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Inconvenience of living place affects individual hba1c level in a rural area in Japan : Shimane cohre study

Fukuoka, Rie ; Takeda, Miwako ; Abe, Takafumi ; Yamasaki, Masayuki ; Kimura, Shinji ; Okuyama, Kenta LU ; Isomura, Minoru and Nabika, Toru (2021) In International Journal of Environmental Research and Public Health 18(3).
Abstract

Background: It has been shown that the socio-geographical environment of residential areas, such as altitude, affects the health status and health-maintenance behavior of residents. Here, we examined a hypothesis that altitude of residence would influence glycemic control in a general elderly population living in a rural area. Methods: A thousand and sixteen participants living in a mountainous region in Japan were recruited at health examinations. Hemoglobin A1c (HbA1c) was measured in serum as a parameter of glycemic control. The altitude of residence, distance to grocery stores and to medical facilities were estimated using a geographic information system. Results: Linear regression analysis confirmed a significant effect of the... (More)

Background: It has been shown that the socio-geographical environment of residential areas, such as altitude, affects the health status and health-maintenance behavior of residents. Here, we examined a hypothesis that altitude of residence would influence glycemic control in a general elderly population living in a rural area. Methods: A thousand and sixteen participants living in a mountainous region in Japan were recruited at health examinations. Hemoglobin A1c (HbA1c) was measured in serum as a parameter of glycemic control. The altitude of residence, distance to grocery stores and to medical facilities were estimated using a geographic information system. Results: Linear regression analysis confirmed a significant effect of the altitude on log HbA1c even after adjustment of other demographic and biochemical factors. When the distance to grocery stores or medical facilities were used instead of the altitude in a linear regression analysis, distance to secondary medical facilities alone showed a significant effect on HbA1c. Conclusions: We found a positive correlation between HbA1c level and residential altitude in a rural area of Japan. The altitude seemed to be a parameter substituting in the convenience of residential areas. Socio-geographical factors of living place, such as inconvenience, may influence glycemic control of the residents.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
A cross-sectional study, Altitude, Diabetes mellitus, Geographical information system
in
International Journal of Environmental Research and Public Health
volume
18
issue
3
article number
1147
pages
9 pages
publisher
MDPI AG
external identifiers
  • pmid:33525428
  • scopus:85099962967
ISSN
1661-7827
DOI
10.3390/ijerph18031147
language
English
LU publication?
yes
id
f8d51b9e-4ab0-4edd-81eb-2b3fd9608cb4
date added to LUP
2021-02-05 13:28:56
date last changed
2024-04-03 22:04:11
@article{f8d51b9e-4ab0-4edd-81eb-2b3fd9608cb4,
  abstract     = {{<p>Background: It has been shown that the socio-geographical environment of residential areas, such as altitude, affects the health status and health-maintenance behavior of residents. Here, we examined a hypothesis that altitude of residence would influence glycemic control in a general elderly population living in a rural area. Methods: A thousand and sixteen participants living in a mountainous region in Japan were recruited at health examinations. Hemoglobin A1c (HbA1c) was measured in serum as a parameter of glycemic control. The altitude of residence, distance to grocery stores and to medical facilities were estimated using a geographic information system. Results: Linear regression analysis confirmed a significant effect of the altitude on log HbA1c even after adjustment of other demographic and biochemical factors. When the distance to grocery stores or medical facilities were used instead of the altitude in a linear regression analysis, distance to secondary medical facilities alone showed a significant effect on HbA1c. Conclusions: We found a positive correlation between HbA1c level and residential altitude in a rural area of Japan. The altitude seemed to be a parameter substituting in the convenience of residential areas. Socio-geographical factors of living place, such as inconvenience, may influence glycemic control of the residents.</p>}},
  author       = {{Fukuoka, Rie and Takeda, Miwako and Abe, Takafumi and Yamasaki, Masayuki and Kimura, Shinji and Okuyama, Kenta and Isomura, Minoru and Nabika, Toru}},
  issn         = {{1661-7827}},
  keywords     = {{A cross-sectional study; Altitude; Diabetes mellitus; Geographical information system}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Inconvenience of living place affects individual hba1c level in a rural area in Japan : Shimane cohre study}},
  url          = {{http://dx.doi.org/10.3390/ijerph18031147}},
  doi          = {{10.3390/ijerph18031147}},
  volume       = {{18}},
  year         = {{2021}},
}