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Exercise facilities and the prevalence of obesity and type 2 diabetes in the city of Madrid
Journal article   Open access   Peer reviewed

Exercise facilities and the prevalence of obesity and type 2 diabetes in the city of Madrid

Luis Cereijo, Pedro Gullón, Isabel Del Cura, David Valadés, Usama Bilal, Hannah Badland and Manuel Franco
Diabetologia, v 65(1)
Jan 2022
DOI: https://doi.org/10.1007/s00125-021-05582-5
PMID: 34709424
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846820View
Accepted (AM)Open Access (License Unspecified),  Open
url
https://doi.org/10.1007/s00125-021-05582-5View
Published, Version of Record (VoR) Open

Abstract

Adult Aged Diabetes Mellitus, Type 2 - epidemiology Exercise Female Humans Male Middle Aged Obesity - epidemiology Prevalence Residence Characteristics Social Class
We aimed to study the association between the availability of exercise facilities and the likelihood of obesity and type 2 diabetes in the adult population of Madrid, Spain. We analysed the electronic medical records of all 1,270,512 residents of Madrid aged 40-75 years in 2017. Exercise facility availability was defined as the count of exercise facilities in a 1000 m street network buffer around each residential building entrance. Poisson regression with standard errors clustered at census tract level was used to assess prevalence ratios of exercise facility availability tertiles and obesity and type 2 diabetes. We also examined stratified results by tertiles of area-level socioeconomic status (SES) and sex. People living in areas with lower availability of exercise facilities had a higher prevalence of obesity (prevalence ratio [PR] 1.22 [95% CI 1.20, 1.25]) and diabetes (PR 1.38 [95% CI 1.34, 1.43]). We observed effect modification by area-level SES (p<0.001), with stronger associations for residents living in low-SES areas and no association for residents living in high-SES areas. Associations with type 2 diabetes were stronger among women compared with men, while associations with obesity were similar by sex. People living in areas with low availability of exercise facilities had a higher prevalence of obesity and type 2 diabetes, and this association was strongest in low-SES areas and for women. Understanding the potential role of exercise facilities in driving inequities in obesity and type 2 diabetes prevalence may inform interventions to reduce health inequities.

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16 citations in Web of Science
15 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Endocrinology & Metabolism
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