Association of Greenness with Blood Pressure among Individuals with Type 2 Diabetes across Rural to Urban Community Types in Pennsylvania, USA.
Association of Greenness with Blood Pressure among Individuals with Type 2 Diabetes across Rural to Urban Community Types in Pennsylvania, USA.
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美国宾夕法尼亚州农村到城市社区类型的2型糖尿病患者中绿色与血压的相关性
DOI：
10.3390/ijerph18020614
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发表时间：
2021-01-13
影响因子：
--
通讯作者：
Hirsch AG
中科院分区：
文献类型：
--
作者：
Poulsen MN;Schwartz BS;Nordberg C;DeWalle J;Pollak J;Imperatore G;Mercado CI;Siegel KR;Hirsch AG
绿色可能会影响血压（BP），尽管在2型糖尿病（T2 D）患者中证据有限，对他们来说，BP管理至关重要。我们评估了宾夕法尼亚州地理位置不同的社区中T2 D患者的住宅绿化与BP之间的关系。为了解决绿色类型的变化，我们评估了修改的关联百分比森林。我们从9593名糖尿病诊断后的病历中获得了收缩压（SBP）和舒张压（DBP）测量值。近似绿化估计在1250米的缓冲区周围的个人的住宅使用归一化差异植被指数（NDVI）之前，血压测量。森林百分比是使用美国国家土地覆盖数据库计算的。线性混合模型与强大的标准误差占空间聚类模型分层的社区类型（乡镇/自治市/城市）。在乡镇，最绿色的社区，NDVI的四分位数范围增加与SBP降低0.87 mmHg（95% CI：-1.43，-0.30）和DBP降低0.41 mmHg（95% CI：-0.78，-0.05）相关。在行政区或城市中没有观察到显著的相关性。森林百分比改变的证据很弱。研究结果表明，阈值效应，即高绿色可能是必要的，以影响血压在这一人群中，并支持轻微的有益影响，绿色对心血管疾病的风险。
Greenness may impact blood pressure (BP), though evidence is limited among individuals with type 2 diabetes (T2D), for whom BP management is critical. We evaluated associations of residential greenness with BP among individuals with T2D in geographically diverse communities in Pennsylvania. To address variation in greenness type, we evaluated modification of associations by percent forest. We obtained systolic (SBP) and diastolic (DBP) BP measurements from medical records of 9593 individuals following diabetes diagnosis. Proximate greenness was estimated within 1250-m buffers surrounding individuals’ residences using the normalized difference vegetation index (NDVI) prior to blood pressure measurement. Percent forest was calculated using the U.S. National Land Cover Database. Linear mixed models with robust standard errors accounted for spatial clustering; models were stratified by community type (townships/boroughs/cities). In townships, the greenest communities, an interquartile range increase in NDVI was associated with reductions in SBP of 0.87 mmHg (95% CI: −1.43, −0.30) and in DBP of 0.41 mmHg (95% CI: −0.78, −0.05). No significant associations were observed in boroughs or cities. Evidence for modification by percent forest was weak. Findings suggest a threshold effect whereby high greenness may be necessary to influence BP in this population and support a slight beneficial impact of greenness on cardiovascular disease risk.
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DOI：
10.1016/j.ecl.2013.09.005
发表时间：
2014-03
影响因子：
4.5
作者：
Lastra, Guido;Syed, Sofia;Kurukulasuriya, L. Romayne;Manrique, Camila;Sowers, James R.
通讯作者：
Sowers, James R.
影响因子：
2.8
作者：
Le-Scherban, Felice;Ballester, Lance;Buehler, James W.
通讯作者：
Buehler, James W.
DOI：
10.1097/ede.0000000000000387
发表时间：
2016-03
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Casey JA;Savitz DA;Rasmussen SG;Ogburn EL;Pollak J;Mercer DG;Schwartz BS
通讯作者：
Schwartz BS
影响因子：
8.3
作者：
Twohig-Bennett C;Jones A
通讯作者：
Jones A
影响因子：
5.5
作者：
Schwartz, Brian S.;Stewart, Walter F.;Glass, Thomas A.
通讯作者：
Glass, Thomas A.