绿地暴露与心脏代谢风险因素的关联:系统性审查和元分析
Yasaman Sharifi1,2, Sahar Sobhani3, Nahid Ramezanghorbani4
1Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
BMC cardiovascular disorders
|March 21, 2024
概括
进入公共开放空间和绿地与降低心脏代谢风险因素,如肥胖和高血压有关. 改善绿色空间的可访问性可能是预防的关键公共卫生战略.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心脏代谢疾病代表着全球健康的重大负担.
- 新出现的证据将公共开放空间 (POS) 和绿地访问与改善的心脏代谢风险因素联系在一起.
- 本综述综合了关于绿色空间和心脏代谢健康结果的证据.
研究的目的:
- 系统地审查和综合绿色空间/POS访问和心脏代谢风险因素之间的关联的证据.
- 进行元分析,量化绿色空间暴露与关键心脏代谢结果之间的关系.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在四个主要数据库 (Web of Science,PubMed,Scopus,Google Scholar) 中搜索到2023年7月之前发表的观测研究.
- 包括评估绿色空间/POS与肥胖,BMI,高血压,血糖和脂质概况相关的研究;使用随机/固定效应模型进行的元分析.
主要成果:
- 包括118篇文章,主要来自北美和欧洲.
- 定性合成表明,绿色空间/POS通过各种机制影响BMI,血压,血糖和脂质概况.
- 分析显示,更大的绿色空间访问和更低的高血压 (OR:0.81),肥胖 (OR:0.83),糖尿病 (OR:0.79) 的几率之间存在显著的关联.
结论:
- 绿色空间的可访问性被证明与心脏代谢风险因素的降低有关.
- 改善公众对绿色空间的访问是预防心脏代谢疾病的可行人口层面战略.
- 进一步的研究可以阐明将绿色空间暴露与健康结果联系在一起的特定机制.
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