Evidence map›Paper›PMID 33525428›Full record

ArticleInternational journal of environmental research and public health2021

Inconvenience of Living Place Affects Individual HbA1c Level in a Rural Area in Japan: Shimane CoHRE Study.

Rie Fukuoka, Miwako Takeda, Takafumi Abe, Masayuki Yamasaki, Shinji Kimura, Kenta Okuyama, Minoru Isomura, Toru Nabika

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Social determinants of health and type 2 diabetes in Asia.Journal of diabetes investigation · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Rie FukuokaDepartment of Community Health and Gerontological Nursing, Faculty of Medicine, Shimane University, Izumo, Shimane 693-8501, Japan.
Miwako TakedaThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Takafumi AbeThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Masayuki YamasakiThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Shinji KimuraThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Kenta OkuyamaThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Minoru IsomuraThe Center for Community-Based Healthcare Research and Education (CoHRE), Shimane University, Izumo, Shimane 693-8501, Japan.
Toru NabikaDepartment of Functional Pathology, Faculty of Medicine, Shimane University, Izumo, Shimane 693-8501, Japan.
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been shown that the socio-geographical environment of residential areas, such as altitude, affects the health status and health-maintenance behavior of residents. Here, we examined a hypothesis that altitude of residence would influence glycemic control in a general elderly population living in a rural area.

methodsA thousand and sixteen participants living in a mountainous region in Japan were recruited at health examinations. Hemoglobin A1c (HbA1c) was measured in serum as a parameter of glycemic control. The altitude of residence, distance to grocery stores and to medical facilities were estimated using a geographic information system.

resultsLinear regression analysis confirmed a significant effect of the altitude on log HbA1c even after adjustment of other demographic and biochemical factors. When the distance to grocery stores or medical facilities were used instead of the altitude in a linear regression analysis, distance to secondary medical facilities alone showed a significant effect on HbA1c.

conclusionsWe found a positive correlation between HbA1c level and residential altitude in a rural area of Japan. The altitude seemed to be a parameter substituting the inconvenicence of residential areas. Socio-geographical factors of living place, such as inconvenience, may influence glycemic control of the residents.

Indexed as

AltitudeEnvironmentAgedCross-Sectional StudiesGlycated HemoglobinHumansJapanGlycated Hemoglobina cross-sectional studyaltitudediabetes mellitusgeographical information system

Identifiers

PMID33525428
PMCPMC7908499
OpenAlexW3125249980

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Registered trials

None linked

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.