Green space exposure and type 2 diabetes mellitus incidence: A systematic review

Ccami-Bernal, Fabricio; Soriano-Moreno, David R.; Fernández-Guzman, Daniel; Tuco, Kimberly G.; Castro-Diaz, Sharong D.; Esparza-Varas, Analis L.; Medina-Ramirez, Sebastian A.; Caira-Chuquineyra, Brenda; Cortez-Soto, Andrea G.; Yovera-Aldana, Marlon; Rojas-Rueda, David

doi:10.1016/j.healthplace.2023.103045

Cited by 11 publications

(5 citation statements)

References 50 publications

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“…Our sample comprised predominantly of psychologists (29%), social workers (25%) and occupational therapists (17%) who often work in mental health settings; hence, the bias in our sample may have led to the dominance of mental health outcomes. Although research on physical health [5,11,[13][14][15]18,20,23,38,63,64], social [8,23] and developmental outcomes [7,10] is still emerging, it shows promising growth.…”

Section: Discussionmentioning

confidence: 99%

“…There is increasing evidence that supports the health benefits of exposure to nature [1][2][3][4][5][6][7][8][9][10][11][12][13], and engaging in nature-based activities [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Allied health professionals (AHPs) can play an important role in improving people's access to and use of nature, by working with individual patients/clients, communities and from a broader public health perspective, including advocacy for and input into the design of public natural environments.…”

Section: Introductionmentioning

confidence: 99%

“…While there has been a shift away from healthcare settings in nature, there has been an increase in research into the benefits of exposure to nature (e.g. green [1][2][3][4][5][6][7][8][9][10][11][12][13] and blue spaces [2,10,13]), and nature-based activities to improve health and wellbeing [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Allied health professionals are well placed to integrate NBAs -by encompassing outdoor and indoor nature-based activities which may be recommended or directly engaged in with the patient/ client, and advocacy for or the provision of improvements to natural spaces -into their practice.…”

Section: Introductionmentioning

confidence: 99%

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Nature-based allied health: current practice, challenges and opportunities

Stanhope,

Foley,

Butler

et al. 2024

Preprint

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Purpose: To guide the effective use of nature-based approaches, we aimed to determine current practice, challenges and proposed solutions concerning the use of these approaches by allied health professionals (AHPs). We also investigated the signs, symptoms and conditions AHPs believe nature-based approaches may prevent and/or manage, as well as the perceived impact of the COVID-19 pandemic. Materials and methods: Allied health professionals who used or wanted to use in nature-based approaches in Australia were invited to complete an online questionnaire. Qualitative data were analysed through inductive coding and categorisation, while descriptive statistics were reported for the quantitative data. Results: Allied health professionals indicated that exposure to nature could prevent and/or manage a range of physical and mental health, social and developmental outcomes. Perceived challenges were identified, related to the patients/clients, AHPs themselves, and external factors. Recommended solutions included increasing education for AHPs and the general public, advancing more research, implementing changes to governance, and legitimisation of nature-based approaches as part of allied health practice. Conclusions: Increasing awareness and evidence of the use of nature-based approaches among the AHPs and across sectors - particularly with policy, education, funding, and health management - will support their legitimacy and potential benefit a range of populations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nature-based allied health: current practice, challenges and opportunities

Stanhope,

Foley,

Butler

et al. 2024

Preprint

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“…Growing evidence points to strong, positive relations between green space exposure and physical, psychological, and social health and well-being (Yang et al, 2021). Higher levels of exposure to green space have also been related to reduced risk of blood pressure (Zhao et al, 2022), obesity (Teixeira et al, 2021), cardiovascular disease (Liu et al, 2022), diabetes (Ccami-Bernal et al, 2023), neurodegenerative disease (Besser, 2021), and birth-fetal outcomes (Zhan et al, 2020). Meanwhile, green space exposure improves mental health, reducing symptoms of stress, anxiety, depression, emotional distress, and negative mood (Bratman et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The economics of nature’s healing touch: A systematic review and conceptual framework of green space, pharmaceutical prescriptions, and healthcare expenditure associations

Patwary,

Bardhan,

Browning

et al. 2023

Preprint

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Green spaces play a crucial role in promoting sustainable and healthy lives. Recent evidence shows that green space also may reduce the need for healthcare, prescription medications, and associated costs. This systematic review provides the first comprehensive assessment of the available literature examining green space exposure and its associations with healthcare prescriptions and expenditures. We applied Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to search MEDLINE, Scopus, and Web of Science for observational studies published in English through May 6, 2023. A quality assessment of the included studies was conducted using the Office of Health Assessment and Translation (OHAT) tool, and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) assessment was used to evaluate the overall quality of evidence. Our search retrieved 26 studies that met the inclusion criteria and were included in our review. Among these, 20 studies (77% of the total) showed beneficial associations of green space exposure with healthcare prescriptions or expenditures. However, most studies had risks of bias, and the overall strength of evidence for both outcomes was limited. Based on our findings and related bodies of literature, we present a conceptual framework to explain the possible associations and complex mechanisms underlying green space and healthcare outcomes. The framework differs from existing green space and health models by including upstream factors related to healthcare access (i.e., rurality and socioeconomic status), which may flip the direction of associations. Additional research with lower risks of bias is necessary to validate this framework and better understand the potential for green space to reduce healthcare prescriptions and expenditures.

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“…Improved mental health [20], reduced cardiovascular morbidity and mortality [21, 22•], obesity and risk of type 2 diabetes [23,24], and better pregnancy outcomes [25] are some of the beneficial effects of urban green spaces reported in current studies and evidenced in a 2016 report by the WHO [13•] as shown in Fig. 1.…”

Section: Introductionmentioning

confidence: 99%

Influence of Green Areas on the Urban Sound Environment

Rey-Gozalo,

Barrigón Morillas,

Montes González

et al. 2023

Curr Pollution Rep

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Purpose of Review Urban green spaces provide benefits for human health and well-being, among other properties, thanks to their ability to attenuate environmental pollutants. The sound environment is not healthy in most cities, and this situation has not changed in recent decades. These green spaces are potential quiet areas with good acoustic quality if they are designed and planned properly from a multidisciplinary perspective. Although the mitigating effects of green infrastructure have been extensively studied, their application in green areas has been very limited. The objective of this study is to analyze those characteristics of green spaces that contribute to a healthy soundscape and, in turn, the benefits that this would give them to the characteristics of green areas, users, and their physical environment. Recent Findings Current studies show that to accurately determine the relationship between green spaces and health and well-being benefits, it is necessary to know the interaction with other environmental variables, including the soundscape. The development and application of ISO/TS 12913-2 have promoted the consideration of the soundscape and the use of appropriate procedures for its evaluation. Summary The inclusion of soundscape quality in epidemiological studies will improve the quantification of the effects of green spaces on the health and well-being of citizens. Only the consideration of global indicators, such as Lden (dB), show the importance of the sound environment in the interaction with other environmental variables and user activities for the determination of the effects of green spaces on health.

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Green space exposure and type 2 diabetes mellitus incidence: A systematic review

Cited by 11 publications

References 50 publications

Nature-based allied health: current practice, challenges and opportunities

Nature-based allied health: current practice, challenges and opportunities

The economics of nature’s healing touch: A systematic review and conceptual framework of green space, pharmaceutical prescriptions, and healthcare expenditure associations

Influence of Green Areas on the Urban Sound Environment

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