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周边居住环境绿化与健康:与腹型肥胖和血脂异常的关联。横断面研究的荟萃分析。

Surrounding Residential Greenness and Health: Associations With Abdominal Obesity and Dyslipidemia. A Meta-Analysis of Cross-Sectional Studies.

作者信息

Marcilla-Toribio Irene, Bizzozero-Peroni Bruno, Notario-Pacheco Blanca, Cekrezi Shkelzen, Fernandez-Perez Martin, Perez-Moreno Ana, Diez-Fernandez Ana, Martinez-Andres Maria

机构信息

Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.

Research Group Health, Gender, and Social Determinants, Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), Cuenca, Spain.

出版信息

Public Health Rev. 2025 Feb 18;46:1608163. doi: 10.3389/phrs.2025.1608163. eCollection 2025.

Abstract

OBJECTIVES

We aimed to quantify the relationships of surrounding residential greenness with abdominal obesity and dyslipidemia.

METHODS

A systematic search was conducted in January 2024 through 5 electronic databases including Pubmed, Scopus, Web of Science, and CINHAL (Complete and GreenFILE). The DerSimonian and Laird method was used to calculate the pooled odds ratios (ORs) and their respective 95% confidence intervals (CIs). The study protocol was registered in PROSPERO (CRD42024528548).

RESULTS

Eleven cross-sectional studies involving 564,254 individuals with a mean age of 55.95 years were included. A significant inverse relationship was observed between increased surrounding greenness and lower odds of abdominal obesity (OR: 0.80; 95% CI: 0.70-0.91), elevated TG (OR: 0.97; 95% CI: 0.96-0.97), and low HDL-C levels (OR: 0.98; 95% CI: 0.95-1.00).

CONCLUSION

Abdominal obesity and elevated triglyceride levels could be reduced in the general adult population by increasing residential greenness. These findings underscore the importance of integrating greenness into urban planning and public health policies to promote healthier environments. Interventions such as the development of urban green spaces could play a crucial role in reducing cardiometabolic risk factors.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024528548.

摘要

目的

我们旨在量化周边居住环境绿化程度与腹型肥胖和血脂异常之间的关系。

方法

于2024年1月通过5个电子数据库进行了系统检索,包括PubMed、Scopus、科学网和CINHAL(完整版和绿色档案库)。采用DerSimonian和Laird方法计算合并比值比(OR)及其各自的95%置信区间(CI)。该研究方案已在PROSPERO(CRD42024528548)注册。

结果

纳入了11项横断面研究,涉及564,254名平均年龄为55.95岁的个体。观察到周边绿化程度增加与腹型肥胖几率降低(OR:0.80;95%CI:0.70 - 0.91)、甘油三酯升高(OR:0.97;95%CI:0.96 - 0.97)以及高密度脂蛋白胆固醇水平降低(OR:0.98;95%CI:0.95 - 1.00)之间存在显著的负相关关系。

结论

通过增加居住环境绿化程度,可降低普通成年人群的腹型肥胖和甘油三酯水平升高情况。这些发现强调了将绿化纳入城市规划和公共卫生政策以促进更健康环境的重要性。诸如发展城市绿地等干预措施在降低心血管代谢危险因素方面可能发挥关键作用。

系统评价注册

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024528548

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf1/11880791/7130d94fd665/phrs-46-1608163-g001.jpg

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