PMID- 29382337 OWN - NLM STAT- MEDLINE DCOM- 20180430 LR - 20220331 IS - 1741-7015 (Electronic) IS - 1741-7015 (Linking) VI - 16 IP - 1 DP - 2018 Jan 31 TI - Built environmental characteristics and diabetes: a systematic review and meta-analysis. PG - 12 LID - 10.1186/s12916-017-0997-z [doi] LID - 12 AB - BACKGROUND: The built environment influences behaviour, like physical activity, diet and sleep, which affects the risk of type 2 diabetes mellitus (T2DM). This study systematically reviewed and meta-analysed evidence on the association between built environmental characteristics related to lifestyle behaviour and T2DM risk/prevalence, worldwide. METHODS: We systematically searched PubMed, EMBASE.com and Web of Science from their inception to 6 June 2017. Studies were included with adult populations (>18 years), T2DM or glycaemic markers as outcomes, and physical activity and/or food environment and/or residential noise as independent variables. We excluded studies of specific subsamples of the population, that focused on built environmental characteristics that directly affect the cardiovascular system, that performed prediction analyses and that do not report original research. Data appraisal and extraction were based on published reports (PROSPERO-ID: CRD42016035663). RESULTS: From 11,279 studies, 109 were eligible and 40 were meta-analysed. Living in an urban residence was associated with higher T2DM risk/prevalence (n = 19, odds ratio (OR) = 1.40; 95% CI, 1.2-1.6; I(2) = 83%) compared to living in a rural residence. Higher neighbourhood walkability was associated with lower T2DM risk/prevalence (n = 8, OR = 0.79; 95% CI, 0.7-0.9; I(2) = 92%) and more green space tended to be associated with lower T2DM risk/prevalence (n = 6, OR = 0.90; 95% CI, 0.8-1.0; I(2) = 95%). No convincing evidence was found of an association between food environment with T2DM risk/prevalence. CONCLUSIONS: An important strength of the study was the comprehensive overview of the literature, but our study was limited by the conclusion of mainly cross-sectional studies. In addition to other positive consequences of walkability and access to green space, these environmental characteristics may also contribute to T2DM prevention. These results may be relevant for infrastructure planning. FAU - den Braver, N R AU - den Braver NR AD - Department of Epidemiology & Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081HV, Amsterdam, The Netherlands. n.denbraver@vumc.nl. FAU - Lakerveld, J AU - Lakerveld J AD - Department of Epidemiology & Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081HV, Amsterdam, The Netherlands. FAU - Rutters, F AU - Rutters F AD - Department of Epidemiology & Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081HV, Amsterdam, The Netherlands. FAU - Schoonmade, L J AU - Schoonmade LJ AD - University Library, VU, Amsterdam, The Netherlands. FAU - Brug, J AU - Brug J AD - Department of Epidemiology & Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081HV, Amsterdam, The Netherlands. AD - Amsterdam School for Communication Research, University of Amsterdam, Amsterdam, The Netherlands. FAU - Beulens, J W J AU - Beulens JWJ AD - Department of Epidemiology & Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081HV, Amsterdam, The Netherlands. AD - Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20180131 PL - England TA - BMC Med JT - BMC medicine JID - 101190723 SB - IM EIN - BMC Med. 2021 Mar 7;19(1):63. PMID: 33676484 MH - Adult MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology MH - Environmental Health/*methods MH - Female MH - Humans MH - Male PMC - PMC5791730 OTO - NOTNLM OT - Built environment OT - Lifestyle behaviour OT - Prevention OT - Type 2 diabetes mellitus OT - Urbanisation COIS- COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/02/01 06:00 MHDA- 2018/05/01 06:00 PMCR- 2018/01/31 CRDT- 2018/02/01 06:00 PHST- 2017/07/31 00:00 [received] PHST- 2017/12/15 00:00 [accepted] PHST- 2018/02/01 06:00 [entrez] PHST- 2018/02/01 06:00 [pubmed] PHST- 2018/05/01 06:00 [medline] PHST- 2018/01/31 00:00 [pmc-release] AID - 10.1186/s12916-017-0997-z [pii] AID - 997 [pii] AID - 10.1186/s12916-017-0997-z [doi] PST - epublish SO - BMC Med. 2018 Jan 31;16(1):12. doi: 10.1186/s12916-017-0997-z.