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The urban built environment and adult BMI, obesity, and diabetes in Latin American cities

Author

Listed:
  • Cecilia Anza-Ramirez

    (Universidad Peruana Cayetano Heredia)

  • Mariana Lazo

    (Drexel University
    Drexel University)

  • Jessica Hanae Zafra-Tanaka

    (Universidad Peruana Cayetano Heredia)

  • Ione Avila-Palencia

    (Drexel University
    Queen’s University Belfast)

  • Usama Bilal

    (Drexel University
    Drexel University)

  • Akram Hernández-Vásquez

    (Universidad Peruana Cayetano Heredia)

  • Carolyn Knoll

    (Drexel University)

  • Nancy Lopez-Olmedo

    (National Institute of Public Health)

  • Mónica Mazariegos

    (Institute of Nutrition of Central America and Panama (INCAP))

  • Kari Moore

    (Drexel University)

  • Daniel A. Rodriguez

    (University of California)

  • Olga L. Sarmiento

    (Universidad de los Andes)

  • Dalia Stern

    (National Institute of Public Health)

  • Natalia Tumas

    (Universitat Pompeu Fabra
    Johns Hopkins University - Pompeu Fabra University Public Policy Center (UPF-BSM), Universitat Pompeu Fabra
    Centro de Investigaciones y Estudios sobre Cultura y Sociedad, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) y Universidad Nacional de Córdoba)

  • J. Jaime Miranda

    (Universidad Peruana Cayetano Heredia
    Universidad Peruana Cayetano Heredia)

Abstract

Latin America is the world’s most urbanized region and its heterogeneous urban development may impact chronic diseases. Here, we evaluated the association of built environment characteristics at the sub-city —intersection density, greenness, and population density— and city-level —fragmentation and isolation— with body mass index (BMI), obesity, and type 2 diabetes (T2D). Data from 93,280 (BMI and obesity) and 122,211 individuals (T2D) was analysed across 10 countries. Living in areas with higher intersection density was positively associated with BMI and obesity, whereas living in more fragmented and greener areas were negatively associated. T2D was positively associated with intersection density, but negatively associated with greenness and population density. The rapid urban expansion experienced by Latin America provides unique insights and vastly expand opportunities for population-wide urban interventions aimed at reducing obesity and T2D burden.

Suggested Citation

  • Cecilia Anza-Ramirez & Mariana Lazo & Jessica Hanae Zafra-Tanaka & Ione Avila-Palencia & Usama Bilal & Akram Hernández-Vásquez & Carolyn Knoll & Nancy Lopez-Olmedo & Mónica Mazariegos & Kari Moore & D, 2022. "The urban built environment and adult BMI, obesity, and diabetes in Latin American cities," Nature Communications, Nature, vol. 13(1), pages 1-9, December.
    • Handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-35648-w
    DOI: 10.1038/s41467-022-35648-w
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    References listed on IDEAS

    as
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    3. Shujun Fan & Zhenxiang Xue & Jun Yuan & Ziyan Zhou & Yuzhong Wang & Zhicong Yang & Boyi Yang & Guanghui Dong & Zhoubin Zhang, 2019. "Associations of Residential Greenness with Diabetes Mellitus in Chinese Uyghur Adults," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    4. Hirsch, Jana A. & Grengs, Joe & Schulz, Amy & Adar, Sara D. & Rodriguez, Daniel A. & Brines, Shannon J. & Diez Roux, Ana V., 2016. "How much are built environments changing, and where?: Patterns of change by neighborhood sociodemographic characteristics across seven U.S. metropolitan areas," Social Science & Medicine, Elsevier, vol. 169(C), pages 97-105.
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    1. Chun Yin & Yiyi Chen & Bindong Sun, 2024. "Nonlinear relationships of commuting and built environments surrounding residences and workplaces with obesity," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-14, December.

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