PMID- 33396518
OWN - NLM
STAT- MEDLINE
DCOM- 20210222
LR  - 20210222
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 1
DP  - 2020 Dec 31
TI  - The Effect of Surrounding Greenness on Type 2 Diabetes Mellitus: A Nationwide 
      Population-Based Cohort in Taiwan.
LID - 10.3390/ijerph18010267 [doi]
LID - 267
AB  - This study determines whether surrounding greenness is associated with the 
      incidence of type 2 diabetes Mellitus (T2DM) in Taiwan. A retrospective cohort 
      study determines the relationship between surrounding greenness and the incidence 
      of T2DM during the study period of 2001-2012 using data from the National Health 
      Insurance Research Database. The satellite-derived normalized difference 
      vegetation index (NDVI) from the global MODIS database in the NASA Earth 
      Observing System is used to assess greenness. Cox proportional hazard models are 
      used to determine the relationship between exposure to surrounding greenness and 
      the incidence of T2DM, with adjustment for potential confounders. A total of 
      429,504 subjects, including 40,479 subjects who developed T2DM, were identified 
      during the study period. There is an inverse relationship between exposure to 
      surrounding greenness and the incidence of T2DM after adjustment for 
      individual-level covariates, comorbidities, and the region-level covariates 
      (adjusted HR = 0.81, 95% CI: 0.79-0.82). For the general population of Taiwan, 
      greater exposure to surrounding greenness is associated with a lower incidence of 
      T2DM.
FAU - Tsai, Hui-Ju
AU  - Tsai HJ
AD  - Institute of Population Health Sciences, National Health Research Institutes, 
      Maioli 35053, Taiwan.
FAU - Li, Chia-Ying
AU  - Li CY
AD  - Department of Environmental and Occupational Health, National Cheng Kung 
      University, Tainan 70101, Taiwan.
FAU - Pan, Wen-Chi
AU  - Pan WC
AD  - Institute of Environmental and Occupational Health Sciences, National Yang-Ming 
      University, Taipei 112304, Taiwan.
FAU - Yao, Tsung-Chieh
AU  - Yao TC
AD  - Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang 
      Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan 
      333323, Taiwan.
AD  - Chang Gung Immunology Consortium, Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Taoyuan 333323, Taiwan.
AD  - Community Medicine Research Center, Chang Gung Memorial Hospital at Keelung, 
      Keelung 20401, Taiwan.
FAU - Su, Huey-Jen
AU  - Su HJ
AD  - Department of Environmental and Occupational Health, National Cheng Kung 
      University, Tainan 70101, Taiwan.
FAU - Wu, Chih-Da
AU  - Wu CD
AUID- ORCID: 0000-0001-9720-7937
AD  - Department of Geomatics, National Cheng Kung University, Tainan 70101, Taiwan.
AD  - National Institute of Environmental Health Sciences, National Health Research 
      Institutes, Miaoli 35053, Taiwan.
FAU - Chern, Yinq-Rong
AU  - Chern YR
AD  - Department of Geomatics, National Cheng Kung University, Tainan 70101, Taiwan.
FAU - Spengler, John D
AU  - Spengler JD
AD  - Department of Environmental Health, Harvard T.H. Chan School of Public Health, 
      Boston, MA 02115, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20201231
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Diabetes Mellitus, Type 2/epidemiology
MH  - *Environment
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Plants
MH  - Retrospective Studies
MH  - Taiwan/epidemiology
MH  - Young Adult
PMC - PMC7795104
OTO - NOTNLM
OT  - Normalized Difference Vegetation Index (NDVI)
OT  - cohort study
OT  - surrounding greenness
OT  - type 2 diabetes Mellitus
COIS- The funders had no role in the design of the study; in the collection, analyses, 
      or interpretation of data; in the writing of the manuscript, or in the decision 
      to publish the results.
EDAT- 2021/01/06 06:00
MHDA- 2021/02/23 06:00
PMCR- 2021/01/01
CRDT- 2021/01/05 01:14
PHST- 2020/11/13 00:00 [received]
PHST- 2020/12/16 00:00 [revised]
PHST- 2020/12/28 00:00 [accepted]
PHST- 2021/01/05 01:14 [entrez]
PHST- 2021/01/06 06:00 [pubmed]
PHST- 2021/02/23 06:00 [medline]
PHST- 2021/01/01 00:00 [pmc-release]
AID - ijerph18010267 [pii]
AID - ijerph-18-00267 [pii]
AID - 10.3390/ijerph18010267 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2020 Dec 31;18(1):267. doi: 
      10.3390/ijerph18010267.