: 7 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 10 · 2019: 10 · 2018: 11 · 2017: 13 · 2016: 18 · 2015: 12 · 2014: 12 · 2013: 10 · 2012: 13
FWCI: 29.29
Type: journal article
Language: en
Open access: closed
Locations: Epidemiology (publishedVersion)
PubMed (publishedVersion)
Deep Blue (University of Michigan) (submittedVersion)
Funders: National Institutes of Health (n01hc95166-21-0-1, n01hc95159-40-0-1)
National Heart, Lung, and Blood Institute (N01 HC-95159, N01‐HC‐95166)
Topics: Social Sciences › Transportation › Urban Transport and Accessibility
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Urban Studies › Urban Green Space and Health
Keywords: insulin resistance, neighborhood built environment, physical activity resources, healthy food access, diabetes prevention, residential environment, HOMA, impaired fasting glucose, body mass index
MeSH terms: Aged, Cross-Sectional Studies, Diabetes Mellitus, Diet, Environment Design, Female, Humans, Insulin Resistance, Interviews as Topic, Life Style, Male, Middle Aged, Motor Activity, Nutrition Surveys, Residence Characteristics, United States, Body Mass Index

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Neighborhood Resources for Physical Activity and Healthy Foods and Their Association With Insulin Resistance

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