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居住绿地环境对 2 型糖尿病患病率和死亡率的影响。

Impact of the residential green space environment on the prevalence and mortality of Type 2 diabetes mellitus.

机构信息

Department of Physiology, Department of Anesthesia, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2022 May;26(10):3599-3606. doi: 10.26355/eurrev_202205_28856.

DOI:10.26355/eurrev_202205_28856
PMID:35647842
Abstract

OBJECTIVE

The residential green space environment plays a significant role in the progression of social, neuropsychological, behavioral, and public health. Green spaces are considered one of the most important components of healthy life events. This study investigated the impact of the green space environment on the prevalence and mortality of type 2 diabetes mellitus.

MATERIALS AND METHODS

In this study, 110 research articles were initially identified through search engines (Web of Science, Pub-Med, Medline, EMBASE, Scopus) using the keywords "green space, environment, prevalence, mortality, diabetes mellitus." Finally, out of 110, 16 (14.54%) original research publications were included in the analysis, and the remaining 94 (85.45%) articles were excluded. The sample size of these 16 studies was 4,615,359. These studies originated from China (4), Canada (3), the United States of America (2), Australia (2), and one study each from the United Kingdom, Hong Kong, Korea, Belgium, and Bangladesh. The data on prevalence and diabetes mellitus were recorded and analyzed.

RESULTS

Worldwide total of 16 studies met the selection criteria. The results showed that a high green space environment was significantly associated with a decreased prevalence of diabetes mellitus (13 studies; OR=0.875, 95% CI=0.859-0.891; p<0.001; I2=61.0%) and mortality (3 studies; HR=0.917, 95% CI=0.904-0.930; p<0.001; I2=75.4%). The findings support the hypothesis that a green space environment significantly reduces the prevalence and mortality of diabetes mellitus.

CONCLUSIONS

The residential green space environment significantly decreases the prevalence and mortality of type 2 diabetes mellitus. It is suggested to establish strategies to keep residential areas and living environment green and clean to minimize air pollution and fight diabetes mellitus.

摘要

目的

居住绿地环境对社会、神经心理学、行为和公共卫生的发展起着重要作用。绿地被认为是健康生活事件的最重要组成部分之一。本研究调查了绿地环境对 2 型糖尿病患病率和死亡率的影响。

材料与方法

本研究通过搜索引擎(Web of Science、Pub-Med、Medline、EMBASE、Scopus),使用关键词“绿色空间、环境、患病率、死亡率、糖尿病”,初步确定了 110 篇研究文章。最终,从 110 篇文章中,纳入了 16 篇(14.54%)原始研究出版物进行分析,其余 94 篇(85.45%)文章被排除在外。这 16 项研究的样本量为 4615359 人。这些研究来自中国(4 项)、加拿大(3 项)、美国(2 项)、澳大利亚(2 项),以及英国、中国香港、韩国、比利时和孟加拉国各有 1 项研究。记录并分析了这些研究中患病率和糖尿病的数据。

结果

全球共有 16 项研究符合入选标准。结果表明,绿地环境高与糖尿病患病率降低显著相关(13 项研究;OR=0.875,95%CI=0.859-0.891;p<0.001;I2=61.0%)和死亡率(3 项研究;HR=0.917,95%CI=0.904-0.930;p<0.001;I2=75.4%)。研究结果支持这样一种假设,即绿地环境可显著降低 2 型糖尿病的患病率和死亡率。

结论

居住绿地环境显著降低了 2 型糖尿病的患病率和死亡率。建议制定策略,保持住宅区和生活环境的绿色和清洁,以最大程度地减少空气污染和防治糖尿病。

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