Green space and cardiovascular health in people with type 2 diabetes. (May 2021)

• Record Type: Journal Article
• Authors: Astell-Burt, Thomas; Navakatikyan, Michael A.; Walsan, Ramya; Davis, Walt; Figtree, Gemma; Arnolda, Leonard; Feng, Xiaoqi
• Is Part Of: Health & place. Volume 69(2021)
• Publication Date: 2021-05
• Subjects: Green space -- Hospital -- Death -- Heart disease -- Type 2 diabetes; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2021.102554
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: Associations between green space type and 9-year risk of incident cardiovascular disease (CVD) hospitalisations and deaths were analysed in 4166 people with type 2 diabetes in the Sax Institute's 45 and Up Study. Incidence of all-cause mortality, cardiovascular mortality, fatal or non-fatal CVD events and acute myocardial infarctions (AMI) were 14.67%, 7.23%, 47.36%, and 4.51%, respectively. After full adjustment, more tree canopy was associated with lower CVD mortality, lower fatal or non-fatal CVD events, and lower AMI risk. More open grass was associated with lower all-cause mortality, lower CVD mortality and lower fatal or non-fatal CVD events, but higher AMI risk. Highlights: Environmental risks for prevention of CVD in 'high risk' groups are under-studied. Hospital and death data were linked to a cohort and measures of green space type. Tree canopy and open grass were associated with lower CVD event and mortality risk.