ArticleEnvironmental epidemiology (Philadelphia, Pa.)2025
Residential greenness and diabetes incidence in two prospective cohorts of US women.
Article in Environmental epidemiology (Philadelphia, Pa.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Joint effects of residential greenness and genetic susceptibility on type 2 diabetes: a prospective cohort study using satellite-derived Normalized Difference Vegetation Index.Life metabolism · 2026Article
- Where You Live Shapes Diabetes Risk: Multilevel Determinants of Type 2 Diabetes in the East South Central United States.Journal of racial and ethnic health disparities · 2026Article
- Private garden exposure and public park access in relation to type-2 diabetes incidence: a UK Biobank cohort study.BMC public health · 2026Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Epidemiologic studies have associated higher neighborhood greenness with lower type 2 diabetes (T2D) risk. However, more work is needed to assess interrelationships between greenness, T2D risk factors, and T2D. Our aim was to prospectively evaluate the association between greenness and T2D incidence, and investigate effect modifiers, in the Nurses' Health Study (NHS) and Nurses' Health Study II (NHSII) cohorts of US women. Methods: Greenness exposure was defined using the normalized difference vegetation index (NDVI), a quantitative indicator of photosynthetic vegetation. We obtained 30m Results: During the 27 years of follow-up, there were 18,527 incident T2D cases. In fully adjusted models, the meta-analyzed hazard ratio was 0.96 (95% confidence interval = 0.95, 0.97) for a 0.1 unit increase in 2-year summer average NDVI. In NHS, stronger associations were found among participants in the lowest PM Conclusions: In one of the first US nationwide prospective analyses of greenness and T2D, we found a protective association robust to air pollution co-exposure adjustment and persistent across subpopulations.
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Registered trials
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