Cardiovascular Diseases in Middle Aged and Older Adults in China: The Joint Effects and Mediation of Different Types of Physical Exercise and Neighborhood Greenness and Walkability

Jia, Xiaofang; Yu, Ying; Xia, Wanning; Masri, Shahir; Hu, Zhixiong; Sami, Mojgan; Yu, Zhaoxia; Wu, Jun

doi:10.1289/isesisee.2018.p03.0410

Cited by 8 publications

(15 citation statements)

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“…Some studies reported similar results [6,8,13,[27][28][29][30]. Our study showed that an IQR (0.08 units) increment in NDVI 500m was signi cantly associated with an 8% decrease in odds of hypertension.…”

Section: Discussionsupporting

confidence: 82%

“…The results of sex modi cation in previous studies have been inconsistent. X Jia, Y Yu, W Xia, S Masri, M Sami, Z Hu, Z Yu and J Wu [13] suggested that green space was related to lower hypertension prevalence for males (OR = 0.18, 95% CI: 0.09, 0.27) and for females (OR = 0.78, 95% CI: 0.48, 0.99). However, BY Yang, I Markevych, MS Bloom, J Heinrich, Y Guo, L Morawska, SC Dharmage, LD Knibbs, B Jalaludin, P Jalava, et al [27] reported that 0.17 units increase in NDVI 500m was related to lower hypertension prevalence for females, whereas a null association was found for males.…”

Section: Discussionmentioning

confidence: 99%

“…A study of 249, 405 participants in the United States observed negative associations of green space with hypertension in lower-income neighborhoods (OR = 0.86, 95% CI: 0.83, 0.89) but positive associations in higher-income neighborhoods (OR = 1.05, 95% CI: 1.02, 1.08) [12]. However, epidemiological research examing the relationships between green space and blood pressure remained limited in developing countries [13,14].…”

Section: Introductionmentioning

confidence: 99%

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Do Exposures to Green Space Reduce the Risk of Hypertension?

Jiang

Chen

et al. 2020

Preprint

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Background: Few epidemiological research examined the effects of greenness on cardiovascular diseases in developing countries. We aimed to explore the relationships between green space and hypertension and blood pressure in China.Methods: This cross-sectional study recruited 39, 259 adults from five counties in central China. Blood pressure measurements were performed according to a standardized protocol. Normalized diﬀerence vegetation index (NDVI) and enhanced vegetation index (EVI) was used to assess the exposure to greenness. We used mixed linear models to test greenspace-cardiovascular disease outcome pathways.Results: Higher green space was related to decreased hypertension prevalence and blood pressure. After fully adjusting the covariates, each interquartile range increase in NDVI500m and EVI500m were related to an 8% decrease in odds of hypertension. The changes in SBP and DBP (95% CI) were - 0.88 mm Hg (- 1.17, - 0.58) and - 0.64 mm Hg (- 0.82, - 0.46) for NDVI, and - 0.79 mm Hg (- 1.14, - 0.45) and - 0.67 mm Hg (- 0.87, - 0.46) for EVI, respectively. Subgroup analyses showed that the effects of green space were more pronounced in males, smokers, and drinkers.Conclusions: The effects of green space may reduce the risk of hypertension. Also, behavioral factors may affect this potential pathway.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Do Exposures to Green Space Reduce the Risk of Hypertension?

Jiang

Chen

et al. 2020

Preprint

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“…IPAQ has been validated and proven to be a reliable instrument for evaluating the PA status of Chinese people. [12][13][14][15] The IPAQ-SF provides information on weekly time spent in walking, moderate, and vigorous-intensity activ-…”

Section: Assessment Of Pamentioning

confidence: 99%

Physical activity and atrial tachyarrhythmia recurrence in atrial fibrillation patients after catheter ablation

Yang

et al. 2020

Pacing Clinical Electrophis

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Background The association between physical activity (PA) and atrial tachyarrhythmia (AT) recurrence after ablation for atrial fibrillation (AF) remains unclear. Methods We consecutively enrolled 496 patients treated with AF ablation therapy in Beijing Anzhen Hospital. After excluding six patients with valvular heart disease, seven patients with congenital heart disease, 33 patients lost to follow‐up, and 14 patients who did not provide PA level during follow‐ups, 436 patients had their PA level assessed by the International Physical Activity Questionnaire‐Short Form before ablation and each time of follow‐up. The association between PA level (measured at the time closest to AT recurrence, or the end of 12‐month follow‐up if no AT recurrence), as well as active PA during follow‐up, and postablation AT recurrence was tested by multivariate logistic regression. Results Of the enrolled patients, 134 (30.7%) patients experienced AT recurrence in the first 12 months postablation. Compared to patients with low PA, patients with moderate or high PA had a lower risk of AT recurrence (odds ratio [OR] = .44; 95% confidence interval [CI], .25‐.80; P = .01 for patients with moderate PA; and OR = .43 [95% CI, .21‐.85], P = .02 for patients with high PA). Compared to patients without active PA, patients with active PA had a lower risk of AT recurrence (OR = .44 [95% CI, .27‐.70], P < .01). Conclusions Moderate and high PA are associated with a lower risk of AT recurrence after AF ablation. Active PA during follow‐up is also associated with a significantly lower risk of AT recurrence in the postablation AF population.

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“…One emerging opportunity for improving healthy ageing in China is associated with the local availability of green spaces. Evidence is mounting that a large amount of neighbourhood surrounding greenness is conducive to urban residents' health and wellbeing (Huang et al, 2019;Ji et al, 2019;Jia et al, 2018;Liu et al, 2019a;Liu et al, 2019b;Liu et al, 2020). However, most previous studies are constrained to urban population only (Liu et al, 2019a;Liu et al, 2020), and little epidemiological evidence has been provided on the rural-urban disparity in the health-promoting effect of exposure to residential surrounding greenness among Chinese older adults.…”

Section: Introductionmentioning

confidence: 99%