Exposure to surrounding greenness and natural-cause and cause-specific mortality in the ELAPSE pooled cohort

Bereziartua, Ainhoa; Chen, Jie; Hoogh, Kees de; Rodopoulou, Sophia; Andersen, Zorana Jovanovic; Bellander, Tom; Brandt, Jørgen; Fecht, Daniela; Forastiére, Francesco; Gulliver, John; Hertel, Ole; Hoffmann, Barbara; Hvidtfeldt, Ulla Arthur; Jöckel, Karl‐Heinz; Jørgensen, Jeanette Therming; Katsouyanni, Klea; Ketzel, Matthias; Krog, Norun Hjertager; Brynedal, Boel; Leander, Karin; Liu, Shuo; Ljungman, Petter; Faure, Élodie; Magnusson, Patrik K. E.; Nagel, Gabriële; Pershagen, Göran; Peters, Annette; Raaschou‐Nielsen, Ole; Renzi, Matteo; Rizzuto, Debora; Samoli, Evangelia; Schouw, Yvonne T. van der; Schramm, Sara; Severi, Gianluca; Stafoggia, Massimo; Strak, Maciej; Sørensen, Mette; Tjønneland, Anne; Weinmayr, Gudrun; Wolf, Kathrin; Zitt, Emanuel; Brunekreef, Bert; Hoek, Gerard

doi:10.1016/j.envint.2022.107341

Cited by 20 publications

(12 citation statements)

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“…7 Surrounding greenness is also associated with increased longevity, 8 and the relationship persists even after adjusting for spatially correlated air pollution and traffic noise. 9 Similar results have been reported for cardiovascular mortality. [10][11][12] Metaanalysis of data from 53 studies from 18 countries and >100 million individuals has shown that a 0.1 increase in NDVI is associated with 2% to 3% lower odds of CVD mortality (odds ratio, 0.97 [95% CI, 0.96-0.99]), 11 and a 2% decrease in mortality due to ischemic heart disease and cerebrovascular disease.…”

Section: Greenspaces and Cardiovascular Mortalitysupporting

confidence: 77%

“…For instance, smaller, 50 m buffers may encompass trees visible from the residential locations, whereas larger buffers would not only enclose the viewshed but may represent general outdoor exposure. While in evaluation of the link between greenspace and CVD, there was no difference between pooled estimates for different buffer sizes, 8,9,11 this may not be the case for other outcomes. For instance, in one study, although greenness was associated with lower odds of hypertension, the association was less consistent across buffers, and systolic and diastolic blood pressure were lower only in association with greenness in the 100 m buffer, rather than in 300 to 1000 m buffers.…”

Section: Compendium On Environmental Impacts On Cardiovascular Health...mentioning

confidence: 91%

“…25 In other studies, the effects of greenspaces were found to persist even after adjusting for air pollution. 9,87 Although the reasons underlying these discordant results remain unknown, it is likely that the disparate role of air pollution in moderating the effects of greenspace may depend upon the levels of air pollution and greenness as well as the specific outcome examined. Additional work is required to assess the extent to which the cardiovascular effects of greenness could be explained by a reduction in air pollutants and to identify conditions under which greenspaces exert their effects independent of air pollution.…”

Section: How Do Greenspaces Benefit Cardiovascular Health?mentioning

confidence: 99%

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Greenspaces And Cardiovascular Health

Keith,

Hart,

Bhatnagar

2024

Circulation Research

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Accumulating evidence suggests that living in areas of high surrounding greenness or even brief exposures to areas of high greenery is conducive to cardiovascular health, which may be related to the environmental, social, psychological, and physiological benefits of greenspaces. Recent data from multiple cross-sectional, longitudinal, and cohort studies suggest that living in areas of high surrounding greenness is associated with a lower risk of all-cause and cardiovascular mortality. High levels of neighborhood greenery have been linked also to a decrease in the burden of cardiovascular disease risk factors as reflected by lower rates of hypertension, dyslipidemia, and diabetes. Those who live in greener environments report better mental health and more frequent social interactions, which can benefit cardiovascular health as well. In this narrative review, we discuss evidence linking greenspaces to cardiovascular health as well as the potential mechanisms underlying the beneficial effects of greenspaces, including the impact of vegetation on air, noise and light pollution, ambient temperature, physical activity, mental health, and biodiversity. We review literature on the beneficial effects of acute and chronic exposure to nature on cardiovascular disease risk factors, inflammation and immune function, and we highlight the potential cardiovascular effects of biogenic volatile organic compounds that are emitted by trees and shrubs. We identify current knowledge gaps in this area and underscore the need for additional population studies to understand more clearly and precisely the link between greenness and health. Such understanding is urgently needed to fully redeem the promise of greenspaces in preventing adverse environmental exposures, mitigating the effects of climate change, and creating healthier living environments.

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Section: Greenspaces and Cardiovascular Mortalitysupporting

confidence: 77%

Section: Compendium On Environmental Impacts On Cardiovascular Health...mentioning

confidence: 91%

Section: How Do Greenspaces Benefit Cardiovascular Health?mentioning

confidence: 99%

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Greenspaces And Cardiovascular Health

Keith,

Hart,

Bhatnagar

2024

Circulation Research

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“…Eight studies analyzed the connection between greenness exposure and CRD mortality, consisting of five cohort studies ( 31 , 49 , 83–85 ) and three ecological studies ( 86–88 ).…”

Section: Resultsmentioning

confidence: 99%

“…In addition, Xiao et al ( 53 ) reported stronger correlations with the odds of COPD for NDVI in a 1,000 m buffer. Bereziartua et al ( 49 ) found that increments of NDVI inside both a 300 m grid and a 1,000 m buffer were not associated with respiratory diseases. Fan et al ( 55 ) discovered that neighborhood greenness had a significant positive correlation with COPD prevalence across different NDVI buffer sizes.…”

Section: Introductionmentioning

confidence: 99%

Greenness and chronic respiratory health issues: a systematic review and meta-analysis

Tang,

Liu,

et al. 2023

Front. Public Health

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IntroductionThe number of chronic respiratory disease (CRD) individuals worldwide has been continuously increasing. Numerous studies have shown that greenness can improve chronic respiratory health issues through different mechanisms, with inconsistent evidence. By quantitatively summarizing existing studies, our purpose is to determine the connection between greenness exposure and various chronic respiratory health.MethodsWe conducted a comprehensive search on PubMed, EMBASE, and Web of Science core databases to identify relevant studies on the correlation between greenness exposure and chronic respiratory health issues. Studies published up to January 2023 were included in the search. The study used the most frequent indicator (normalized difference vegetation index [NDVI]) as the definition of greenness exposure.ResultsWe finally identified 35 studies for meta-analysis. We calculated pooled effects across studies using a random-effects model and conducted a subgroup analysis by age and buffer zones to discuss the effects on chronic respiratory health issues. This study showed that 0.1 increments in NDVI were significantly related to lower rates of asthma incidence, lung cancer incidence, and chronic obstructive pulmonary disease (COPD) mortality risk; the pooled RRs were 0.92 (95% CI: 0.85–0.98), 0.62 (95% CI: 0.40–0.95), and 0.95 (95% CI: 0.92– 0.99), respectively. For the age subgroup, the higher greenness exposure level was related to the incidence rate of asthma among teenagers aged 13–18years (RR: 0.91; 95% CI: 0.83–0.99). For the buffer subgroup, a positive relationship with greenness exposure and asthma incidence/prevalence at 200–300m and 800– 1000m buffers, as well as the COPD mortality at 800–1000m buffer, the pooled RRs were 0.92 (95% CI: 0.86–0.98), 0.87 (95% CI: 0.81–0.93), and 0.93 (95% CI: 0.88– 0.98), respectively. Evidence of publication bias was not detected in this study.DiscussionOur study is the first global meta-analysis between greenness and various CRDs to report an inverse association. Further research is needed in order to determine the effect of greenness exposure on different CRDs. Therefore, when planning for green development, more consideration must be given to public health and green management as intervention measures.https://www.crd.york.ac.uk/PROSPEROFILES/384029_STRATEGY_20230116.pdf

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Potential causal links of long‐term air pollution with lung cancer incidence: From the perspectives of mortality and hospital admission in a large cohort study in southern China

Guo,

Chen,

Wang

et al. 2023

Intl Journal of Cancer

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Evidence on the potential causal links of long‐term air pollution exposure with lung cancer incidence (reflected by mortality and hospital admission) was limited, especially based on large cohorts. We examined the relationship between lung cancer and long‐term exposure to particulate matter (PM, including PM2.5, PM10 and PM10‐2.5) and nitrogen dioxide (NO2) among a large cohort of general Chinese adults using causal inference approaches. The study included 575 592 participants who were followed up for an average of 8.2 years. The yearly exposure of PM and NO2 was estimated through satellite‐based random forest approaches and the ordinary kriging method, respectively. Marginal structural Cox models were used to examine hazard ratios (HRs) of mortality and hospital admission due to lung cancer following air pollution exposure, adjusting for potential confounders. The HRs of mortality due to lung cancer were 1.042 (95% confidence interval [CI]: 1.033‐1.052), 1.032 (95% CI:1.024‐1.041) and 1.052 (95% CI:1.041‐1.063) for each 1 μg/m3 increase in PM2.5, PM10 and NO2, respectively. In addition, we observed statistically significant effects of PMs on hospital admission due to lung cancer. The HRs (95%CI) were 1.110 (1.027‐1.201), 1.067 (1.020‐1.115) and 1.079 (1.010‐1.153) for every 1 μg/m3 increase in PM2.5, PM10, PM10‐2.5, respectively. Furthermore, we found larger effect estimates among the elderly and those who exercised more frequently. We provided the most comprehensive evidence of the potential causal links between two outcomes of lung cancer and long‐term air pollution exposure. Relevant policies should be developed, with special attention to protecting the vulnerable groups of the population.

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Exposure to surrounding greenness and natural-cause and cause-specific mortality in the ELAPSE pooled cohort

Cited by 20 publications

References 68 publications

Greenspaces And Cardiovascular Health

Greenspaces And Cardiovascular Health

Greenness and chronic respiratory health issues: a systematic review and meta-analysis

Potential causal links of long‐term air pollution with lung cancer incidence: From the perspectives of mortality and hospital admission in a large cohort study in southern China

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