Green space and cardiovascular health in people with type 2 diabetes
Thomas Astell-Burt1, Michael A Navakatikyan2, Ramya Walsan3
1Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Arts, Humanities and Social Sciences, University of Wollongong, Wollongong, Australia; Illawarra Health and Medical Research Institute (IHMRI) and University of Wollongong, Wollongong, Australia; Menzies Centre for Health Policy, University of Sydney, Sydney, Australia; National Institute of Environmental Health, China CDC, Beijing, China; School of Population Medicine and Public Health, Peking Union Medical College and the Chinese Academy of Medical Sciences, China.
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.
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