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What built environment helps or hinders clinical care of type 2 diabetes to protect heart health?

Grant


Scheme


  • Postdoctoral Fellowship

Abstract


  • Background: Cardiovascular Disease (CVD) is the leading cause of death among people with Type 2 Diabetes (T2DM). CVD risk is managed by clinicians, but built environments could exert considerable influence by shaping lifestyles. No study has quantified the impact of built environment on CVD risk for people with T2DM.Aims and Methods: I aim to identify and map the types of built environment that synergise with, or antagonise the benefits of clinical management for the prevention of CVD events (e.g. hospitalisations) among people with T2DM. I will use the 45 and Up Study with linked health service and built environment indicators to track the risk of CVD-related hospitalisations among a cohort of 20,765 Australians living with T2DM. Cross-classified multilevel models will be used to disentangle the contributions and reveal synergies between built environment and T2DM management for CVD prevention. Geographic Information Systems (GIS) will be used to map communities where T2DM management needs more support in order for CVD prevention to be successful.Research plan: I will answer the following research questions:1) To what extent does built environment shape CVD risk among people with T2DM?2) What combinations of built environment help or hamper the effects of T2DM care for preventing CVD?Significance and Outcomes: This will be the first study, globally, to explore the impact of built environment on T2DM management for the successful prevention of CVD events. Findings will be communicated to major national organisations in the health sector (e.g. National Heart Foundation, Diabetes Australia) and to local organisations (eg NSW Health, Western Sydney Diabetes Prevention and Management Initiative) to enhance clinical management. Findings will be communicated to The Australian Prevention Partnership Centre and the NHMRC CRE for Healthy Liveable Communities to drive prevention.

Sponsor Award Id


  • 100948

Local Award Id


  • 120643

Scheme


  • Postdoctoral Fellowship

Abstract


  • Background: Cardiovascular Disease (CVD) is the leading cause of death among people with Type 2 Diabetes (T2DM). CVD risk is managed by clinicians, but built environments could exert considerable influence by shaping lifestyles. No study has quantified the impact of built environment on CVD risk for people with T2DM.Aims and Methods: I aim to identify and map the types of built environment that synergise with, or antagonise the benefits of clinical management for the prevention of CVD events (e.g. hospitalisations) among people with T2DM. I will use the 45 and Up Study with linked health service and built environment indicators to track the risk of CVD-related hospitalisations among a cohort of 20,765 Australians living with T2DM. Cross-classified multilevel models will be used to disentangle the contributions and reveal synergies between built environment and T2DM management for CVD prevention. Geographic Information Systems (GIS) will be used to map communities where T2DM management needs more support in order for CVD prevention to be successful.Research plan: I will answer the following research questions:1) To what extent does built environment shape CVD risk among people with T2DM?2) What combinations of built environment help or hamper the effects of T2DM care for preventing CVD?Significance and Outcomes: This will be the first study, globally, to explore the impact of built environment on T2DM management for the successful prevention of CVD events. Findings will be communicated to major national organisations in the health sector (e.g. National Heart Foundation, Diabetes Australia) and to local organisations (eg NSW Health, Western Sydney Diabetes Prevention and Management Initiative) to enhance clinical management. Findings will be communicated to The Australian Prevention Partnership Centre and the NHMRC CRE for Healthy Liveable Communities to drive prevention.

Sponsor Award Id


  • 100948

Local Award Id


  • 120643