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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	greenspace vegetation human health umbrella review systematic review Science (General) Q1-390
Acceso en línea:	https://doaj.org/article/38dc4bd14a874bdc8a95bcfc81ca14e0
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spelling	oai:doaj.org-article:38dc4bd14a874bdc8a95bcfc81ca14e02021-11-28T04:39:04ZGreenspace and human health: An umbrella review2666-675810.1016/j.xinn.2021.100164https://doaj.org/article/38dc4bd14a874bdc8a95bcfc81ca14e02021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666675821000898https://doaj.org/toc/2666-6758Multiple 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 healthBo-Yi YangTianyu ZhaoLi-Xin HuMatthew H.E.M. BrowningJoachim HeinrichShyamali C. DharmageBin JalaludinLuke D. KnibbsXiao-Xuan LiuYa-Na LuoPeter JamesShanshan LiWen-Zhong HuangGongbo ChenXiao-Wen ZengLi-Wen HuYunjiang YuGuang-Hui DongElsevierarticlegreenspacevegetationhuman healthumbrella reviewsystematic reviewScience (General)Q1-390ENThe Innovation, Vol 2, Iss 4, Pp 100164- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	greenspace vegetation human health umbrella review systematic review Science (General) Q1-390
spellingShingle	greenspace vegetation human health umbrella review systematic review Science (General) Q1-390 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
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
format	article
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
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
publishDate	2021
url	https://doaj.org/article/38dc4bd14a874bdc8a95bcfc81ca14e0
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Greenspace and human health: An umbrella review

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