建筑环境和心脏代谢风险因素的演变:对纵向研究进行系统审查和元分析
Tesfaye Regassa Feyissa1,2, Hannah Beks3, Tadesse Tolossa4
1School of Medicine, Faculty of Health, Deakin Rural Health, Deakin University, Warrnambool, VIC, Australia. tesfaye.feyissa@deakin.edu.au.
建筑环境影响心脏代谢风险 (CMR). 获得绿色空间和健康的食物来源与CMR进展的减缓有关,特别是血压和HbA1c水平.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 心脏代谢风险 (CMR) 随着时间的推移而进展,增加疾病发病率.
- 建筑环境 (BE),包括绿色空间,可行性和食物获取,可能会影响生物风险因素.
- 了解BE和CMR进展之间的联系对于因果推断至关重要.
研究的目的:
- 审查研究建筑环境特征与心脏代谢风险持续测量的生物指标之间的关联的纵向研究.
- 评估这些关联的生物学可信性和时间方向.
主要方法:
- 在六个纵向研究数据库中进行了系统的文献搜索.
- 包括调查建筑环境特征 (绿色空间,可行性,食品环境) 和心脏代谢风险因素 (血压,葡萄糖,脂质,HbA1c) 的研究.
- 使用定性合成和加权z-score元分析来汇集证据.
主要成果:
- 更多的绿色/开放空间与静缩和静缩血压的较小增加有关.
- 增加的行走能力与较小的缩血压和HbA1c的增加有很强的关联.
- 健康的食物来源与血压,禁食血葡萄糖和HbA1c的较小增加有关.
结论:
- 建筑环境在塑造心脏代谢风险进展方面发挥着作用.
- 绿色空间和健康的食品环境可靠地与缓慢的CMR进展有关.
- 关于可行性对CMR进展的影响的证据在研究中不一致.
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