Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis

Objectives Greenspace is one of the important factors that can promote an active lifestyle. Thus, greener surroundings may be a motivating factor for people with newly diagnosed diabetes to engage in more physical activity. Given that diagnosis of type 2 diabetes (T2D) may serve as a window opportun...

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Main Authors: Ding Ding, Bin Jalaludin, Adrian Bauman, Shanley Chong, Soumya Mazumdar, Geoff Morgan, Elizabeth Jean Comino
Format: Article
Language:English
Published: BMJ Publishing Group 2019-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/11/e028947.full
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author Ding Ding
Bin Jalaludin
Adrian Bauman
Shanley Chong
Soumya Mazumdar
Geoff Morgan
Elizabeth Jean Comino
author_facet Ding Ding
Bin Jalaludin
Adrian Bauman
Shanley Chong
Soumya Mazumdar
Geoff Morgan
Elizabeth Jean Comino
author_sort Ding Ding
collection DOAJ
description Objectives Greenspace is one of the important factors that can promote an active lifestyle. Thus, greener surroundings may be a motivating factor for people with newly diagnosed diabetes to engage in more physical activity. Given that diagnosis of type 2 diabetes (T2D) may serve as a window opportunity for behavioural modification, we hypothesise that the association between neighbourhood greenspace and physical activity among people with newly diagnosed T2D may be greater than those not diagnosed with T2D. The aim of this study was to investigate the association between access to greenspace and changes in physical activity and sedentary behaviour, and whether these associations differed by T2D.Design Prospective cohort.Setting New South Wales, Australia.Methods We used self-reported information from the New South Wales 45 and Up Study (baseline) and a follow-up study. Information on sitting, walking and moderate to vigorous physical activity was used as outcomes. The proportion of greenspace within 500 m, 1 km and 2 km road network buffers around participant’s residential address was generated as a proxy measure for access to greenspace. The association between the access to greenspace and the outcomes were explored among the newly diagnosed T2D group and those without T2D.Results Among New T2D, although no significant changes were found in the amount of walking with the percentage of greenspace, increasing trends were apparent. There was no significant association between the percentage of greenspace and changes in amount of moderate to vigorous physical activity (MVPA). Among No T2D, there were no significant associations between the amount of MVPA and walking, and percentage of greenspace. For changes in sitting time, there were no significant associations with percentage of greenspace regardless of buffer size.Conclusions In this study, there was no association between access to greenspace at baseline and change in walking, MVPA and sitting time, regardless of T2D status.
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spelling doaj-art-ffa4a79d878746b28cdbb8079264f94c2024-11-29T18:55:18ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-028947Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysisDing Ding0Bin Jalaludin1Adrian Bauman2Shanley Chong3Soumya Mazumdar4Geoff Morgan5Elizabeth Jean Comino6Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, New South Wales, AustraliaPopulation Health Intelligence, Healthy People and Places Unit, South Western Sydney Local Health District, Sydney, New South Wales, AustraliaCharles Perkins Centre, Prevention Research Collaboration, Faculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, AustraliaPopulation Health Intelligence, Healthy People and Places Unit, South Western Sydney Local Health District, Liverpool, New South Wales, Australia1 Population Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia3 Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia4 Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, AustraliaObjectives Greenspace is one of the important factors that can promote an active lifestyle. Thus, greener surroundings may be a motivating factor for people with newly diagnosed diabetes to engage in more physical activity. Given that diagnosis of type 2 diabetes (T2D) may serve as a window opportunity for behavioural modification, we hypothesise that the association between neighbourhood greenspace and physical activity among people with newly diagnosed T2D may be greater than those not diagnosed with T2D. The aim of this study was to investigate the association between access to greenspace and changes in physical activity and sedentary behaviour, and whether these associations differed by T2D.Design Prospective cohort.Setting New South Wales, Australia.Methods We used self-reported information from the New South Wales 45 and Up Study (baseline) and a follow-up study. Information on sitting, walking and moderate to vigorous physical activity was used as outcomes. The proportion of greenspace within 500 m, 1 km and 2 km road network buffers around participant’s residential address was generated as a proxy measure for access to greenspace. The association between the access to greenspace and the outcomes were explored among the newly diagnosed T2D group and those without T2D.Results Among New T2D, although no significant changes were found in the amount of walking with the percentage of greenspace, increasing trends were apparent. There was no significant association between the percentage of greenspace and changes in amount of moderate to vigorous physical activity (MVPA). Among No T2D, there were no significant associations between the amount of MVPA and walking, and percentage of greenspace. For changes in sitting time, there were no significant associations with percentage of greenspace regardless of buffer size.Conclusions In this study, there was no association between access to greenspace at baseline and change in walking, MVPA and sitting time, regardless of T2D status.https://bmjopen.bmj.com/content/9/11/e028947.full
spellingShingle Ding Ding
Bin Jalaludin
Adrian Bauman
Shanley Chong
Soumya Mazumdar
Geoff Morgan
Elizabeth Jean Comino
Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
BMJ Open
title Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
title_full Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
title_fullStr Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
title_full_unstemmed Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
title_short Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis
title_sort neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes a prospective analysis
url https://bmjopen.bmj.com/content/9/11/e028947.full
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