TY - JOUR
T1 - The effect of surrounding greenness on type 2 diabetes mellitus
T2 - A nationwide population-based cohort in taiwan
AU - Tsai, Hui Ju
AU - Li, Chia Ying
AU - Pan, Wen Chi
AU - Yao, Tsung Chieh
AU - Su, Huey Jen
AU - Wu, Chih Da
AU - Chern, Yinq Rong
AU - Spengler, John D.
N1 - Funding Information:
This study was funded by the National Health Research Institutes, Taiwan (NHRI- 109A1-PHPP08-014) and Ministry of Science of Technology, R.O.C. (PI: Wu: MOST 104-2119-M- 415-003-; Tsai: MOST 107-2314-B-400-031-MY3).
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - 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.
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.
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U2 - 10.3390/ijerph18010267
DO - 10.3390/ijerph18010267
M3 - Article
C2 - 33396518
AN - SCOPUS:85099014678
VL - 18
SP - 1
EP - 11
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 1
M1 - 267
ER -
