Urban diabetes prevalence in the Como area averaged 7.61% and was strongly associated with cardiovascular diseases at the district level (r=0.9774, p<0.001).
Cross-Sectional
Yes
Urban diabetes prevalence is strongly associated with cardiovascular disease burden, population aging, and socioeconomic factors, highlighting the need for place-based prevention strategies.
Effect estimate: r=0.9774
p-value: p=<0.001
Introduction and Objective: Cities for Better Health is an international public-private partnership promoting urban health through preventive strategies. Urban environments influence lifestyle behaviors and obesogenic exposures, contributing to the rising burden of type 2 diabetes mellitus (DM). Como joined the initiative to examine local determinants of DM. This study assessed DM prevalence in the Como area and its ecological associations with demographic, socioeconomic, and clinical factors. Methods: We conducted an ecological analysis using ATS Insubria data from 7 districts and 132 municipalities. Diabetes prevalence was calculated, and linear regression assessed associations with cardiovascular diseases, nephropathy, aging, and structural dependency, university education, mortality, unemployment, and altitude. Results: Mean DM prevalence across districts was 7.61% (range 7.34-8.22%). At the district level, prevalence showed a very strong positive association with cardiovascular diseases (r=0.9774, p0.001), while correlations with other variables were not significant. Across 132 municipalities, DM prevalence was positively associated with cardiovascular diseases, aging, and structural dependency, mortality, and altitude (all p0.05), and inversely associated with university education (p0.001). No significant associations were found with nephropathy or unemployment, indicating that demographic, socioeconomic, and territorial factors, rather than renal comorbidities or employment status, may better explain variations in DM prevalence at the local level. Conclusion: Urban DM prevalence is associated with cardiometabolic burden, population aging, socioeconomic vulnerability, and territorial characteristics. The observed association with altitude suggests a role for geographical and environmental factors in DM risk. These findings support integrated, place-based prevention strategies aligned with the Cities for Better Health framework to promote health equity. Disclosure S. Massarini: None. M. Bianchi: None. G. Catanoso: None. P. Bulgheroni: None. A. Ferrulli: None. O. Disoteo: None. M. Carruba: None. F. Serra: None. A. Lenzi: None. L. Luzi: None.
Massarini et al. (Fri,) conducted a cross-sectional in Type 2 diabetes mellitus. Urban environmental, demographic, and socioeconomic factors was evaluated on Diabetes prevalence and its association with cardiovascular diseases (r=0.9774, p=<0.001). Urban diabetes prevalence in the Como area averaged 7.61% and was strongly associated with cardiovascular diseases at the district level (r=0.9774, p<0.001).
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