成人绿地空间与高血压的关联：一项流行病学研究的系统评价和荟萃分析
Association of greenspace with hypertension in adult: a systematic review and meta-analysis of epidemiological studies.
作者信息
Bu Yongjun, Zhang Xiaoyu, Song Shuaixing, Su Hexin, Yu Zengli, Guo Yuewei
机构信息
College of Public Health, Xinxiang Medical University, Xinxiang, China.
College of Public Health, Zhengzhou University, Zhengzhou, China.
出版信息
Int J Environ Health Res. 2024 Jun;34(6):2556-2577. doi: 10.1080/09603123.2023.2259817. Epub 2023 Sep 24.
BACKGROUND
Several studies have investigated the relationship of greenspace with blood pressure (BP) and hypertension, but the results were inconsistent. We aimed to assess the relationship of greenspace with BP/hypertension.
METHODS
We searched PubMed, Embase and Web of Science on greenspace and BP/hypertension published before 5 April 2023. The methodological quality and risk of bias were evaluated.
RESULTS
Twenty-seven articles were included. Our results suggested that higher normalized difference vegetation index (NDVI) was associated with lower odds of hypertension and levels of SBP [for every 10% increase of NDVI 500-m and NDVI 1000-m, the ORs were 0.95 (95% CI: 0.90-0.99) and 0.95 (95% CI: 0.90-0.99), the ꞵwas -1.32 (95% CI: -2.18, -0.45) and -1.41 (95% CI: -2.57, -0.25), respectively].
CONCLUSION
This study indicated that higher exposure to greenspace might be associated with lower levels of BP and risk of hypertension. Increase green spaces should be regarded as an important public health intervention..
背景
多项研究探讨了绿地与血压（BP）及高血压之间的关系，但结果并不一致。我们旨在评估绿地与血压/高血压之间的关系。
方法
我们检索了截至2023年4月5日发表的关于绿地与血压/高血压的PubMed、Embase和Web of Science数据库。对方法学质量和偏倚风险进行了评估。
结果
纳入了27篇文章。我们的结果表明，较高的归一化植被指数（NDVI）与较低的高血压患病几率和收缩压水平相关[NDVI 500米和NDVI 1000米每增加10%，比值比分别为0.95（95%置信区间：0.90 - 0.99）和0.95（95%置信区间：0.90 - 0.99），β分别为-1.32（95%置信区间：-2.18，-0.45）和-1.41（95%置信区间：-2.57，-0.25）]。
结论
本研究表明，更多地接触绿地可能与较低的血压水平和高血压风险相关。增加绿地应被视为一项重要的公共卫生干预措施。
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