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...

Descripción completa

Detalles Bibliográficos
Autores: Gascon Merlos, Mireia, 1984-, Triguero Mas, Margarita, 1985-, Martínez Muriano, David, Dadvand, Payam, Rojas Rueda, David, 1979-, Plasència i Taradach, Antoni, 1957-, Nieuwenhuijsen, Mark J.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/26331
Acceso en línea:http://hdl.handle.net/10230/26331
http://dx.doi.org/10.1016/j.envint.2015.10.013
Access Level:acceso abierto
Palabra clave:Medi ambient
Mortalitat
Blue spaces
Green spaces
Mortality
NDVI
Nature
Systematic review
id ES_a6fa63e3605573d2b3d0d20552cd40ec
oai_identifier_str oai:repositori.upf.edu:10230/26331
network_acronym_str ES
network_name_str España
repository_id_str
spelling Residential green spaces and mortality: a systematic reviewGascon Merlos, Mireia, 1984-Triguero Mas, Margarita, 1985-Martínez Muriano, DavidDadvand, PayamRojas Rueda, David, 1979-Plasència i Taradach, Antoni, 1957-Nieuwenhuijsen, Mark J.Medi ambientMortalitatBlue spacesGreen spacesMortalityNDVINatureSystematic reviewBACKGROUND: 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.This project was funded by the CERCA Institutes Integration Program (SUMA 2013) [promoted and managed by the Secretariat for Universities and Research of the Ministry Economy and Knowledge of the Government of Catalonia (SUR), the Agency for Management of University and Research Grants (AGAUR) and the CERCA Institute]. Payam Dadvand is funded by a Ramón y Cajal fellowship (RYC-2012-10,995) awarded by the Spanish Ministry of Economy and Competitiveness. Margarita Triguero-Mas is funded by a pre-doctoral grant from the Catalan Government (AGAUR FI-DGR-2013).Elsevier20162016info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/26331http://dx.doi.org/10.1016/j.envint.2015.10.013reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésEnvironment International. 2016; 86: 60-67© Elsevier http://dx.doi.org/10.1016/j.envint.2015.10.013info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/263312026-06-12T07:21:37Z
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 Merlos, Mireia, 1984-
Medi ambient
Mortalitat
Blue spaces
Green spaces
Mortality
NDVI
Nature
Systematic review
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 Merlos, Mireia, 1984-
Triguero Mas, Margarita, 1985-
Martínez Muriano, David
Dadvand, Payam
Rojas Rueda, David, 1979-
Plasència i Taradach, Antoni, 1957-
Nieuwenhuijsen, Mark J.
author Gascon Merlos, Mireia, 1984-
author_facet Gascon Merlos, Mireia, 1984-
Triguero Mas, Margarita, 1985-
Martínez Muriano, David
Dadvand, Payam
Rojas Rueda, David, 1979-
Plasència i Taradach, Antoni, 1957-
Nieuwenhuijsen, Mark J.
author_role author
author2 Triguero Mas, Margarita, 1985-
Martínez Muriano, David
Dadvand, Payam
Rojas Rueda, David, 1979-
Plasència i Taradach, Antoni, 1957-
Nieuwenhuijsen, Mark J.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Medi ambient
Mortalitat
Blue spaces
Green spaces
Mortality
NDVI
Nature
Systematic review
topic Medi ambient
Mortalitat
Blue spaces
Green spaces
Mortality
NDVI
Nature
Systematic review
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 2016
dc.date.none.fl_str_mv 2016
2016
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 http://hdl.handle.net/10230/26331
http://dx.doi.org/10.1016/j.envint.2015.10.013
url http://hdl.handle.net/10230/26331
http://dx.doi.org/10.1016/j.envint.2015.10.013
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Environment International. 2016; 86: 60-67
dc.rights.none.fl_str_mv © Elsevier http://dx.doi.org/10.1016/j.envint.2015.10.013
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © Elsevier http://dx.doi.org/10.1016/j.envint.2015.10.013
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869415740665233408
score 15.811543