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Green space and cardiovascular health in people with type 2 diabetes
Affiliation:1. The Christina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA;2. Department of Environmental and Occupational Health Sciences, School of Public Health and information Sciences, University of Louisville, Louisville, KY, USA;3. Department of Pharmacology and Toxicology, University of Louisville, Louisville, KY, USA;4. Department of Medicine, University of Louisville, Louisville, KY, USA;1. Swiss Tropical and Public Health Institute, Basel, Switzerland;2. University of Basel, Basel, Switzerland;3. Epidemiology, Biostatistics and Prevention Institute (EBPI), University of Zurich, Zurich, Switzerland;4. Empa, Laboratory for Acoustics/Noise Control, Swiss Federal Laboratories for Materials Science and Technology, Dübendorf, Switzerland;1. Research Center for Environmental Changes, Academia Sinica, Taipei, Taiwan;2. Department of Atmospheric Sciences, National Taiwan University, Taipei, Taiwan;3. Institute of Environmental Health, National Taiwan University, Taipei, Taiwan
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.
Keywords:Green space  Hospital  Death  Heart disease  Type 2 diabetes
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