Residential neighbourhood greenspace is associated with reduced risk of cardiovascular disease: A prospective cohort study

In the last year, in connection with the COVID-19 pandemic caused by the SARS-CoV-2 coronavirus, scientific papers have appeared in which the authors are trying to identify factors (including environmental) favoring the spread of this disease. This paper presents the spatial differentiation in the total number of COVID-19 cases and deaths during the full year (March 2020–March 2021) of the SARS-CoV-2 pandemic in Poland versus green-blue spaces (green—i.a., forests, orchards, meadows and pastures, recreational and rest areas, biologically active arable land; blue—lakes and artificial water reservoirs, rivers, ecological areas and internal waters) and population density. The analysis covers 380 counties, including 66 cities. This study used daily reports on the progress of the pandemic in Poland published by the Ministry of Health of the Republic of Poland and unique, detailed data on 24 types of land use available in the Statistics Poland database. Statistical relationships were determined between the above-mentioned environmental variables and the variables characterizing COVID-19 (cases and deaths). Various basic types of regression models were analysed. The optimal model was selected, and the determination coefficient, significance level and the values of the parameters of these relationships, together with the estimation error, were calculated. The obtained results indicated that the higher the number of green-blue spaces in individual counties, the lower the total number of COVID-19 infections and deaths. These relationships were described by logarithmic and homographic models. In turn, an increase in the population density caused an increase in COVID-19 cases and deaths, according to the power model. These results can be used in the current analysis of the spread of the pandemic, including the location of potential outbreaks. In turn, the developed models can be used as a tool in forecasting the development of the pandemic and making decisions about the implementation of preventive measures.

Section: Introductionmentioning

confidence: 99%

Green-Blue Spaces and Population Density versus COVID-19 Cases and Deaths in Poland

Ciupa

Suligowski

2021

“…These various protective factors have been highlighted in relation to general mortality and chronic diseases [ 11 ]. Among chronic diseases, cardiovascular diseases (CVDs), which are the first cause of death globally [ 23 ], and respiratory diseases seem to be particularly reduced by proximity to green spaces [ 24 ]. However, these links are less clear for other chronic diseases such as cancer even though they share many of their risk factors with cardiovascular diseases, such as physical activity levels, hypertension, overweight and obesity, or stress and anxiety [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Urban Green Spaces and Cancer: A Scoping Review

Porcherie

Linn

Gall

et al. 2021

This scoping study aims to explore the relationships between urban green spaces (UGSs) and the onset, remission and recovery of cancer. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (protocol published in 2018). Eligibility criteria for papers were: (1) to be concerned with UGSs, (2) reporting effects of UGSs on cancer-related outcomes including direct or indirect measures, (3) reporting randomized controlled trials, prospective cohort studies, case studies, observational studies, non-comparative studies, (4) in English or French. The search covered primary studies in the published and unpublished (grey) literatures searching by hand and electronic databases (MEDLINE, Green File, Cumulative Index to Nursing and Allied Health Literature and ScienceDirect). Among 1703 records screened by two reviewers independently, 29 were included for qualitative synthesis. We classify the cancers concerned and the effects reported i.e., protective effect, risk or without association. The most investigated cancers are bladder, breast and lung cancer. Our study also identified contributing factors and their mediating effects between UGSs and cancer. Even though the strength of the evidence of the associations between UGSs and cancer is still weak due to the low number of studies and their design, results highlight the wide variety of possible mediating factors between the use of green spaces and cancer occurrence, remission and/or prevention. Knowledge gaps and future research perspectives should be oriented to qualitative research on protective factors with an attention to equity in UGS access and use.

“…However, it should be noted that all these studies were conducted in Europe, where AT attitudes and facilities make generalizations to the U.S. context difficult. There are several potential mechanisms by which the frequency of active commuting, regardless of overall duration, could be associated with improved CVD risk, including reductions in stress or anxiety, increased green exposure, and Vitamin D synthesis [ 78 , 79 , 80 , 81 , 82 , 83 ]. Daily commutes may also be easier to recall, and therefore self-reported measures of commute-specific AT may be more precise than a global AT measure, as assessed by the IPAQ [ 84 ].…”

Section: Discussionmentioning

confidence: 99%

Device-Measured and Self-Reported Active Travel Associations with Cardiovascular Disease Risk Factors in an Ethnically Diverse Sample of Adults

Crist

Benmarhnia

Zamora

et al. 2021

Active travel (AT) provides an opportunity to alleviate the physical inactivity and climate crises contributing to the global chronic disease burden, including cardiovascular diseases (CVD). Though AT shows promising links to reduced CVD risk, prior studies relied on self-reported AT assessment. In the present study, device-measured and self-reported AT were compared across population subgroups and relationships with CVD risk biomarkers were evaluated for both measures. The study recruited an ethnically diverse sample (N = 602, mean age 59 years, 42% Hispanic/Latino ethnicity) from neighborhoods that varied by walkability and food access. AT was assessed using concurrently collected accelerometer and GPS data and self-report data from a validated survey. Relationships with body mass index (BMI), triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure (BP), and moderate-to-vigorous physical activity (MVPA) were modeled using multivariable linear regression. Devices captured more AT than did self-report. We found differences in AT measures by population subgroups, including race, ethnicity, education, income, vehicle access, and walkability. Men had more accelerometer-measured MVPA, though women self-reported more daily minutes. Both device and survey AT measures were positively associated with total accelerometer-measured MVPA, though the relationship was stronger with device-measured AT. Device-measured AT was associated with lower BMI. No other CVD risk biomarker was associated with either AT measure. No effect modification by Hispanic/Latino ethnicity was detected. Further studies with device-based measures are warranted to better understand the relationship between AT and cardiovascular health.