Evidence map›Paper›PMID 38951224›Full record

ArticleActa diabetologica2024

Urban diabetes: analysis of diabetes prevalence in cities of the Lombardy region participating in the cities changing diabetes project.

Livio Luzi, Stefano Massarini, Anna Ferrulli, Pamela Senesi, Michele Carruba, Cristina Romano, Sergio Di Lembo, Maria Bianchi, Paolo Bulgheroni, Marco Villa and 2 more

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Article in Acta diabetologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Livio LuziDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy. livio.luzi@unimi.it.ORCID http://orcid.org/0000-0003-3183-0552
Stefano MassariniDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy.ORCID http://orcid.org/0000-0002-7070-253X
Anna FerrulliDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy.ORCID http://orcid.org/0000-0002-8518-5547
Pamela SenesiDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy.ORCID http://orcid.org/0000-0003-0304-1564
Michele CarrubaDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0003-4589-387X
Cristina RomanoDepartment of Diabetology and Endocrinology, ASST Sette Laghi, Varese, Italy.
Sergio Di LemboDepartment of Diabetology and Endocrinology, ASST Cremona, Cremona, Italy.
Maria BianchiHygiene, Food and Nutrition Service, ATS Insubria, Varese, Italy.
Paolo BulgheroniDepartment of Hygiene and Prevention, ATS Insubria, Varese, Italy.
Marco VillaEpidemiological Observatory, ATS Val Padana, Cremona, Italy.
Federico SerraHealth City Institute, Rome, Italy.
Andrea LenziHealth City Institute, Rome, Italy.ORCID http://orcid.org/0000-0002-7711-0465

Funding

Università degli Studi di Milano CRUI-CARE Agreement
6 · The paper itself

Abstract

aimThe urban population increases by about 60 million people/year. Urbanization, unhealthy lifestyle and aging of the population are reflected in a constant growth in the prevalence of diabetes. In 2014, Steno Diabetes Centre in Copenhagen, University College London and Novo Nordisk, launched the Cities Changing Diabetes® program with the aim of creating a unified movement that would stimulate policy-makers to prioritize urban diabetes.

methodsThe socio-demographic data derive from (1) ISTAT (National Institute of Statistics of Italy), (2) ATS Metropolitan City of Milan, (3) ATS Val Padana-Cremona, (4) ATS Insubria-Varese, (5) The unemployment rates of the various municipalities have been extrapolated from an ISTAT-MEF elaboration published by Sole 24 Ore journal.

resultsIn the different sanitary districts of the Metropolitan City of Milan, a strong linear correlation was found between the prevalence of diabetes and the prevalence of heart disease (R = 0.695, p < 0.001), as well as between the prevalence of diabetes and of nephropathies (R = 0.316, p < 0.001). The analysis concerning the province of Cremona showed a fair correlation between the prevalence of diabetes and cardiovascular disease (R = 0.658, p < 0.001). Even for the municipalities of Varese, the analysis documented a good correlation between the prevalence of diabetes and heart disease (R = 0.419, p < 0.001), but not between diabetes and nephropathies.

conclusionsInteresting differences in the relationship of diabetes prevalence with several diseases and socio-demographic factors have been found when comparing the metropolitan City of Milan with two smaller size cities as Varese and Cremona. Our present data confirm the hypothesis that urban diabetes will be the challenge for our society during the next decades.

Indexed as

Diabetes MellitusUrban PopulationAdultAgedCardiovascular DiseasesCitiesFemaleHumansItalyMaleMiddle AgedPrevalenceCities changing diabetes projectDiabetes and obesity prevalenceLombardy regionUrban diabetes

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.