The urban built environment and adult BMI, obesity, and diabetes in Latin American cities

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  • dc.contributor.author Anza-Ramirez, Cecilia
  • dc.contributor.author Lazo, Mariana
  • dc.contributor.author Zafra-Tanaka, Jessica Hanae
  • dc.contributor.author Avila-Palencia, Ione
  • dc.contributor.author Bilal, Usama
  • dc.contributor.author Hernández-Vásquez, Akram
  • dc.contributor.author Knoll, Carolyn
  • dc.contributor.author Lopez-Olmedo, Nancy
  • dc.contributor.author Mazariegos, Mónica
  • dc.contributor.author Moore, Kari A.
  • dc.contributor.author Rodriguez, Daniel A.
  • dc.contributor.author Sarmiento, Olga L.
  • dc.contributor.author Stern, Dalia
  • dc.contributor.author Tumas, Natalia
  • dc.contributor.author Miranda, Juan Jaime
  • dc.date.accessioned 2024-05-07T06:54:23Z
  • dc.date.available 2024-05-07T06:54:23Z
  • dc.date.issued 2022
  • dc.description Includes supplementary materials for the online appendix.
  • dc.description.abstract Latin America is the world’s most urbanized region and its heterogeneous urban development may impact chronic diseases. Here, we evaluated the association of built environment characteristics at the sub-city —intersection density, greenness, and population density— and city-level —fragmentation and isolation— with body mass index (BMI), obesity, and type 2 diabetes (T2D). Data from 93,280 (BMI and obesity) and 122,211 individuals (T2D) was analysed across 10 countries. Living in areas with higher intersection density was positively associated with BMI and obesity, whereas living in more fragmented and greener areas were negatively associated. T2D was positively associated with intersection density, but negatively associated with greenness and population density. The rapid urban expansion experienced by Latin America provides unique insights and vastly expand opportunities for population-wide urban interventions aimed at reducing obesity and T2D burden.
  • dc.description.sponsorship The authors acknowledge the contribution of all SALURBAL project team members. For more information on SALURBAL and to see a full list of investigators, see https://drexel.edu/lac/salurbal/team/. The SALURBAL project (Salud Urbana en América Latina, Urban Health in Latin America) is funded by the Wellcome Trust [205177/Z/16/Z]. More information about the project can be found at www.lacurbanhealth.org. UB was supported by the Office of the Director of the National Institutes of Health under award number DP5OD26429. NT was supported by the European Union’s Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement No. 89102. The funding sources had no role in the analysis, writing, or decision to submit the manuscript. Please visit https://drexel.edu/lac/data-evidence for a complete list of data sources. The authors would like to thank Jacqueline Anne Seiglie for her valuable comments in earlier drafts.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Anza-Ramirez C, Lazo M, Zafra-Tanaka JH, Avila-Palencia I, Bilal U, Hernández-Vásquez A, et al. The urban built environment and adult BMI, obesity, and diabetes in Latin American cities. Nat Commun. 2022 Dec 29;13(1):7977. DOI: 10.1038/s41467-022-35648-w
  • dc.identifier.doi http://dx.doi.org/10.1038/s41467-022-35648-w
  • dc.identifier.uri http://hdl.handle.net/10230/60045
  • dc.language.iso eng
  • dc.publisher Nature Research
  • dc.relation.ispartof Nature communications. 2022 Dec 29;13(1):7977
  • dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/89102
  • dc.rights This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.other Obesitat
  • dc.subject.other Diabetis
  • dc.subject.other Amèrica Llatina
  • dc.title The urban built environment and adult BMI, obesity, and diabetes in Latin American cities
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion