Greenness and chronic respiratory health issues: a systematic review and meta-analysis
IntroductionThe number of chronic respiratory disease (CRD) individuals worldwide has been continuously increasing. Numerous studies have shown that greenness can improve chronic respiratory health issues through different mechanisms, with inconsistent evidence. By quantitatively summarizing existin...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1279322/full |
| _version_ | 1797402887126515712 |
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| author | Mingcheng Tang Wei Liu Haifang Li Fengyi Li |
| author_facet | Mingcheng Tang Wei Liu Haifang Li Fengyi Li |
| author_sort | Mingcheng Tang |
| collection | DOAJ |
| description | IntroductionThe number of chronic respiratory disease (CRD) individuals worldwide has been continuously increasing. Numerous studies have shown that greenness can improve chronic respiratory health issues through different mechanisms, with inconsistent evidence. By quantitatively summarizing existing studies, our purpose is to determine the connection between greenness exposure and various chronic respiratory health.MethodsWe conducted a comprehensive search on PubMed, EMBASE, and Web of Science core databases to identify relevant studies on the correlation between greenness exposure and chronic respiratory health issues. Studies published up to January 2023 were included in the search. The study used the most frequent indicator (normalized difference vegetation index [NDVI]) as the definition of greenness exposure.ResultsWe finally identified 35 studies for meta-analysis. We calculated pooled effects across studies using a random-effects model and conducted a subgroup analysis by age and buffer zones to discuss the effects on chronic respiratory health issues. This study showed that 0.1 increments in NDVI were significantly related to lower rates of asthma incidence, lung cancer incidence, and chronic obstructive pulmonary disease (COPD) mortality risk; the pooled RRs were 0.92 (95% CI: 0.85–0.98), 0.62 (95% CI: 0.40–0.95), and 0.95 (95% CI: 0.92– 0.99), respectively. For the age subgroup, the higher greenness exposure level was related to the incidence rate of asthma among teenagers aged 13–18years (RR: 0.91; 95% CI: 0.83–0.99). For the buffer subgroup, a positive relationship with greenness exposure and asthma incidence/prevalence at 200–300m and 800– 1000m buffers, as well as the COPD mortality at 800–1000m buffer, the pooled RRs were 0.92 (95% CI: 0.86–0.98), 0.87 (95% CI: 0.81–0.93), and 0.93 (95% CI: 0.88– 0.98), respectively. Evidence of publication bias was not detected in this study.DiscussionOur study is the first global meta-analysis between greenness and various CRDs to report an inverse association. Further research is needed in order to determine the effect of greenness exposure on different CRDs. Therefore, when planning for green development, more consideration must be given to public health and green management as intervention measures.https://www.crd.york.ac.uk/PROSPEROFILES/384029_STRATEGY_20230116.pdf |
| first_indexed | 2024-03-09T02:30:41Z |
| format | Article |
| id | doaj.art-866d72a1fcec447abd30507c37f9afa9 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-09T02:30:41Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-866d72a1fcec447abd30507c37f9afa92023-12-06T14:48:31ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.12793221279322Greenness and chronic respiratory health issues: a systematic review and meta-analysisMingcheng Tang0Wei Liu1Haifang Li2Fengyi Li3School of Landscape Architecture and Forestry, Qingdao Agricultural University, Qingdao, ChinaSchool of Art, Qufu Normal University, Rizhao, Shandong, ChinaSchool of Landscape Architecture and Forestry, Qingdao Agricultural University, Qingdao, ChinaSchool of Landscape Architecture and Forestry, Qingdao Agricultural University, Qingdao, ChinaIntroductionThe number of chronic respiratory disease (CRD) individuals worldwide has been continuously increasing. Numerous studies have shown that greenness can improve chronic respiratory health issues through different mechanisms, with inconsistent evidence. By quantitatively summarizing existing studies, our purpose is to determine the connection between greenness exposure and various chronic respiratory health.MethodsWe conducted a comprehensive search on PubMed, EMBASE, and Web of Science core databases to identify relevant studies on the correlation between greenness exposure and chronic respiratory health issues. Studies published up to January 2023 were included in the search. The study used the most frequent indicator (normalized difference vegetation index [NDVI]) as the definition of greenness exposure.ResultsWe finally identified 35 studies for meta-analysis. We calculated pooled effects across studies using a random-effects model and conducted a subgroup analysis by age and buffer zones to discuss the effects on chronic respiratory health issues. This study showed that 0.1 increments in NDVI were significantly related to lower rates of asthma incidence, lung cancer incidence, and chronic obstructive pulmonary disease (COPD) mortality risk; the pooled RRs were 0.92 (95% CI: 0.85–0.98), 0.62 (95% CI: 0.40–0.95), and 0.95 (95% CI: 0.92– 0.99), respectively. For the age subgroup, the higher greenness exposure level was related to the incidence rate of asthma among teenagers aged 13–18years (RR: 0.91; 95% CI: 0.83–0.99). For the buffer subgroup, a positive relationship with greenness exposure and asthma incidence/prevalence at 200–300m and 800– 1000m buffers, as well as the COPD mortality at 800–1000m buffer, the pooled RRs were 0.92 (95% CI: 0.86–0.98), 0.87 (95% CI: 0.81–0.93), and 0.93 (95% CI: 0.88– 0.98), respectively. Evidence of publication bias was not detected in this study.DiscussionOur study is the first global meta-analysis between greenness and various CRDs to report an inverse association. Further research is needed in order to determine the effect of greenness exposure on different CRDs. Therefore, when planning for green development, more consideration must be given to public health and green management as intervention measures.https://www.crd.york.ac.uk/PROSPEROFILES/384029_STRATEGY_20230116.pdfhttps://www.frontiersin.org/articles/10.3389/fpubh.2023.1279322/fullgreennesschronic respiratory diseasenormalized difference vegetation indexmeta-analysissystematic review |
| spellingShingle | Mingcheng Tang Wei Liu Haifang Li Fengyi Li Greenness and chronic respiratory health issues: a systematic review and meta-analysis Frontiers in Public Health greenness chronic respiratory disease normalized difference vegetation index meta-analysis systematic review |
| title | Greenness and chronic respiratory health issues: a systematic review and meta-analysis |
| title_full | Greenness and chronic respiratory health issues: a systematic review and meta-analysis |
| title_fullStr | Greenness and chronic respiratory health issues: a systematic review and meta-analysis |
| title_full_unstemmed | Greenness and chronic respiratory health issues: a systematic review and meta-analysis |
| title_short | Greenness and chronic respiratory health issues: a systematic review and meta-analysis |
| title_sort | greenness and chronic respiratory health issues a systematic review and meta analysis |
| topic | greenness chronic respiratory disease normalized difference vegetation index meta-analysis systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1279322/full |
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