A cross-sectional analysis of the effects of residential greenness on blood pressure in 10-year old children: results from the GINIplus and LISAplus studies.

A cross-sectional analysis of the effects of residential greenness on blood pressure in 10-year old children: results from the GINIplus and LISAplus studies.
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DOI:
10.1186/1471-2458-14-477
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发表时间:
2014-05-20
期刊:
影响因子:
4.5
通讯作者:
Heinrich J
Heinrich J
中科院分区:
医学2区
文献类型:
--
作者:
Markevych I;Thiering E;Fuertes E;Sugiri D;Berdel D;Koletzko S;von Berg A;Bauer CP;Heinrich J

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根据乌尔里希的心理进化理论,接触绿色环境可以通过激活副交感神经系统(特别是通过降低血压(BP))来缓解压力。实验研究证实了这种生物效应。然而,尚未使用观察性研究设计探索绿色对BP的影响。我们评估了周围住宅绿化是否与10岁德国儿童的BP相关。对居住在德国GINIplus和LISAplus出生队列的慕尼黑和Wessel研究区的10岁儿童的收缩压和舒张压进行了评估。2,078名儿童的完整暴露、结局和协变量数据可用。住宅周围的绿色度被定义为归一化差异植被指数(NDVI)值的平均值,来自Landsat 5 TM卫星图像,在圆形500米的缓冲区周围的参与者目前的家庭地址。广义加法模型评估合并和特定区域之间的关联BP和住宅绿化分类到特定区域的三分位数。在合并校正模型中,居住在低和中等绿化度住宅的儿童的收缩压分别比居住在高绿化度区域的儿童的收缩压高0.90 ± 0.50 mmHg(p值= 0.073)和1.23 ± 0.50 mmHg(p值= 0.014)。同样,生活在低绿色和中等绿色地区的儿童的舒张压分别比生活在高绿色地区的儿童高0.80 ± 0.38 mmHg(p值= 0.033)和0.96 ± 0.38 mmHg(p值= 0.011)。这些关联不受环境压力因素(温度、空气污染、噪音烦恼、海拔和城市化水平)的影响。当按研究区域分层时,居住在城市化的慕尼黑地区的儿童之间的相关性显著,但在农村地区则为零。居住在城市化地区的10岁儿童中,较低的住宅绿化与较高的血压呈正相关。需要进一步研究不同的参与者的年龄,地理区域和城市化水平。
According to Ulrich’s psychoevolutionary theory, contact with green environments mitigates stress by activating the parasympathetic system, (specifically, by decreasing blood pressure (BP)). Experimental studies have confirmed this biological effect. However, greenness effects on BP have not yet been explored using an observational study design. We assessed whether surrounding residential greenness is associated with BP in 10 year-old German children. Systolic and diastolic BPs were assessed in 10 year-old children residing in the Munich and Wesel study areas of the German GINIplus and LISAplus birth cohorts. Complete exposure, outcome and covariate data were available for 2,078 children. Residential surrounding greenness was defined as the mean of Normalized Difference Vegetation Index (NDVI) values, derived from Landsat 5 TM satellite images, in circular 500-m buffers around current home addresses of participants. Generalized additive models assessed pooled and area-specific associations between BP and residential greenness categorized into area-specific tertiles. In the pooled adjusted model, the systolic BP of children living at residences with low and moderate greenness was 0.90 ± 0.50 mmHg (p-value = 0.073) and 1.23 ± 0.50 mmHg (p-value = 0.014) higher, respectively, than the systolic BP of children living in areas of high greenness. Similarly, the diastolic BP of children living in areas with low and moderate greenness was 0.80 ± 0.38 mmHg (p-value = 0.033) and 0.96 ± 0.38 mmHg (p-value = 0.011) higher, respectively, than children living in areas with high greenness. These associations were not influenced by environmental stressors (temperature, air pollution, noise annoyance, altitude and urbanisation level). When stratified by study area, associations were significant among children residing in the urbanised Munich area but null for those in the rural Wesel area. Lower residential greenness was positively associated with higher BP in 10 year-old children living in an urbanised area. Further studies varying in participants’ age, geographical area and urbanisation level are required.
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