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Green Space Exposure Association with Type 2 Diabetes Mellitus, Physical Activity, and Obesity: A Systematic Review

Author

Listed:
  • Felipe De la Fuente

    (Nursing Department, University of Chile, Santiago 8320000, Chile)

  • María Angélica Saldías

    (Nursing Department, University of Chile, Santiago 8320000, Chile)

  • Camila Cubillos

    (Nursing Department, University of Chile, Santiago 8320000, Chile)

  • Gabriela Mery

    (Nursing Department, University of Chile, Santiago 8320000, Chile)

  • Daniela Carvajal

    (Nursing Department, University of Chile, Santiago 8320000, Chile)

  • Martín Bowen

    (Medical School, University of Chile, Santiago 8320000, Chile)

  • María Paz Bertoglia

    (School of Public Health, University of Chile, Santiago 8320000, Chile)

Abstract

Type 2 diabetes mellitus (T2DM) is a public health challenge that must be addressed considering the large number of risk factors involved in its appearance. Some environmental risk factors are currently described as predictors of diabetes, with access to green spaces being an element to consider in urban settings. This review aims to study the association between exposure to green spaces and outcomes such as diabetes, obesity, and physical activity in the general population. A systematic review was carried out using the PubMed, Embase, and LILACS databases and other sources. The search strategy was carried out from October 2019 to October 2020. Cross-sectional and cohort studies were included. The article selection was made by a pair of reviewers, and data extraction was carried out using a data extraction sheet. The quality assessment of the included studies was carried out using a validated tool. Finally, 19 scientific articles were included in this review. Evidence supports that people and communities exposed to green spaces, especially in their neighborhood, reduce the risk of T2DM and reduce the risk of being obese and increase the likelihood of physical activity. The onset of T2DM can be moderated by using green spaces, improving physical activity levels, and reducing the risk of being overweight and obese.

Suggested Citation

  • Felipe De la Fuente & María Angélica Saldías & Camila Cubillos & Gabriela Mery & Daniela Carvajal & Martín Bowen & María Paz Bertoglia, 2020. "Green Space Exposure Association with Type 2 Diabetes Mellitus, Physical Activity, and Obesity: A Systematic Review," IJERPH, MDPI, vol. 18(1), pages 1-18, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:97-:d:468184
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    References listed on IDEAS

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    1. Anne Scott & Duncan Chambers & Elizabeth Goyder & Alicia O’Cathain, 2017. "Socioeconomic inequalities in mortality, morbidity and diabetes management for adults with type 1 diabetes: A systematic review," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-19, May.
    2. Viniece Jennings & Omoshalewa Bamkole, 2019. "The Relationship between Social Cohesion and Urban Green Space: An Avenue for Health Promotion," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    3. Tashi Dendup & Xiaoqi Feng & Stephanie Clingan & Thomas Astell-Burt, 2018. "Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review," IJERPH, MDPI, vol. 15(1), pages 1-25, January.
    4. E. Jessica Hrudey & Anton E. Kunst & Karien Stronks & Tanja G.M. Vrijkotte, 2015. "Do Neighborhood Characteristics in Amsterdam Influence Adiposity at Preschool Age?," IJERPH, MDPI, vol. 12(5), pages 1-20, May.
    5. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    6. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    7. Freedman, V.A. & Grafova, I.B. & Rogowski, J., 2011. "Neighborhoods and chronic disease onset in later life," American Journal of Public Health, American Public Health Association, vol. 101(1), pages 79-86.
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    Cited by:

    1. Valeria Bellisario & Rosanna Irene Comoretto & Paola Berchialla & Emanuele Koumantakis & Giulia Squillacioti & Alberto Borraccino & Roberto Bono & Patrizia Lemma & Lorena Charrier & Paola Dalmasso, 2022. "The Association between Greenness and Urbanization Level with Weight Status among Adolescents: New Evidence from the HBSC 2018 Italian Survey," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
    2. Haoxuan Ge & Jue Wang, 2023. "Spatial Non-Stationarity Effects of Unhealthy Food Environments and Green Spaces for Type-2 Diabetes in Toronto," Sustainability, MDPI, vol. 15(3), pages 1-25, January.
    3. Hania Rahimi-Ardabili & Thomas Astell-Burt & Phi-Yen Nguyen & Juan Zhang & Yu Jiang & Guang-Hui Dong & Xiaoqi Feng, 2021. "Green Space and Health in Mainland China: A Systematic Review," IJERPH, MDPI, vol. 18(18), pages 1-22, September.
    4. Dan Li & Haiyun Xu & Yue Kang & Koen Steemers, 2023. "Systematic Review: Landscape Characteristics Correlated with Physical Activity of the Elderly People," Land, MDPI, vol. 12(3), pages 1-18, March.
    5. Tate, Christopher & Tran, Ngan & Longo, Alberto & Barry, John & Taylor, Tim & O'Neill, Ciaran & Hunter, Ruth, 2024. "Economic evaluations of urban green and blue space interventions: A scoping review," Ecological Economics, Elsevier, vol. 222(C).

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