SynthesisBMC medicine2018
Built environmental characteristics and diabetes: a systematic review and meta-analysis.
Synthesis in BMC medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 115 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
115 citing papers in PubMed, 9 syntheses or guidelines pooled it, 232 citations in OpenAlex.
- Built environment and the evolution of cardiometabolic risk factors: a systematic review and meta-analysis of longitudinal studies.BMC medicine · 2025Pooled it
- Green spaces, blue spaces and human health: an updated umbrella review of epidemiological meta-analyses.Frontiers in public health · 2025Pooled it
- Global positioning system-based food environment exposures, diet-related, and cardiometabolic health outcomes: a systematic review and research agenda.International journal of health geographics · 2024Pooled it
- Associations of the built environment with type 2 diabetes in Asia: a systematic review.BMJ open · 2023Pooled it
- Neighborhood infrastructure-related risk factors and non-communicable diseases: a systematic meta-review.Environmental health : a global access science source · 2023Pooled it
- The neighbourhood built environment and health-related fitness: a narrative systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Green Space Exposure Association with Type 2 Diabetes Mellitus, Physical Activity, and Obesity: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Individual-, Community-, and Health System-Level Barriers to Optimal Type 2 Diabetes Care for Inner-City African Americans: An Integrative Review and Model Development.The Diabetes educator · 2020Pooled it
- Spousal diabetes status as a risk factor for incident type 2 diabetes: a prospective cohort study and meta-analysis.Acta diabetologica · 2019Pooled it
- The effect of vildagliptin versus metformin on hepatic steatosis in type 2 diabetic patients: a randomized controlled trial.BMC pharmacology & toxicology · 2024Trial
- Association Between Various Metrics of the Rural Food Environment and Diabetes and Obesity.Preventing chronic disease · 2026Article
- Article
- Disentangling the Multifactorial Influences on Diabetes Risk Among Rural Communities: Food Environment, Diet Quality, and Dietary Chemical Exposures.Diabetes/metabolism research and reviews · 2026Observational
- The intersection of place and health: examining the association of social determinants of health and diabetes in children and adolescents in Florida.BMC public health · 2026Article
- Mapping neighbourhood-level drivers of type 2 diabetes for precision public health using predictive and causal machine learning.Scientific reports · 2026Article
- Perceived neighborhood environment and multidimensional pain burden among U.S. adults.Frontiers in public health · 2026Article
- Local environmental attributes and type 2 diabetes: Green amenities, walkability indicators, and air pollution are associated with incidence.Environment international · 2025Article
- Community perspectives on the built environment, community stress, and the risk of diabetes and cardiovascular diseases in Accra, Ghana.BMC public health · 2025Article
- The effect of the urban built environment on the prevalence rate of chronic diseases in the community neighborhood level: a case study in Qingdao, China.BMC public health · 2025Article
- Gestational Diabetes Mellitus: Efficacy of Non-Pharmacological Interventions for Management and Prevention.Healthcare (Basel, Switzerland) · 2025Review
55 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe built environment influences behaviour, like physical activity, diet and sleep, which affects the risk of type 2 diabetes mellitus (T2DM). This study systematically reviewed and meta-analysed evidence on the association between built environmental characteristics related to lifestyle behaviour and T2DM risk/prevalence, worldwide.
methodsWe systematically searched PubMed, EMBASE.com and Web of Science from their inception to 6 June 2017. Studies were included with adult populations (>18 years), T2DM or glycaemic markers as outcomes, and physical activity and/or food environment and/or residential noise as independent variables. We excluded studies of specific subsamples of the population, that focused on built environmental characteristics that directly affect the cardiovascular system, that performed prediction analyses and that do not report original research. Data appraisal and extraction were based on published reports (PROSPERO-ID: CRD42016035663).
resultsFrom 11,279 studies, 109 were eligible and 40 were meta-analysed. Living in an urban residence was associated with higher T2DM risk/prevalence (n = 19, odds ratio (OR) = 1.40; 95% CI, 1.2-1.6; I
conclusionsAn important strength of the study was the comprehensive overview of the literature, but our study was limited by the conclusion of mainly cross-sectional studies. In addition to other positive consequences of walkability and access to green space, these environmental characteristics may also contribute to T2DM prevention. These results may be relevant for infrastructure planning.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.