Residential green spaces and mortality: A systematic review

Background: A number of studies have associated natural outdoor environments with reduced mortality but there is no systematic review synthesizing the evidence. Objectives: We aimed to systematically review the available evidence on the association between long-term exposure to residential green and...

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Detalles Bibliográficos
Autores: Gascon, Mireia, Triguero-Mas, Margarita, Martínez, David, Dadvand, Payam, Rojas Rueda, David, Plasència, Antoni, Nieuwenhuijsen, Mark J.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2015
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/99572
Acceso en línea:https://hdl.handle.net/2445/99572
Access Level:acceso abierto
Palabra clave:Zones verdes
Natura
Open spaces
Nature
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spelling Residential green spaces and mortality: A systematic reviewGascon, MireiaTriguero-Mas, MargaritaMartínez, DavidDadvand, PayamRojas Rueda, DavidPlasència, AntoniNieuwenhuijsen, Mark J.Zones verdesNaturaOpen spacesNatureBackground: A number of studies have associated natural outdoor environments with reduced mortality but there is no systematic review synthesizing the evidence. Objectives: We aimed to systematically review the available evidence on the association between long-term exposure to residential green and blue spaces and mortality in adults, and make recommendations for further research. As a secondary aim, we also conducted meta-analyses to explore the magnitude of and heterogeneity in the risk estimates. Methods: Following the PRISMA statement guidelines for reporting systematic reviews and meta-analysis, two independent reviewers searched studies using keywords related to natural outdoor environments and mortality. Discussion: Our review identified twelve eligible studies conducted in North America, Europe, and Oceania with study populations ranging from 1645 up to more than 43 million individuals. These studies are heterogeneous in design, study population, green space assessment and covariate data. We found that the majority of studies show a reduction of the risk of cardiovascular disease (CVD) mortality in areas with higher residential greenness. Evidence of a reduction of all-cause mortality is more limited, and no benefits of residential greenness on lung cancer mortality are observed. There were no studies on blue spaces. Conclusions: This review supports the hypothesis that living in areas with higher amounts of green spaces reduces mortality, mainly CVD. Further studies such as cohort studies with more and better covariate data, improved green space assessment and accounting well for socioeconomic status are needed to provide further and more complete evidence, as well as studies evaluating the benefits of blue spaces.Elsevier2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/99572Articles publicats en revistes (ISGlobal)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: http://dx.doi.org/10.1016/j.envint.2015.10.013Environment International, 2015, vol. 86, p. 60-67http://dx.doi.org/10.1016/j.envint.2015.10.013(c) Elsevier, 2015info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/995722026-05-27T06:46:51Z
dc.title.none.fl_str_mv Residential green spaces and mortality: A systematic review
title Residential green spaces and mortality: A systematic review
spellingShingle Residential green spaces and mortality: A systematic review
Gascon, Mireia
Zones verdes
Natura
Open spaces
Nature
title_short Residential green spaces and mortality: A systematic review
title_full Residential green spaces and mortality: A systematic review
title_fullStr Residential green spaces and mortality: A systematic review
title_full_unstemmed Residential green spaces and mortality: A systematic review
title_sort Residential green spaces and mortality: A systematic review
dc.creator.none.fl_str_mv Gascon, Mireia
Triguero-Mas, Margarita
Martínez, David
Dadvand, Payam
Rojas Rueda, David
Plasència, Antoni
Nieuwenhuijsen, Mark J.
author Gascon, Mireia
author_facet Gascon, Mireia
Triguero-Mas, Margarita
Martínez, David
Dadvand, Payam
Rojas Rueda, David
Plasència, Antoni
Nieuwenhuijsen, Mark J.
author_role author
author2 Triguero-Mas, Margarita
Martínez, David
Dadvand, Payam
Rojas Rueda, David
Plasència, Antoni
Nieuwenhuijsen, Mark J.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Zones verdes
Natura
Open spaces
Nature
topic Zones verdes
Natura
Open spaces
Nature
description Background: A number of studies have associated natural outdoor environments with reduced mortality but there is no systematic review synthesizing the evidence. Objectives: We aimed to systematically review the available evidence on the association between long-term exposure to residential green and blue spaces and mortality in adults, and make recommendations for further research. As a secondary aim, we also conducted meta-analyses to explore the magnitude of and heterogeneity in the risk estimates. Methods: Following the PRISMA statement guidelines for reporting systematic reviews and meta-analysis, two independent reviewers searched studies using keywords related to natural outdoor environments and mortality. Discussion: Our review identified twelve eligible studies conducted in North America, Europe, and Oceania with study populations ranging from 1645 up to more than 43 million individuals. These studies are heterogeneous in design, study population, green space assessment and covariate data. We found that the majority of studies show a reduction of the risk of cardiovascular disease (CVD) mortality in areas with higher residential greenness. Evidence of a reduction of all-cause mortality is more limited, and no benefits of residential greenness on lung cancer mortality are observed. There were no studies on blue spaces. Conclusions: This review supports the hypothesis that living in areas with higher amounts of green spaces reduces mortality, mainly CVD. Further studies such as cohort studies with more and better covariate data, improved green space assessment and accounting well for socioeconomic status are needed to provide further and more complete evidence, as well as studies evaluating the benefits of blue spaces.
publishDate 2015
dc.date.none.fl_str_mv 2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/99572
url https://hdl.handle.net/2445/99572
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: http://dx.doi.org/10.1016/j.envint.2015.10.013
Environment International, 2015, vol. 86, p. 60-67
http://dx.doi.org/10.1016/j.envint.2015.10.013
dc.rights.none.fl_str_mv (c) Elsevier, 2015
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Elsevier, 2015
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (ISGlobal)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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