Sumin Seo1, Seulggie Choi2, Kyuwoong Kim2, Sung Min Kim2, Sang Min Park3. 1. Department of Biological Sciences, Sungkyunkwan University College of Science, Suwon, Republic of Korea. 2. Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea. 3. Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of Korea. Electronic address: smpark.snuh@gmail.com.
Abstract
PURPOSE: Few previous studies have investigated the association between urban green space and cardiovascular disease (CVD) within Asian populations. We aimed to determine the relationship between amount of green space in the residential environment and CVD within a large general Asian population in this population-based longitudinal study. METHODS: The study population consisted of 351,409 participants aged over 20 years extracted from the National Health Insurance Service National Sample Cohort. Data on newly-occurred CVD events were collected from hospital admission records for the period 1 January 2006 to 31 December 2013. Cox proportional hazards regression analysis was used for determining the risk of developing CVD according to urban green space coverage (% area), adjusting for a number of relevant confounders. RESULTS: Compared to those within the lowest quartile of green space coverage, those within the highest quartile of urban space had a reduced risk of total CVD (hazard ratio, HR 0.85, 95% confidence interval, CI 0.81-0.89), coronary heart disease (HR 0.83, 95% CI 0.78-0.89), acute myocardial infarction (HR 0.77, 95% CI 0.68-0.88), total stroke (HR 0.87, 95% CI 0.82-0.93) and ischemic stroke (HR 0.86, 95% CI 0.80-0.94), but not hemorrhagic stroke (HR 0.98, 95% CI 0.86-1.12). The risk-reducing effect of green space coverage was preserved after stratification according to sex, household income, and Charlson comorbidity index. CONCLUSION: Residing in urban regions with greater green space coverage may lead to a reduced risk of CVD. Urban planning intervention policies that increase urban green space coverage could help to reduce the risk of CVD.
PURPOSE: Few previous studies have investigated the association between urban green space and cardiovascular disease (CVD) within Asian populations. We aimed to determine the relationship between amount of green space in the residential environment and CVD within a large general Asian population in this population-based longitudinal study. METHODS: The study population consisted of 351,409 participants aged over 20 years extracted from the National Health Insurance Service National Sample Cohort. Data on newly-occurred CVD events were collected from hospital admission records for the period 1 January 2006 to 31 December 2013. Cox proportional hazards regression analysis was used for determining the risk of developing CVD according to urban green space coverage (% area), adjusting for a number of relevant confounders. RESULTS: Compared to those within the lowest quartile of green space coverage, those within the highest quartile of urban space had a reduced risk of total CVD (hazard ratio, HR 0.85, 95% confidence interval, CI 0.81-0.89), coronary heart disease (HR 0.83, 95% CI 0.78-0.89), acute myocardial infarction (HR 0.77, 95% CI 0.68-0.88), total stroke (HR 0.87, 95% CI 0.82-0.93) and ischemic stroke (HR 0.86, 95% CI 0.80-0.94), but not hemorrhagic stroke (HR 0.98, 95% CI 0.86-1.12). The risk-reducing effect of green space coverage was preserved after stratification according to sex, household income, and Charlson comorbidity index. CONCLUSION: Residing in urban regions with greater green space coverage may lead to a reduced risk of CVD. Urban planning intervention policies that increase urban green space coverage could help to reduce the risk of CVD.
Authors: Paul D Juarez; Mohammad Tabatabai; Robert Burciaga Valdez; Darryl B Hood; Wansoo Im; Charles Mouton; Cynthia Colen; Mohammad Z Al-Hamdan; Patricia Matthews-Juarez; Maureen Y Lichtveld; Daniel Sarpong; Aramandla Ramesh; Michael A Langston; Gary L Rogers; Charles A Phillips; John F Reichard; Macarius M Donneyong; William Blot Journal: Int J Environ Res Public Health Date: 2020-05-19 Impact factor: 3.390
Authors: Seulggie Choi; Juhwan Oh; Sang Min Park; Seo Eun Hwang; Hwa-Young Lee; Kyuwoong Kim; Yugo Shobugawa; Ichiro Kawachi; Jong-Koo Lee Journal: BMC Public Health Date: 2020-11-25 Impact factor: 3.295
Authors: Seo Eun Hwang; Seulggie Choi; Kyuwoong Kim; Jong-Koo Lee; Juhwan Oh; Sang Min Park Journal: BMC Public Health Date: 2020-12-01 Impact factor: 3.295
Authors: Hong Chen; Richard T Burnett; Li Bai; Jeffrey C Kwong; Dan L Crouse; Eric Lavigne; Mark S Goldberg; Ray Copes; Tarik Benmarhnia; Sindana D Ilango; Aaron van Donkelaar; Randall V Martin; Perry Hystad Journal: Environ Health Perspect Date: 2020-08-25 Impact factor: 9.031