Green space and cardiovascular disease: A systematic review with meta-analysis

Liu, Xiaoxuan; Ma, Xiaofeng; Huang, Wenzhong; Luo, Yihuan; He, Chuan-Jiang; Zhong, Xue-Mei; Dadvand, Payam; Browning, Matthew H.E.M.; Li, Li; Zou, Xiaoguang; Dong, Guang‐Hui; Yang, Bo‐Yi

doi:10.1016/j.envpol.2022.118990

Cited by 91 publications

(43 citation statements)

References 88 publications

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“…It can be either scheduled (e.g., gardens and parks) or unscheduled (e.g., existing wooded areas and prairies) ( 6 ). In recent years, greenness has been shown to improve physical activity ( 7 ), mental health ( 8 ), birth outcomes ( 9 ), cardiovascular disease ( 10 ), obesity ( 11 ), diabetes ( 12 ), and cancer ( 13 ). Although not all studies show consistent findings, overall, the available studies support the benefits of greenness for human health.…”

Section: Introductionmentioning

confidence: 99%

Association between exposure to greenness and atopic march in children and adults—A systematic review and meta-analysis

Wang

Zhou²,

Zhi³

2023

Front. Public Health

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IntroductionAllergic diseases are a global public health problem. Food allergy, atopic dermatitis (AD), allergic rhinoconjunctivitis, allergic rhinitis (AR) and asthma represent the natural course of allergic diseases, also known as the “atopic march”. In recent years, a large number of studies have been published on the association between greenness exposure and allergic diseases. However, systematic reviews on the association between greenness exposure and multiple allergic diseases or atopic march are lacking.MethodsIn this study, PubMed, EMBASE, ISI Web of Science, and Scopus were systematically searched. Meta-analyses were performed if at least three studies reported risk estimates for the same outcome and exposure measures.ResultsOf 2355 records, 48 studies were included for qualitative review. Five birth cohort studies, five cross-sectional studies, and one case-control study were included for asthma meta-analysis, respectively. Four birth cohort studies were included for AR meta-analysis. Our results support that exposure to a greener environment at birth reduces the risk of asthma and AR in childhood. In addition, higher greenness exposure was associated with decreased odds of current asthma in children.DiscussionThere was a large heterogeneity among the included studies and most of them did not specify the vegetation type and causative allergens. Therefore the study results need to be further validated. In addition, a small number of studies evaluated the association between greenness and food allergy, AD and allergic rhinoconjunctivitis. More research is needed to strengthen our understanding of the association between greenness and allergic diseases.

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Section: Introductionmentioning

confidence: 99%

Association between exposure to greenness and atopic march in children and adults—A systematic review and meta-analysis

Wang

Zhou²,

Zhi³

2023

Front. Public Health

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“…NDVI) or green space on COVID-19 cases and mortality. Urban green spaces provide opportunities for outdoor physical activity [ 45 ] and social interaction [ 46 ], which are in turn associated with a range of positive health and well-being outcomes [ 47 , 48 ]. Emerging evidence from countries in the Global North has indicated that people spent more time in green spaces during the COVID-19 pandemic [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Associations Between Built Environment Factors and SARS-CoV-2 Infections at the Neighbourhood Level in a Metropolitan Area in Germany

et al. 2023

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COVID-19-related health outcomes displayed distinct geographical patterns within countries. The transmission of SARS-CoV-2 requires close spatial proximity of people, which can be influenced by the built environment. Only few studies have analysed SARS-CoV-2 infections related to the built environment within urban areas at a high spatial resolution. This study examined the association between built environment factors and SARS-CoV-2 infections in a metropolitan area in Germany. Polymerase chain reaction (PCR)-confirmed SARS-CoV-2 infections of 7866 citizens of Essen between March 2020 and May 2021 were analysed, aggregated at the neighbourhood level. We performed spatial regression analyses to investigate associations between the cumulative number of SARS-CoV-2 infections per 1000 inhabitants (cum. SARS-CoV-2 infections) up to 31.05.2021 and built environment factors. The cum. SARS-CoV-2 infections in neighbourhoods (median: 11.5, IQR: 8.1–16.9) followed a marked socially determined north–south gradient. The effect estimates of the adjusted spatial regression models showed negative associations with urban greenness, i.e. normalized difference vegetation index (NDVI) (adjusted β = − 35.36, 95% CI: − 57.68; − 13.04), rooms per person (− 10.40, − 13.79; − 7.01), living space per person (− 0.51, − 0.66; − 0.36), and residential (− 0.07, 0.16; 0.01) and commercial areas (− 0.15, − 0.25; − 0.05). Residential areas with multi-storey buildings (− 0.03, − 0.12; 0.06) and green space (0.03, − 0.05; 0.11) did not show a substantial association. Our results suggest that the built environment matters for the spread of SARS-CoV-2 infections, such as more spacious apartments or higher levels of urban greenness are associated with lower infection rates at the neighbourhood level. The unequal intra-urban distribution of these factors emphasizes prevailing environmental health inequalities regarding the COVID-19 pandemic.

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“…Recent expenditures on greening have further increased the number and types of green spaces, such as city-center small gardens, boulevards, theme parks, and large rural forest parks in the city’s periphery [ 71 ]. The preservation of 39,408 large ancient trees in Beijing indicates its long history of association with urban greening [ 72 ].…”

Section: Study Area and Methodsmentioning

confidence: 99%

Effects of Self-Rated Health Status on Residents’ Social-Benefit Perceptions of Urban Green Space

Tian

Liu

Jim

et al. 2022

IJERPH

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Urban green spaces (UGS) provide many social benefits and improves residents’ wellbeing. Studying residents’ perceptions of UGS’s social benefits and driving factors could promote public health and environmental justice. A questionnaire survey of 432 Beijing residents and statistical tests assessed the impacts of residents’ living environments and self-rated health status on UGS perceptions. The results showed: (1) perceptions of UGS’ physical health benefits were subdued, with an inclination towards other social benefits. Respondents more highly perceived accelerating patient recovery and reducing morbidity and mortality rates. Perceptions of bearing larger-head babies with higher weight were relatively low. For other social benefits, perceptions of improving the environment and life quality were higher, but reducing anger outbursts and resolving conflicts were lower. (2) Childhood living environments did not affect perceptions of social benefits, but current living environments did. Suburb residents understood reducing pain-relief medication demands and bearing larger-head babies better than city residents. City residents understood UGS’ investments considerable and sustained returns better than village residents. City residents agreed with accelerating patient recovery higher than village ones. (3) Respondents with “poor” self-rated health status had better perceptions of other social benefits. Those with “excellent” ratings did not fully understand UGS’ physical health benefits. “Poor” ratings understood improving a city’s image and making cities livable and sustainable better than “good” or “fair” ratings. “Excellent” ratings had less understanding of larger-head babies than “good” or “fair” ratings. The study could enhance appreciation of UGS’ social benefits to facilitate planning and management to meet residents’ expectations.

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Green space and cardiovascular disease: A systematic review with meta-analysis

Cited by 91 publications

References 88 publications

Association between exposure to greenness and atopic march in children and adults—A systematic review and meta-analysis

Association between exposure to greenness and atopic march in children and adults—A systematic review and meta-analysis

Associations Between Built Environment Factors and SARS-CoV-2 Infections at the Neighbourhood Level in a Metropolitan Area in Germany

Effects of Self-Rated Health Status on Residents’ Social-Benefit Perceptions of Urban Green Space

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