Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study
Background: Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney d...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Environment International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0160412023001174 |
| _version_ | 1797868279865278464 |
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| author | Whanhee Lee Seulkee Heo Rory Stewart Xiao Wu Kelvin C. Fong Ji-Young Son Benjamin Sabath Danielle Braun Jae Yoon Park Yong Chul Kim Jung Pyo Lee Joel Schwartz Ho Kim Francesca Dominici Michelle L. Bell |
| author_facet | Whanhee Lee Seulkee Heo Rory Stewart Xiao Wu Kelvin C. Fong Ji-Young Son Benjamin Sabath Danielle Braun Jae Yoon Park Yong Chul Kim Jung Pyo Lee Joel Schwartz Ho Kim Francesca Dominici Michelle L. Bell |
| author_sort | Whanhee Lee |
| collection | DOAJ |
| description | Background: Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney disease is not clear. We aimed to investigate the association between residential greenness and the development of kidney disease. Methods: We performed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts (2000–2016). We assessed greenness with the annual average Enhanced Vegetation Index (EVI) based on residential ZIP codes of beneficiaries. We applied Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for total kidney disease, chronic kidney disease (CKD), and acute kidney injury (AKI), separately. Results: Data for 1,462,949 beneficiaries who resided in a total of 644 ZIP codes were analyzed. The total person-years of follow-up for total kidney disease, CKD, and AKI were 9.8, 10.9, and 10.8 million person-years, respectively. For a 0.1 increase in annual EVI, the hazard ratios (HRs) were 0.95 (95% CI: 0.93 to 0.97) for the first hospital admission for total kidney disease, and the association was more prominent for AKI (HR: 0.94 with 95% CI: 0.92 to 0.97) than CKD (HR: 0.98 with 95% CI: 0.95–1.01]). The estimated effects of EVI on kidney disease were generally more evident in White beneficiaries and those residing in metropolitan areas compared to the overall population. Conclusions: This study found that higher levels of annual residential greenness were associated with a lower risk of the first hospital admission for kidney diseases. Results are consistent with the hypothesis that higher residential greenness benefits kidney patients. |
| first_indexed | 2024-04-09T23:54:34Z |
| format | Article |
| id | doaj.art-535897721e17405d88d320e4c3e4ab41 |
| institution | Directory Open Access Journal |
| issn | 0160-4120 |
| language | English |
| last_indexed | 2024-04-09T23:54:34Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Environment International |
| spelling | doaj.art-535897721e17405d88d320e4c3e4ab412023-03-17T04:32:23ZengElsevierEnvironment International0160-41202023-03-01173107844Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort studyWhanhee Lee0Seulkee Heo1Rory Stewart2Xiao Wu3Kelvin C. Fong4Ji-Young Son5Benjamin Sabath6Danielle Braun7Jae Yoon Park8Yong Chul Kim9Jung Pyo Lee10Joel Schwartz11Ho Kim12Francesca Dominici13Michelle L. Bell14School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University, Yangsan, Republic of Korea; Corresponding author at: School of Biomedical Convergence Engineering, Pusan National University, (Address) #401, ABC bldg., 49 Busandaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do 50612, South Korea.Yale School of the Environment, Yale University, New Haven, CT, USAYale School of the Environment, Yale University, New Haven, CT, USADepartment of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USAYale School of the Environment, Yale University, New Haven, CT, USAYale School of the Environment, Yale University, New Haven, CT, USAFaculty of Arts and Sciences Research Computing Department, Harvard University, Boston, MA, USADepartment of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USA; Department of Data Science, Dana-Farber Cancer Institute, Boston, MA, USADepartment of Internal Medicine, Dongguk University Ilsan Hospital, Republic of Korea; Department of Internal Medicine, Dongguk University College of Medicine, Republic of KoreaDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of KoreaDepartment of Internal Medicine, Seoul National University Boramae Medical Center, Republic of KoreaDepartment of Environmental Health, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea; Institute for Sustainable Development, Graduate School of Public Health, Seoul National University, Republic of KoreaDepartment of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USAYale School of the Environment, Yale University, New Haven, CT, USABackground: Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney disease is not clear. We aimed to investigate the association between residential greenness and the development of kidney disease. Methods: We performed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts (2000–2016). We assessed greenness with the annual average Enhanced Vegetation Index (EVI) based on residential ZIP codes of beneficiaries. We applied Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for total kidney disease, chronic kidney disease (CKD), and acute kidney injury (AKI), separately. Results: Data for 1,462,949 beneficiaries who resided in a total of 644 ZIP codes were analyzed. The total person-years of follow-up for total kidney disease, CKD, and AKI were 9.8, 10.9, and 10.8 million person-years, respectively. For a 0.1 increase in annual EVI, the hazard ratios (HRs) were 0.95 (95% CI: 0.93 to 0.97) for the first hospital admission for total kidney disease, and the association was more prominent for AKI (HR: 0.94 with 95% CI: 0.92 to 0.97) than CKD (HR: 0.98 with 95% CI: 0.95–1.01]). The estimated effects of EVI on kidney disease were generally more evident in White beneficiaries and those residing in metropolitan areas compared to the overall population. Conclusions: This study found that higher levels of annual residential greenness were associated with a lower risk of the first hospital admission for kidney diseases. Results are consistent with the hypothesis that higher residential greenness benefits kidney patients.http://www.sciencedirect.com/science/article/pii/S0160412023001174GreennessMedicareKidney diseaseAcute Kidney InjuryChronic Kidney Disease |
| spellingShingle | Whanhee Lee Seulkee Heo Rory Stewart Xiao Wu Kelvin C. Fong Ji-Young Son Benjamin Sabath Danielle Braun Jae Yoon Park Yong Chul Kim Jung Pyo Lee Joel Schwartz Ho Kim Francesca Dominici Michelle L. Bell Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study Environment International Greenness Medicare Kidney disease Acute Kidney Injury Chronic Kidney Disease |
| title | Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study |
| title_full | Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study |
| title_fullStr | Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study |
| title_full_unstemmed | Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study |
| title_short | Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study |
| title_sort | associations between greenness and kidney disease in massachusetts the us medicare longitudinal cohort study |
| topic | Greenness Medicare Kidney disease Acute Kidney Injury Chronic Kidney Disease |
| url | http://www.sciencedirect.com/science/article/pii/S0160412023001174 |
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