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More and more studies have shown that there is a link between the built environment of the neighborhood and the likelihood of residents suffering from chronic diseases (such as heart disease, type 2 diabetes, and certain cancers)
.
A national study led by researchers at New York University’s Grossman School of Medicine showed that living in more fast-food restaurants is associated with a higher risk of type 2 diabetes
Diabetes living in more places in fast food restaurants is associated with a higher risk of type 2 diabetes
Rania Kanchi et al, Longitudinal Analysis of Neighborhood Food Environment and Diabetes Risk in the Veterans Administration Diabetes Risk Cohort, JAMA Network Open (2021).
DOI: 10.
1001/jamanetworkopen.
2021.
30789
DOI: 10.
1001/jamanetworkopen.
2021.
30789
The research team used the US Veterans Health Administration data office, included more than 9 million veterans more than 1,200 medical institutions
.
The researchers then constructed a national cohort of more than 4 million non-diabetic veterans from the electronic health records (EHR) of veterans, from 2008 to 2016
manage
The median time for veterans to be followed is five and a half years
.
During this period, 13.
diagnosis
14.
3% of veterans living in high-density urban communities have T2D, and those living in suburban and small town communities have the lowest incidence of 12.
6%
.
During the follow-up period, 13.
2% (539369) of the participants met the criteria for type 2 diabetes
.
The cumulative incidence rate is the highest among the 60-79-year-old population (288,836 participants [17.
Compared with other ethnic groups, adult non-Hispanic blacks had the highest incidence of type 2 diabetes (99013 participants [16.
9%])
.
Adults with disabilities and low-income but non-disabled adults have a higher incidence rate than adults with neither disability nor low-income adults
From the perspective of residential location, as the social and economic environment shifts from a dominant position to a disadvantaged position, the proportion of adults with type 2 diabetes has increased
.
Adults living in high-density urban communities have the highest proportion of type 2 diabetes (14.
From the perspective of residential location, as the social and economic environment shifts from a dominant position to a disadvantaged position, the proportion of adults with type 2 diabetes has increased
The proportion of fast food restaurants is related to the increased risk of type 2 diabetes in various communities
.
Compared with all restaurants, every 10% increase in the number of fast-food restaurants is related to a 1% increase in the risk of type 2 diabetes in high-density, low-density communities and rural communities , while in suburban areas, the risk of type 2 diabetes increases by 2%
Every 10% increase in the number of fast food restaurants is associated with a 1% increase in the risk of type 2 diabetes in high-density, low-density communities and rural communities.
% Relevant but different in suburbs, the risk of type 2 diabetes will increase by 2% and the risk of type 2 diabetes will increase by 2%.
Every 10% increase in supermarket density is related to the decrease in the risk of type 2 diabetes in suburbs and rural communities.
Every 10% increase in supermarket density Linked to reduced risk of type 2 diabetes in suburban and rural communities
2008-2018 U.
S.
veterans' risk of type 2 diabetes
S.
veterans' risk of type 2 diabetes
In general, the research team concluded that the impact of the dietary environment on the incidence of T2D varies with the degree of urbanization of the community, but it will not change further by region
.
Dr.
Lorna Thorpe, a professor in the Department of Population Health at New York University Langone and senior author of the study, said: "The more you understand the relationship between the eating environment and chronic diseases such as type 2 diabetes, the more those in power can take action to improve restaurants.
And healthy food sold in food retail stores to promote residents to choose the best food
.
"
The limitation of the study is that it may not be able to be extended to non-veterans for the time being.
The American veterans in the study are often male-dominated, and their health burden and financial instability are much higher than other civilians, and their disability The risks of obesity and chronic diseases are also greater
.
The researchers said that the next stage will be to understand the impact of the built environment on the risk of diabetes in each subgroup
.
They plan to study whether the relationship between fast food restaurants, supermarkets, and community types differs by gender, race/ethnicity, and socioeconomic status
.
Reference materials:
Rania Kanchi et al, Longitudinal Analysis of Neighborhood Food Environment and Diabetes Risk in the Veterans Administration Diabetes Risk Cohort, JAMA Network Open (2021).
DOI: 10.
1001/jamanetworkopen.
2021.
3078 9
DOI: 10.
1001/jamanetworkopen.
2021.
3078 Rania Kanchi et al, Longitudinal Analysis of Neighborhood Food Environment and Diabetes Risk in the Veterans Administration Diabetes Risk Cohort, JAMA Network Open (2021).
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