Residential greenness exposure and repeatedly measured hyperglycemic markers in women with gestational diabetes mellitus: A birth cohort study in Foshan, China

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-04-01 DOI:10.1016/j.puhe.2025.03.024

Man He , Qingmei Lin , Xi Su , Yushi Liu , Weidong Luo , Zilong Zhang , Huaicai Zeng , Hualiang Lin , Xiaoling Guo , Yin Yang

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引用次数: 0

Abstract

Objectives

To investigate the association between residential greenness exposure and repeatedly measured hemoglobin A1c (HbA1c) levels during pregnancy in women with gestational diabetes mellitus (GDM).

Study design

This was a cohort study.

Methods

This study was conducted in Foshan City, Southern China from January 1, 2016 to August 31, 2022. Women with GDM who had two HbA1c measurements during their pregnancy were included in the analysis. Residential greenness was assessed using the satellite-derived Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index (EVI) in different buffer areas. Multivariable linear regression models were used to investigate the associations between residential greenness exposure and glycemic levels during middle and late pregnancy. Linear mixed-effect models were used to analyze the association between greenness exposure and repeatedly measured glycemic levels.

Results

Among 5,814 pregnant women with GDM, the mean HbA1c levels were 5.04 (±0.54) % and 5.39 (±0.57) % in middle and late pregnancy, respectively. Greenness exposure before and throughout pregnancy was associated with decreased HbA1c levels from middle to late pregnancy. In the adjusted models, each 0.1 increase in NDVI and EVI value was associated with a 0.01 % (95 % confidence interval [CI]: −0.02 %, −0.01 %) to 0.03 % (95 % CI: −0.04 %, −0.01 %) decrease in HbA1c levels during middle and late pregnancy. Similar findings were observed in a longitudinal analysis of the associations between greenness exposure and HbA1c levels.

Conclusions

Greater residential greenness exposure was associated with lower HbA1c levels from middle to late pregnancy in women with GDM.

查看原文本刊更多论文

居住环境绿化暴露和反复测量妊娠期糖尿病妇女的高血糖指标：中国佛山的一项出生队列研究

目的探讨住宅绿化暴露与妊娠期糖尿病（GDM）妇女妊娠期间反复测量的血红蛋白A1c （HbA1c）水平之间的关系。研究设计：这是一项队列研究。方法本研究于2016年1月1日至2022年8月31日在中国南方佛山市进行。妊娠期两次HbA1c检测的GDM患者也被纳入分析。利用卫星反演的归一化植被指数（NDVI）和增强植被指数（EVI）对不同缓冲区的住宅绿化度进行了评价。多变量线性回归模型用于调查住宅绿化暴露与妊娠中后期血糖水平之间的关系。线性混合效应模型用于分析绿色暴露与反复测量血糖水平之间的关系。结果5814例GDM孕妇中，妊娠中期和晚期HbA1c水平分别为5.04（±0.54）%和5.39（±0.57）%。妊娠前和妊娠期间的绿色暴露与妊娠中后期HbA1c水平降低有关。在调整后的模型中，NDVI和EVI值每增加0.1，妊娠中后期HbA1c水平下降0.01%（95%可信区间[CI]: - 0.02%, - 0.01%）至0.03% （95% CI: - 0.04%, - 0.01%）。在对绿化暴露和HbA1c水平之间关系的纵向分析中也观察到类似的结果。结论：GDM患者妊娠中晚期，较高的住宅绿化暴露与较低的HbA1c水平相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.