Greenspace and human health: An umbrella review
Multiple systematic reviews on greenspace and health outcomes exist, but the overall evidence base remains unclear. Therefore, we performed an umbrella review to collect and appraise all relevant systematic reviews of epidemiological studies on greenness exposure and health. We searched PubMed, Emba...
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Elsevier
2021-11-01
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Series: | The Innovation |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2666675821000898 |
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doaj-38dc4bd14a874bdc8a95bcfc81ca14e0 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bo-Yi Yang Tianyu Zhao Li-Xin Hu Matthew H.E.M. Browning Joachim Heinrich Shyamali C. Dharmage Bin Jalaludin Luke D. Knibbs Xiao-Xuan Liu Ya-Na Luo Peter James Shanshan Li Wen-Zhong Huang Gongbo Chen Xiao-Wen Zeng Li-Wen Hu Yunjiang Yu Guang-Hui Dong |
spellingShingle |
Bo-Yi Yang Tianyu Zhao Li-Xin Hu Matthew H.E.M. Browning Joachim Heinrich Shyamali C. Dharmage Bin Jalaludin Luke D. Knibbs Xiao-Xuan Liu Ya-Na Luo Peter James Shanshan Li Wen-Zhong Huang Gongbo Chen Xiao-Wen Zeng Li-Wen Hu Yunjiang Yu Guang-Hui Dong Greenspace and human health: An umbrella review The Innovation greenspace vegetation human health umbrella review systematic review |
author_facet |
Bo-Yi Yang Tianyu Zhao Li-Xin Hu Matthew H.E.M. Browning Joachim Heinrich Shyamali C. Dharmage Bin Jalaludin Luke D. Knibbs Xiao-Xuan Liu Ya-Na Luo Peter James Shanshan Li Wen-Zhong Huang Gongbo Chen Xiao-Wen Zeng Li-Wen Hu Yunjiang Yu Guang-Hui Dong |
author_sort |
Bo-Yi Yang |
title |
Greenspace and human health: An umbrella review |
title_short |
Greenspace and human health: An umbrella review |
title_full |
Greenspace and human health: An umbrella review |
title_fullStr |
Greenspace and human health: An umbrella review |
title_full_unstemmed |
Greenspace and human health: An umbrella review |
title_sort |
greenspace and human health: an umbrella review |
publisher |
Elsevier |
series |
The Innovation |
issn |
2666-6758 |
publishDate |
2021-11-01 |
description |
Multiple systematic reviews on greenspace and health outcomes exist, but the overall evidence base remains unclear. Therefore, we performed an umbrella review to collect and appraise all relevant systematic reviews of epidemiological studies on greenness exposure and health. We searched PubMed, Embase, and Web of Science from inception to June 28, 2021, and screened references of relevant articles. Systematic reviews with or without meta-analyses of epidemiological studies that examined the associations of greenness with any health outcome were included. Two independent investigators performed study selection and data extraction. We also evaluated the methodological quality of the included systematic reviews using the “Assessing the Methodological Quality of Systematic Reviews 2” checklist. A total of 40 systematic reviews and meta-analyses were included, of which most were cross-sectional studies conducted in high-income countries. Greenspace exposure was estimated with various objective and subjective parameters. Beneficial associations of greenspace with all-cause and stroke-specific mortality, CVD morbidity, cardiometabolic factors, mental health, low birth weight, physical activity, sleep quality, and urban crime were observed. No consistent associations between greenspace and other health outcomes (e.g., cancers) were observed. Most of the included systematic reviews and meta-analyses had one or more limitations in methodology. Our findings provide supportive evidence regarding the beneficial effects of greenspace exposure on some aspects of human health. However, the credibility of such evidence was compromised by methodological limitations. Better performed systematic reviews and meta-analyses as well as longitudinal designed primary studies are needed to validate this conclusion. Public summary: • The evidence concerning greenspace and health outcomes remains unclear • We performed an umbrella review of 40 systematic reviews on greenspace and health • Greenspace exposure was estimated with various objective and subjective parameters • Greenspace was beneficially associated with several aspects of human health |
topic |
greenspace vegetation human health umbrella review systematic review |
url |
http://www.sciencedirect.com/science/article/pii/S2666675821000898 |
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doaj-38dc4bd14a874bdc8a95bcfc81ca14e02021-09-27T04:29:27ZengElsevierThe Innovation2666-67582021-11-0124100164Greenspace and human health: An umbrella reviewBo-Yi Yang0Tianyu Zhao1Li-Xin Hu2Matthew H.E.M. Browning3Joachim Heinrich4Shyamali C. Dharmage5Bin Jalaludin6Luke D. Knibbs7Xiao-Xuan Liu8Ya-Na Luo9Peter James10Shanshan Li11Wen-Zhong Huang12Gongbo Chen13Xiao-Wen Zeng14Li-Wen Hu15Yunjiang Yu16Guang-Hui Dong17Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital Munich, Comprehensive Pneumology Center (CPC) Munich, member, German Center for Lung Research (DZL), Munich 80036, Germany; Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, 85764 Neuherberg, GermanyGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Park, Recreation, and Tourism Management, Clemson University, Clemson, SC 29634, USAInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital Munich, Comprehensive Pneumology Center (CPC) Munich, member, German Center for Lung Research (DZL), Munich 80036, Germany; Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, AustraliaAllergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, AustraliaCentre for Air Quality and Health Research and Evaluation, Glebe NSW 2037, Australia; Population Health, South Western Sydney Local Health District, Liverpool NSW 2170, Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia; School of Public Health and Community Medicine, The University of New South Wales, Kensington, NSW 2052, AustraliaSchool of Public Health, The University of Sydney, NSW 2006, AustraliaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02215, USAClimate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaState Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, South China Institute of Environmental Sciences, Ministry of Environmental Protection, Guangzhou 510080, China; Corresponding authorGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Corresponding authorMultiple systematic reviews on greenspace and health outcomes exist, but the overall evidence base remains unclear. Therefore, we performed an umbrella review to collect and appraise all relevant systematic reviews of epidemiological studies on greenness exposure and health. We searched PubMed, Embase, and Web of Science from inception to June 28, 2021, and screened references of relevant articles. Systematic reviews with or without meta-analyses of epidemiological studies that examined the associations of greenness with any health outcome were included. Two independent investigators performed study selection and data extraction. We also evaluated the methodological quality of the included systematic reviews using the “Assessing the Methodological Quality of Systematic Reviews 2” checklist. A total of 40 systematic reviews and meta-analyses were included, of which most were cross-sectional studies conducted in high-income countries. Greenspace exposure was estimated with various objective and subjective parameters. Beneficial associations of greenspace with all-cause and stroke-specific mortality, CVD morbidity, cardiometabolic factors, mental health, low birth weight, physical activity, sleep quality, and urban crime were observed. No consistent associations between greenspace and other health outcomes (e.g., cancers) were observed. Most of the included systematic reviews and meta-analyses had one or more limitations in methodology. Our findings provide supportive evidence regarding the beneficial effects of greenspace exposure on some aspects of human health. However, the credibility of such evidence was compromised by methodological limitations. Better performed systematic reviews and meta-analyses as well as longitudinal designed primary studies are needed to validate this conclusion. Public summary: • The evidence concerning greenspace and health outcomes remains unclear • We performed an umbrella review of 40 systematic reviews on greenspace and health • Greenspace exposure was estimated with various objective and subjective parameters • Greenspace was beneficially associated with several aspects of human healthhttp://www.sciencedirect.com/science/article/pii/S2666675821000898greenspacevegetationhuman healthumbrella reviewsystematic review |