Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis
Abstract Background Cardiometabolic conditions are major contributors to the global burden of disease. An emerging body of evidence has associated access to and surrounding public open spaces (POS) and greenspace with cardiometabolic risk factors, including obesity, body mass index (BMI), hypertensi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-024-03830-1 |
| _version_ | 1797247461477056512 |
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| author | Yasaman Sharifi Sahar Sobhani Nahid Ramezanghorbani Moloud Payab Behnaz Ghoreshi Shirin Djalalinia Zahra Nouri Ghonbalani Mahbube Ebrahimpur Maysa Eslami Mostafa Qorbani |
| author_facet | Yasaman Sharifi Sahar Sobhani Nahid Ramezanghorbani Moloud Payab Behnaz Ghoreshi Shirin Djalalinia Zahra Nouri Ghonbalani Mahbube Ebrahimpur Maysa Eslami Mostafa Qorbani |
| author_sort | Yasaman Sharifi |
| collection | DOAJ |
| description | Abstract Background Cardiometabolic conditions are major contributors to the global burden of disease. An emerging body of evidence has associated access to and surrounding public open spaces (POS) and greenspace with cardiometabolic risk factors, including obesity, body mass index (BMI), hypertension (HTN), blood glucose (BG), and lipid profiles. This systematic review aimed to synthesize this evidence. Methods This systematic review was conducted based on the PRISMA guidelines. Four electronic databases including Web of Science, PubMed, Scopus, and Google Scholar were searched for eligible articles published until July 2023. All observational studies which assessed the association of greenspace and POS with cardiometabolic risk factors including obesity, BMI, HTN, BG, and lipid profiles were included and reviewed by two authors independently. Heterogeneity between studies was assessed using the I2 index and Cochrane’s Q test. Random/fixed effect meta-analyses were used to combine the association between greenspace exposure with cardiometabolic risk factors. Results Overall, 118 relevant articles were included in our review. The majority of the articles were conducted in North America or Europe. In qualitative synthesis, access or proximity to greenspaces or POS impacts BMI and blood pressure or HTN, BG, and lipid profiles via various mechanisms. According to the random effect meta-analysis, more access to greenspace was significantly associated with lower odds of HTN (odds ratio (OR): 0.81, 95% confidence intervals (CIs): 0.61–0.99), obesity (OR: 0.83, 95% CIs: 0.77–0.90), and diabetes (OR:0.79, 95% CI: 0.67,0.90). Conclusions Findings of this systematic review and meta-analysis suggested that greenspace accessibility is associated with some cardiometabolic risk factors. Improving greenspace accessibility could be considered as one of the main strategies to reduce cardiometabolic risk factors at population level. |
| first_indexed | 2024-04-24T19:59:04Z |
| format | Article |
| id | doaj.art-4436c74ae6c34a929252a63e7121c9d5 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-24T19:59:04Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-4436c74ae6c34a929252a63e7121c9d52024-03-24T12:09:59ZengBMCBMC Cardiovascular Disorders1471-22612024-03-0124112010.1186/s12872-024-03830-1Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysisYasaman Sharifi0Sahar Sobhani1Nahid Ramezanghorbani2Moloud Payab3Behnaz Ghoreshi4Shirin Djalalinia5Zahra Nouri Ghonbalani6Mahbube Ebrahimpur7Maysa Eslami8Mostafa Qorbani9Department of Radiology, School of Medicine, Iran University of Medical SciencesNon-Communicable Diseases Research Center, Alborz University of Medical SciencesDepartment of Development and Coordination Scientific Information and Publications, Deputy of Research and Technology, Ministry of Health and Medical EducationNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences Faculty of Medicine, Tehran Medical Sciences, Islamic Azad UniversityDevelopment of Research & Technology Center, Ministry of Health and Medical EducationSocial Determinants of Health Research Center, Alborz University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Alborz University of Medical SciencesAbstract Background Cardiometabolic conditions are major contributors to the global burden of disease. An emerging body of evidence has associated access to and surrounding public open spaces (POS) and greenspace with cardiometabolic risk factors, including obesity, body mass index (BMI), hypertension (HTN), blood glucose (BG), and lipid profiles. This systematic review aimed to synthesize this evidence. Methods This systematic review was conducted based on the PRISMA guidelines. Four electronic databases including Web of Science, PubMed, Scopus, and Google Scholar were searched for eligible articles published until July 2023. All observational studies which assessed the association of greenspace and POS with cardiometabolic risk factors including obesity, BMI, HTN, BG, and lipid profiles were included and reviewed by two authors independently. Heterogeneity between studies was assessed using the I2 index and Cochrane’s Q test. Random/fixed effect meta-analyses were used to combine the association between greenspace exposure with cardiometabolic risk factors. Results Overall, 118 relevant articles were included in our review. The majority of the articles were conducted in North America or Europe. In qualitative synthesis, access or proximity to greenspaces or POS impacts BMI and blood pressure or HTN, BG, and lipid profiles via various mechanisms. According to the random effect meta-analysis, more access to greenspace was significantly associated with lower odds of HTN (odds ratio (OR): 0.81, 95% confidence intervals (CIs): 0.61–0.99), obesity (OR: 0.83, 95% CIs: 0.77–0.90), and diabetes (OR:0.79, 95% CI: 0.67,0.90). Conclusions Findings of this systematic review and meta-analysis suggested that greenspace accessibility is associated with some cardiometabolic risk factors. Improving greenspace accessibility could be considered as one of the main strategies to reduce cardiometabolic risk factors at population level.https://doi.org/10.1186/s12872-024-03830-1CardiometabolicGreenspaceHyperglycemiaNatural spaceParksBlood pressure |
| spellingShingle | Yasaman Sharifi Sahar Sobhani Nahid Ramezanghorbani Moloud Payab Behnaz Ghoreshi Shirin Djalalinia Zahra Nouri Ghonbalani Mahbube Ebrahimpur Maysa Eslami Mostafa Qorbani Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis BMC Cardiovascular Disorders Cardiometabolic Greenspace Hyperglycemia Natural space Parks Blood pressure |
| title | Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis |
| title_full | Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis |
| title_fullStr | Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis |
| title_full_unstemmed | Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis |
| title_short | Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis |
| title_sort | association of greenspaces exposure with cardiometabolic risk factors a systematic review and meta analysis |
| topic | Cardiometabolic Greenspace Hyperglycemia Natural space Parks Blood pressure |
| url | https://doi.org/10.1186/s12872-024-03830-1 |
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