Zakariah Gassasse|Dianna Smith|Sarah Finer|Valentina Gallo
Association between urbanisation and type 2 diabetes: an ecological study
Primary Health Care|Queen Mary University of London|University of Southampton|Primary Health Care|Queen Mary University of London|London School of Hygiene & Tropical Medicine|Primary Health Care|Faculty of Public Health|Imperial College London|Queen Mary University of London
previous studies explored effect urbanisation prevalence type 2 diabetes t2d regionalnational level aim study investigate association urbanisation t2d country level worldwide explore role intermediate variables physical inactivity sugar consumption obesity potential effect modification gross domestic product gdp also assesseddata 207 countries collected accessible datasets direct acyclic graphs used describe association urbanisation t2d intermediate variables physical inactivity sugar consumption obesity urbanisation measured urban percentage agglomeration index ai crude multivariate linear regression analyses conducted explore selected associations interaction urbanisation t2d across levels gdp per capita investigatedthe association urbanisation t2d diverged exposure ai positively associated negatively associated t2d prevalence physical inactivity obesity statistically significantly associated increased prevalence t2d middleincome countries mic ai gdp significantly associated t2d prevalence highincome countries hic physical inactivity obesity main determinant t2d prevalencethe type urban growth urbanisation per se predicted t2d prevalence country level mic population density gdp main determinant diabetes hic physical inactivity obesity globalisation playing important role rise t2d worldwide