Green environments and cardiovascular health
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Updated: Jan 22, 2026

Fundus Photography as a Convenient Tool to Study Microvascular Responses to Cardiovascular Disease Risk Factors in Epidemiological Studies
Published on: October 22, 2014
Ray A Yeager1, Theodore R Smith2, Aruni Bhatnagar3
1The Christina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA; Department of Environmental and Occupational Health Sciences, School of Public Health and information Sciences, University of Louisville, Louisville, KY, USA.
Abstract:
Several large epidemiological studies have found robust associations between greenness and the risk of cardiovascular disease (CVD). These studies report that close residential proximity to greenness is associated with a decrease in cardiovascular mortality as well as major adverse cardiovascular events. Although mechanisms underlying this link are not well understood, the beneficial health effects of greenness have been linked to its ability to relieve stress, decrease air pollution, and encourage physical activity. Greenness in residential neighborhoods could also increase access to healthy goods and services, as well as social interactions. Research into the health effects of greenness could provide new insights into the environmental determinants of CVD risk and could inform the development of actionable greenness-based strategies to prevent CVD and its clinical manifestations.
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