Thomas Tsiampalis1, Antigoni Faka2, Theodora Psaltopoulou3, Christos Pitsavos4, Christos Chalkias2, Demosthenes B Panagiotakos5,6. 1. Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El. Venizelou Ave., 17671, Athens, Kallithea, Greece. 2. Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece. 3. Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, University of Athens, Athens, Greece. 4. School of Medicine, University of Athens, Athens, Greece. 5. Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El. Venizelou Ave., 17671, Athens, Kallithea, Greece. dbpanag@hua.gr. 6. Faculty of Health, University of Canberra, Canberra, Australia. dbpanag@hua.gr.
Abstract
PURPOSE: The built and food environments are widely acknowledged to play an important role in defining human health by influencing, among others, behaviors such as nutrition habits and physical activities. The aim of this study was to identify the spatial variability of the sex-specific prevalence of the metabolic syndrome (MetS) and its environmental determinants in the Athens metropolitan area. METHODS: Data on the prevalence of the MetS were provided by the ATTICA epidemiological study for 2749 participants, with complete data for geographical identification (1375 women [44 years old {SD = 14 years}] and 1374 men [45 years old {SD = 13 years}]), while socioeconomic, demographic, and environmental characteristics were provided by official national and international databases. RESULTS: Approximately 20% of the people residing in the study area were diagnosed with MetS, with its prevalence being almost two times higher in men compared to women. Areas more extensively covered by green urban spaces and sports facilities were shown to have a lower prevalence of MetS, while greater density and availability of supermarkets and street markets were inversely related to MetS prevalence in both sexes. In addition, the present analysis revealed that the beneficial role of the built environment's characteristics on MetS prevalence was significantly stronger in the male population, while the preventive effect of the food environment's characteristics was almost 1.5 times stronger in the female population CONCLUSION: Although individualized prevention and treatment approaches are necessary to decrease the burden of MetS, environmental modifications that promote healthy behaviors represent an essential health approach.
PURPOSE: The built and food environments are widely acknowledged to play an important role in defining human health by influencing, among others, behaviors such as nutrition habits and physical activities. The aim of this study was to identify the spatial variability of the sex-specific prevalence of the metabolic syndrome (MetS) and its environmental determinants in the Athens metropolitan area. METHODS: Data on the prevalence of the MetS were provided by the ATTICA epidemiological study for 2749 participants, with complete data for geographical identification (1375 women [44 years old {SD = 14 years}] and 1374 men [45 years old {SD = 13 years}]), while socioeconomic, demographic, and environmental characteristics were provided by official national and international databases. RESULTS: Approximately 20% of the people residing in the study area were diagnosed with MetS, with its prevalence being almost two times higher in men compared to women. Areas more extensively covered by green urban spaces and sports facilities were shown to have a lower prevalence of MetS, while greater density and availability of supermarkets and street markets were inversely related to MetS prevalence in both sexes. In addition, the present analysis revealed that the beneficial role of the built environment's characteristics on MetS prevalence was significantly stronger in the male population, while the preventive effect of the food environment's characteristics was almost 1.5 times stronger in the female population CONCLUSION: Although individualized prevention and treatment approaches are necessary to decrease the burden of MetS, environmental modifications that promote healthy behaviors represent an essential health approach.
Authors: Clara Matthiessen; Sarah Lucht; Frauke Hennig; Simone Ohlwein; Hermann Jakobs; Karl-Heinz Jöckel; Susanne Moebus; Barbara Hoffmann Journal: Environ Int Date: 2018-04-10 Impact factor: 9.621
Authors: Iana Markevych; Julia Schoierer; Terry Hartig; Alexandra Chudnovsky; Perry Hystad; Angel M Dzhambov; Sjerp de Vries; Margarita Triguero-Mas; Michael Brauer; Mark J Nieuwenhuijsen; Gerd Lupp; Elizabeth A Richardson; Thomas Astell-Burt; Donka Dimitrova; Xiaoqi Feng; Maya Sadeh; Marie Standl; Joachim Heinrich; Elaine Fuertes Journal: Environ Res Date: 2017-06-30 Impact factor: 6.498