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绿色环境与健康老龄化:分析绿色基础设施在老年人功能健康中的作用——一项试点研究

Green Environments and Healthy Aging: Analyzing the Role of Green Infrastructure in the Functional Well-Being of Seniors-A Pilot Study.

作者信息

Ribeiro Andrea, Soares Rodrigo, Barbosa Luis, Silva Ana, Ferreira Raquel, Terroso Sara, Andriolli Ana Claudia, Silva Ligia Torres, Ribeiro Carlos A

机构信息

Centro Interdisciplinar em Ciências da Saúde-CICS, ISAVE, Rua Castelo de Almourol nº 13, 4720-155 Amares, Portugal.

CIR, Escola Superior de Saúde, Politécnico do Porto, Rua Doutor António Bernardino de Almeida 400, 4200-072 Porto, Portugal.

出版信息

Int J Environ Res Public Health. 2024 Dec 30;22(1):35. doi: 10.3390/ijerph22010035.

Abstract

Health professionals have slowly integrated the environment and green areas into their prescriptions to connect patients with nature and outdoor activities. The World Health Organization recommends that everyone reside within 300 m of green regions to improve well-being and physical and mental health. The study aimed to explore the effects of urban and rural green areas on multiple physiological and functional variables, as well as evaluate the perception of individuals regarding the ease of use of these same spaces. Participants walked twice a week for six weeks, covering 1.6 km. Heart rate (HR), blood pressure (BP), oxygen saturation (SpO), physical capacity analysis (IPAQ), risk of falls (Morse Fall Scale), Mini Mental State Examination, physical performance test (PPT), and perception of accessibility (Pedestrian Accessibility Perception Scale for adults over 65 years old) were evaluated/administered. Variables such as noise, temperature, and air quality were also measured during the outdoor activities. Twenty-four individuals divided into two groups participated in the study: group 1 (urban route) and group 2 (rural route). We found impacts on body weight ( = 0.021), SpO ( = 0.033), and Mini Mental State Examination ( = 0.041) scores in group 1 and SpO and PPT scores in group 2. This study highlights the importance of incorporating green infrastructure in urban planning to support healthy aging and improve accessibility for older adults, and shows that outdoor activities provide various health benefits (physical, mental, and social well-being) and that walking in urban and rural environments seems to impact the health of elderly individuals positively and should be considered in physical therapy by health professionals.

摘要

医疗保健专业人员已逐渐将环境和绿地纳入他们的建议中,以使患者与自然及户外活动建立联系。世界卫生组织建议每个人居住在距离绿地300米以内,以改善幸福感以及身心健康。该研究旨在探讨城乡绿地对多种生理和功能变量的影响,并评估个人对这些空间易用性的认知。参与者每周步行两次,持续六周,每次行走1.6公里。对心率(HR)、血压(BP)、血氧饱和度(SpO)、体力活动分析(IPAQ)、跌倒风险(莫尔斯跌倒量表)、简易精神状态检查表、身体机能测试(PPT)以及可达性认知(65岁以上成年人行人可达性认知量表)进行了评估/测量。在户外活动期间还测量了噪音、温度和空气质量等变量。24名个体分为两组参与了该研究:第1组(城市路线)和第2组(乡村路线)。我们发现第1组的体重( = 0.021)、SpO( = 0.033)和简易精神状态检查表得分( = 0.041)以及第2组的SpO和PPT得分受到了影响。本研究强调了在城市规划中纳入绿色基础设施以支持健康老龄化和改善老年人可达性的重要性,并表明户外活动能带来多种健康益处(身体、心理和社会幸福感),而且在城乡环境中行走似乎对老年人的健康有积极影响,医疗保健专业人员在物理治疗中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b7/11765493/c2d87ab4b0ec/ijerph-22-00035-g001.jpg

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