Neighborhood walkability, physical activity and changes in glycemic markers in people with type 2 diabetes: The Hoorn Diabetes Care System cohort

N R Braver, F Rutters, A J Wagtendonk, J G Kok, P P Harms, J Brug, J W J Beulens, J Lakerveld

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Studies investigating neighborhood walkability and physical activity in people with type 2 diabetes (T2D) mainly used self-report measures, and only few studies assessed the association with glycemic control. This study assessed the associations between objectively measured (i.e. GIS based) and subjectively measured (i.e. questionnaire-based) neighborhood walkability and changes in glycemic markers in people with T2D, and whether this association was mediated by device-measured physical activity (PA), in the Diabetes Care System Cohort (n = 1230). Neither objective or subjectively measured walkability was associated with glycemic control. In mediation analyses we observed no overall mediation by PA.

Original languageEnglish
Article number102560
Pages (from-to)102560
JournalHealth and Place
Early online date21 Mar 2021
Publication statusPublished - May 2021

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