Environmental risk factors for developing type 2 diabetes mellitus: A systematic review

Dendup, T; Feng, X; Clingan, S; Astell-Burt, T

HERO ID

4860031

Reference Type

Journal Article

Subtype

Review

Year

2018

Language

English

PMID

29304014

HERO ID 4860031
Material Type Review
In Press No
Year 2018
Title Environmental risk factors for developing type 2 diabetes mellitus: A systematic review
Authors Dendup, T; Feng, X; Clingan, S; Astell-Burt, T
Journal International Journal of Environmental Research and Public Health
Volume 15
Issue 1
Page Numbers 78
Abstract Different elements of the environment have been posited to influence type 2 diabetes mellitus (T2DM). This systematic review summarizes evidence on the environmental determinants of T2DM identified in four databases. It proposes a theoretical framework illustrating the link between environment and T2DM, and briefly discusses some methodological challenges and potential solutions, and opportunities for future research. Walkability, air pollution, food and physical activity environment and roadways proximity were the most common environmental characteristics studied. Of the more than 200 reported and extracted relationships assessed in 60 studies, 82 showed significant association in the expected direction. In general, higher levels of walkability and green space were associated with lower T2DM risk, while increased levels of noise and air pollution were associated with greater risk. Current evidence is limited in terms of volume and study quality prohibiting causal inferences. However, the evidence suggests that environmental characteristics may influence T2DM prevention, and also provides a reasonable basis for further investigation with better quality data and longitudinal studies with policy-relevant environmental measures. This pursuit of better evidence is critical to support health-orientated urban design and city planning.
Doi 10.3390/ijerph15010078
Pmid 29304014
Wosid WOS:000424121200078
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword type 2 diabetes mellitus; environment; walkability; green space; noise; air pollution