绿色植被与心脑血管事件的系统综述及其队列研究的Meta分析

    A systematic review of green vegetation and cardiovascular and cerebrovascular events and Meta-analysis of cohort studies

    • 摘要:
      目的: 综合现有观察性研究证据,评估绿色植被与成年人心脑血管事件关联,探讨潜在中介因素。
      方法: 检索2011年1月1日至2022年2月20日Pubmed数据库中相关研究,依据纳入标准筛选文章并提取数据,进行定性评价和Meta分析。
      结果: 55项研究纳入定性评估,其中7项纳入定量分析。多数研究显示绿色暴露指标与八大心脑血管事件呈负相关。部分Meta分析结果显示绿色暴露指标与心脑血管疾病死亡率的关联具有统计学意义。此外,二者间中介因素主要集中于空气质量与体力活动;其次为噪音、体质量指数。
      结论: 支持增加绿色植被覆盖可降低成年人心脑血管事件风险,未来需注重中介因素的研究。

       

      Abstract:
      Objective Based on the existing observational evidence, the aim is to evaluate the relationship between green vegetation and cardiovascular and cerebrovascular events in adults and explore the potential mediating factors.
      Methods Realated studies were retrieved in the Pubmed database from January 1, 2011 to February 20, 2022, and the articles were screened and the data were extracted according to inclusion criteria. Finally, the qualitative evaluation and meta-analysis were performed.
      Results A total of fifty-five studies were included in the qualitative evaluation, of which seven were included in the quantitative analysis. Most studies showed that green exposure was negatively correlated with eight cardiovascular and cerebrovascular events. Partial meta-analysis results showed that the association between greenness and mortality of cardiovascular and cerebrovascular diseases was statistically significant. In addition, air quality and physical activity were the main mediators, followed by the noise and BMI.
      Conclusion It is supported that increasing green vegetation can reduce the risk of cardiovascular and cerebrovascular events in adults, and further research on mediating factors is needed.

       

    /

    返回文章
    返回