Neighborhood walkability, physical activity and changes in glycemic markers in people with type 2 diabetes: The Hoorn Diabetes Care System cohort

N R Braver, F Rutters, A J Wagtendonk, J G Kok, P P Harms, J Brug, J W J Beulens, J Lakerveld

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7 Citations (Scopus)


Studies investigating neighborhood walkability and physical activity in people with type 2 diabetes (T2D) mainly used self-report measures, and only few studies assessed the association with glycemic control. This study assessed the associations between objectively measured (i.e. GIS based) and subjectively measured (i.e. questionnaire-based) neighborhood walkability and changes in glycemic markers in people with T2D, and whether this association was mediated by device-measured physical activity (PA), in the Diabetes Care System Cohort (n = 1230). Neither objective or subjectively measured walkability was associated with glycemic control. In mediation analyses we observed no overall mediation by PA.

Original languageEnglish
Article number102560
JournalHealth and Place
Early online date21 Mar 2021
Publication statusPublished - May 2021


  • Accelerometer
  • Built environment
  • Glycemic control
  • Objective measurement
  • Physical activity
  • Subjective measurement
  • Walkability

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