Evidence map›Paper›PMID 41717061›Full record

ArticleEco-Environment & Health2026

Association between residential greenness and risks of diabetic complications among individuals with type 2 diabetes and the roles of healthy lifestyle behaviors.

Ning Chen, Feipeng Cui, Yudiyang Ma, Jianing Wang, Linxi Tang, Lei Zheng, Meiqi Xing, Xinru Zhao, Yaohua Tian

Abstract read
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Article in Eco-Environment & Health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

The trial behind it

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

9 authors.

Ning ChenMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Feipeng CuiMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Yudiyang MaMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Jianing WangMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Linxi TangMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Lei ZhengMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Meiqi XingMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Xinru ZhaoMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Yaohua TianMinistry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prospective evidence on the associations between residential greenness and risks of major diabetic complications remains limited. We explored the associations of residential greenness with incident diabetic macrovascular and microvascular complications among individuals with type 2 diabetes (T2D), and further assessed the roles of lifestyle factors in these associations. Our study included 13,848 patients with T2D. The Normalised Difference Vegetation Index (NDVI) within a 300-m buffer was used as the indicator of residential greenness. Eight lifestyle factors were included to construct a weighted healthy lifestyle score. Cox proportional hazard models were performed to assess the links between residential greenness and diabetic complication risks. We found that each interquartile range increase of NDVI within 300-m buffer was significantly associated with decreased diabetic complication risks, with hazard ratios (95% confidence intervals) of 0.921 (0.881, 0.964) for composite macrovascular complications, 0.886 (0.805, 0.975) for stroke, 0.901 (0.825, 0.985) for heart failure, 0.914 (0.866, 0.965) for coronary artery disease, 0.909 (0.865, 0.956) for composite microvascular complications, 0.842 (0.757, 0.937) for diabetic neuropathy, and 0.899 (0.841, 0.961) for diabetic nephropathy. Air pollutants and physical activity partly mediated these associations. Lifestyle factors modified some residential greenness-complications associations, and no significant associations between residential greenness and diabetic complications were observed among participants with poor lifestyles. Higher residential greenness levels were linked with lower risks of diabetic complications, and lifestyle factors might modify these associations.

Indexed as

Air pollutionDiabetic complicationsHealthy lifestylesResidential greenness

Identifiers

PMID41717061
PMCPMC12914178

What Socratic holds

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LicenceCC BY-NC-ND
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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.