Why the study?
Urban environments influence lifestyle behaviors and obesogenic exposures contributing to type 2 diabetes mellitus, prompting the evaluation of local determinants and prevalence in the Como area.
Population
7 districts and 132 municipalities in the Como area from ATS Insubria data
Comparison
Ecological associations of diabetes prevalence with demographic, socioeconomic, and clinical factors
Design
Ecological study
Key result
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).
Authors
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Prevalence estimates from ecological data should not guide practice; leaves open confirmation of local socioeconomic determinants.
Cross-Sectional
Yes
Effect estimate: r=0.9774
p-value: p=<0.001
Urban diabetes prevalence is strongly associated with cardiovascular disease burden, population aging, and socioeconomic factors, highlighting the need for place-based prevention strategies.
Massarini et al. (2026) 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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