Greenspace and human health: An umbrella review.

Greenspace and human health: An umbrella review.
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绿色空间与人类健康:总体审查

DOI:
10.1016/j.xinn.2021.100164
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发表时间:
2021-11-28
期刊:
Innovation (Cambridge (Mass.))
影响因子:
--
通讯作者:
Dong GH
Dong GH
中科院分区:
其他
文献类型:
--
作者:
Yang BY;Zhao T;Hu LX;Browning MHEM;Heinrich J;Dharmage SC;Jalaludin B;Knibbs LD;Liu XX;Luo YN;James P;Li S;Huang WZ;Chen G;Zeng XW;Hu LW;Yu Y;Dong GH

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关于绿色空间和健康结果的多项系统评价已经存在,但总体证据基础仍不清楚。因此,我们进行了一项综述,以收集和评价所有关于绿色暴露和健康的流行病学研究的相关系统评价。我们检索了PubMed、Embase和Web of Science从开始到2021年6月28日,并筛选了相关文章的参考文献。纳入了系统评价,包括或不包括流行病学研究的荟萃分析,这些研究检查了绿色与任何健康结果的关系。两名独立的研究者进行研究选择和数据提取。我们还使用“系统评价的方法学质量评估2”检查表评估了纳入的系统评价的方法学质量。共纳入了40项系统评价和荟萃分析,其中大多数是在高收入国家进行的横断面研究。绿地暴露估计与各种客观和主观参数。绿色空间与全因和中风特异性死亡率,心血管疾病发病率,心脏代谢因素,心理健康,低出生体重,体力活动,睡眠质量和城市犯罪的有益关联被观察到。绿地与其他健康结果之间没有一致的关联(例如,癌症)进行观察。大多数纳入的系统性综述和荟萃分析在方法学上有一个或多个局限性。我们的研究结果为绿地暴露对人类健康的某些方面的有益影响提供了支持性证据。然而,这种证据的可信度因方法上的局限性而受到损害。需要更好的系统评价和荟萃分析以及纵向设计的初步研究来验证这一结论。关于绿地和健康结果的证据仍不清楚我们对40篇关于绿地和健康的系统性综述进行了一项总括性综述,利用各种客观和主观参数对绿地暴露进行了估计。
Multiple systematic reviews on greenspace and health outcomes exist, but the overall evidence base remains unclear. Therefore, we performed an umbrella review to collect and appraise all relevant systematic reviews of epidemiological studies on greenness exposure and health. We searched PubMed, Embase, and Web of Science from inception to June 28, 2021, and screened references of relevant articles. Systematic reviews with or without meta-analyses of epidemiological studies that examined the associations of greenness with any health outcome were included. Two independent investigators performed study selection and data extraction. We also evaluated the methodological quality of the included systematic reviews using the “Assessing the Methodological Quality of Systematic Reviews 2” checklist. A total of 40 systematic reviews and meta-analyses were included, of which most were cross-sectional studies conducted in high-income countries. Greenspace exposure was estimated with various objective and subjective parameters. Beneficial associations of greenspace with all-cause and stroke-specific mortality, CVD morbidity, cardiometabolic factors, mental health, low birth weight, physical activity, sleep quality, and urban crime were observed. No consistent associations between greenspace and other health outcomes (e.g., cancers) were observed. Most of the included systematic reviews and meta-analyses had one or more limitations in methodology. Our findings provide supportive evidence regarding the beneficial effects of greenspace exposure on some aspects of human health. However, the credibility of such evidence was compromised by methodological limitations. Better performed systematic reviews and meta-analyses as well as longitudinal designed primary studies are needed to validate this conclusion. The evidence concerning greenspace and health outcomes remains unclear We performed an umbrella review of 40 systematic reviews on greenspace and health Greenspace exposure was estimated with various objective and subjective parameters Greenspace was beneficially associated with several aspects of human health
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