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Association between residential greenness and preeclampsia in Japan
Hisashi Ohseto1, Ami Uematsu2, Mami Ishikuro2,3
1International Research Institute of Disaster Science, Tohoku University, Sendai, Miyagi, Japan.
Environmental Epidemiology (Philadelphia, Pa.)
|August 12, 2026
Summary
Living in areas with moderate residential greenness may lower the risk of preeclampsia (PE), a serious pregnancy complication. This finding is particularly relevant for more deprived areas in East Asian populations.
Area of Science:
- Environmental Epidemiology
- Reproductive Health
- Public Health
Background:
- Preeclampsia (PE) is a significant cause of maternal and fetal mortality, defined by hypertension and organ dysfunction during pregnancy.
- While residential greenness is linked to various health outcomes, its association with PE is understudied, especially in East Asian populations.
Purpose of the Study:
- To investigate the association between residential greenness and the risk of preeclampsia among Japanese women.
- To explore potential variations in this association based on socioeconomic factors and PE subtypes.
Main Methods:
- Utilized data from 20,140 pregnancies within the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study.
- Assessed residential greenness using normalized difference vegetation index (NDVI) values.
- Employed Poisson regression to analyze the association, adjusting for covariates like maternal age, education, income, urbanization, and deprivation index.
Main Results:
- Moderate NDVI levels showed a statistically significant inverse association with PE risk (RR = 0.81 [0.66, 1.00]).
- High NDVI levels did not show a statistically significant association (RR = 0.88 [0.69, 1.11]).
- The inverse association was more pronounced in deprived areas and for specific PE subtypes like gestational hypertension and late-onset PE.
Conclusions:
- Moderate residential greenness is associated with a reduced risk of preeclampsia compared to low greenness.
- The findings suggest that environmental greenness may play a role in mitigating PE risk, particularly in disadvantaged communities.
