Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease

Liang, Ze; Wang, Wanzhou; Yang, Chao; Wang, Yueyao; Shen, Jincheng; Li, Pengfei; Ma, Lin; Wei, Feili; Chen, Rui; Liang, Chenyu; Li, Shuangcheng; Zhang, Luxia

doi:10.1016/j.scitotenv.2021.150628

Cited by 11 publications

(19 citation statements)

References 54 publications

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“…Our findings also suggested that greenness exposure functions as a moderator to the association between depression and dyslipidemia, indicating that the greater exposure to greenness may lessen the effect of depression on dyslipidemia. This is also consistent with prior work that showed that greenness exposure can moderate the association between depression and other chronic diseases (e.g., hypertension) [ 71 , 72 , 73 ]. The potential underlying mechanism could be that greenness may reduce the negative impact from environmental stressors (e.g., heat and noise) to people, and, thus, the decreasing psychological burden may reduce the level of dyslipidemia [ 74 ].…”

Section: Discussionsupporting

confidence: 92%

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

Liu

et al. 2022

IJERPH

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Globally, dyslipidemia is now become a leading risk factor for many adverse health outcomes, especially in the middle-aged and elderly. Recent evidence suggests that exposure to greenness and the relief of a psychological burden may decrease the prevalence of dyslipidemia. The objective of our study was to examine whether a green space can moderate the association between mental health status and dyslipidemia. Our study selected the datasets of depression symptoms, dyslipidemia from the China Health and Retirement Longitudinal Study (CHARLS), and the satellite-based normalized difference vegetation index (NDVI) from the 30 m annual maximum NDVI dataset in China in 2018. Ultimately, a total of 10,022 middle-aged and elderly Chinese were involved in our study. Multilevel logistic regressions were performed to examine the association between symptoms of depression and dyslipidemia, as well as the moderate effect of greenness exposure on the association. Our research suggested that adults diagnosed with depression symptoms were more likely to suffer from dyslipidemia. In addition, the NDVI was shown to moderate the effect of depression on dyslipidemia significantly, though the effect was attenuated as depression increased. Regarding the moderate effect of the NDVI on the above association across age, gender, and residence, the findings presented that females, the elderly, and respondents living in urban areas were at a greater risk of having dyslipidemia, although the protective effect of the NDVI was considered. Likewise, the moderate effect of the NDVI gradually decreased as the level of depression increased in different groups. The current study conducted in China provides insights into the association between mental health, green space, and dyslipidemia. Hence, improving mental health and green spaces can be potential targets for medical interventions to decrease the prevalence of dyslipidemia.

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Section: Discussionsupporting

confidence: 92%

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

Liu

et al. 2022

IJERPH

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“…Similarly, a longitudinal cohort study on the association between residential greenness and mortality reported a stronger association in never smokers (HR: 1.09, 95% CI 1.04–1.14) than in smokers (HR: 1.03, 0.91–1.17) [ 34 ]. In contrast, smokers benefitted more from the effects of greenness than never smokers with decreased blood pressure [ 35 ] and the prevalence of chronic kidney disease [ 36 ]. Therefore, both smokers and never-smokers can benefit from exposure to residential greenness.…”

Section: Discussionmentioning

confidence: 99%

Association between Residential Greenness and Incidence of Parkinson’s Disease: A Population-Based Cohort Study in South Korea

Jung

Park

Myung

et al. 2022

IJERPH

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It is widely known that exposure to residential greenness is beneficial for health. However, few studies have analyzed the association between greenery and Parkinson’s disease (PD). We selected 313,355 participants who matched the inclusion criteria from the National Health Insurance Service-National Sample Cohort, followed up from 2007 to 2015. Residential greenness, represented by the normalized difference vegetation index (NDVI), was obtained from satellite measurements. We estimated hazard ratios of PD associated with a 0.1-unit increase in long-term greenness exposure at the district level for the previous 1 year of each year until a censoring/event occurred, using time-varying Cox proportional hazard models, adjusted for individual- and area-level characteristics. During the 2,745,389 person-years of follow-up, 2621(0.8%) participants developed PD. Exposure to higher levels of residential greenness was found to be associated with a decreased risk of PD incidence (21% per 0.1-unit increase, 95% confidence interval (CI): 0.74–0.84). In subgroup analyses, stronger protective effects were observed in participants aged over 50 years, females, overweight/obese participants, non-urban residents, non-smokers, alcoholics, and those with comorbidities. Long-term exposure to greenness was beneficial to incident PD, and our findings could aid in the development of public-health strategies.

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“…In 2022, two cross-sectional studies on CKD and green space were conducted in East Asia. Liang et al investigated the relationship between residential NDVI and the presence of CKD based on the China National Survey of Chronic Kidney Disease with 44,876 individuals from 2007 to 2010 [ 26 ]. They found a negative association between all-season NDVI and CKD presence with an OR of 0.79 (95% CI, 0.73–0.86) for 0.26 (an interquartile range) increase in NDVI.…”

Section: Literature Reviewmentioning

confidence: 99%

Greenness and kidney? A review of epidemiological studies on the association between green space and kidney disease

Park,

Yun,

Lee

2024

Kidney Res Clin Pract

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Recent accumulating epidemiological evidence underlines the important role of environmental exposures on kidney diseases. Among environmental exposures, this study addresses “Green space,” which has been recognized as one of the major environmental exposures at the population level. We review a total of seven epidemiological studies currently published on greenness and kidney disease. We also discuss knowledge gaps in the epidemiological evidence in relation to study design, greenness exposure index, emerging kidney outcomes, and inequalities. With an increase in public attention regarding environmental risks and climate change, an improved understanding of the beneficial effects of green space can play an important role in promoting kidney health.

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Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease

Cited by 11 publications

References 54 publications

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

Association between Residential Greenness and Incidence of Parkinson’s Disease: A Population-Based Cohort Study in South Korea

Greenness and kidney? A review of epidemiological studies on the association between green space and kidney disease

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