Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease
Green space is associated with many health benefits, but evidence concerning the effects on chronic kidney disease (CKD) has not been investigated. Using the nationwide cross-sectional study of 47,204 adults from the China National Survey of Chronic Kidney Disease dataset and residential greenness a...
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| Veröffentlicht in: | The Science of the total environment 2022-02, Vol.806 (Pt 2), p.150628-150628, Article 150628 |
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| creator | Liang, Ze Wang, Wanzhou Yang, Chao Wang, Yueyao Shen, Jiashu Li, Pengfei Ma, Lin Wei, Feili Chen, Rui Liang, Chenyu Li, Shuangcheng Zhang, Luxia |
| description | Green space is associated with many health benefits, but evidence concerning the effects on chronic kidney disease (CKD) has not been investigated. Using the nationwide cross-sectional study of 47,204 adults from the China National Survey of Chronic Kidney Disease dataset and residential greenness assessed by the normalized difference vegetation index (NDVI), this study evaluated the association between residential greenness and CKD prevalence. An interquartile range increase in NDVI1000m (0.26) was associated with decreased odds of CKD for all participants with an odds ratio (OR) of 0.79 (95% confidence interval [CI]: 0.73–0.86). Subgroup analyses demonstrated more apparent inverse associations in younger adults |
| doi_str_mv | 10.1016/j.scitotenv.2021.150628 |
| format | Article |
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•The first study on associations between residential greenness and CKD•Residential greenness was associated with decreased CKD prevalence.•Stronger protecting effects among people with higher socio-economic status•Stronger protecting effects for regions with higher PM2.5 concentration levels</description><identifier>ISSN: 0048-9697</identifier><identifier>EISSN: 1879-1026</identifier><identifier>DOI: 10.1016/j.scitotenv.2021.150628</identifier><identifier>PMID: 34592294</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Air Pollution - analysis ; China - epidemiology ; Chronic kidney disease ; Cross-Sectional Studies ; Cross-sectional study ; Greenness ; Humans ; Male ; NDVI ; Particulate Matter - analysis ; PM2.5 ; Prevalence ; Renal Insufficiency, Chronic - epidemiology</subject><ispartof>The Science of the total environment, 2022-02, Vol.806 (Pt 2), p.150628-150628, Article 150628</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-19b15021f349269cd2ed1764b5153f2316bf7d57cb546eccc05db65b0b37de6a3</citedby><cites>FETCH-LOGICAL-c437t-19b15021f349269cd2ed1764b5153f2316bf7d57cb546eccc05db65b0b37de6a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.scitotenv.2021.150628$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34592294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Ze</creatorcontrib><creatorcontrib>Wang, Wanzhou</creatorcontrib><creatorcontrib>Yang, Chao</creatorcontrib><creatorcontrib>Wang, Yueyao</creatorcontrib><creatorcontrib>Shen, Jiashu</creatorcontrib><creatorcontrib>Li, Pengfei</creatorcontrib><creatorcontrib>Ma, Lin</creatorcontrib><creatorcontrib>Wei, Feili</creatorcontrib><creatorcontrib>Chen, Rui</creatorcontrib><creatorcontrib>Liang, Chenyu</creatorcontrib><creatorcontrib>Li, Shuangcheng</creatorcontrib><creatorcontrib>Zhang, Luxia</creatorcontrib><title>Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease</title><title>The Science of the total environment</title><addtitle>Sci Total Environ</addtitle><description>Green space is associated with many health benefits, but evidence concerning the effects on chronic kidney disease (CKD) has not been investigated. Using the nationwide cross-sectional study of 47,204 adults from the China National Survey of Chronic Kidney Disease dataset and residential greenness assessed by the normalized difference vegetation index (NDVI), this study evaluated the association between residential greenness and CKD prevalence. An interquartile range increase in NDVI1000m (0.26) was associated with decreased odds of CKD for all participants with an odds ratio (OR) of 0.79 (95% confidence interval [CI]: 0.73–0.86). Subgroup analyses demonstrated more apparent inverse associations in younger adults <65 years, male participants, people in higher socio-economic status, as well as people with smoking and alcohol drinking habit. In addition, more apparent inverse associations were found in regions with higher fine particulate matter (PM2.5) concentration levels, with OR of 0.56 (95% CI: 0.49, 0.65) for higher pollution regions, and OR of 0.95 (95% CI: 0.83, 1.09) for lower pollution regions (P for interaction <0.001). The exposure-response curves captured more apparent declines in OR of CKD when in lower NDVI1000m exposure ranges (<0.6), even controlling for the PM2.5 concentration. Our results indicated that residential greenness might be beneficial for the prevention and control of CKD at the population level, suggesting the positive significance of strengthening green space construction, particularly in regions with low greenness.
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•The first study on associations between residential greenness and CKD•Residential greenness was associated with decreased CKD prevalence.•Stronger protecting effects among people with higher socio-economic status•Stronger protecting effects for regions with higher PM2.5 concentration levels</description><subject>Adult</subject><subject>Air Pollution - analysis</subject><subject>China - epidemiology</subject><subject>Chronic kidney disease</subject><subject>Cross-Sectional Studies</subject><subject>Cross-sectional study</subject><subject>Greenness</subject><subject>Humans</subject><subject>Male</subject><subject>NDVI</subject><subject>Particulate Matter - analysis</subject><subject>PM2.5</subject><subject>Prevalence</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><issn>0048-9697</issn><issn>1879-1026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFOGzEQhq2qFQTKK7Q-9rKp7V3b695QWqACgUThbHntWeJ0Y6f2JhJH3hxHG7h2LnP5_280H0JfKZlTQsX31TxbP8YRwm7OCKNzyolg7Qc0o61UFSVMfEQzQpq2UkLJY3SS84qUkS09Qsd1wxVjqpmhl3vI3kEYvRnwUwIIAXLGJji8SbAzAwQLOPbYLlMM3uK_3gV4xs5nMBl-4AsfnA9PGfcprvG4BLxY-mDwrRl9DAX6Z5t2pVAQiwPiekL8nBCf0afeDBnODvsUPV78elhcVTd3l78X5zeVbWo5VlR15UdG-7pRTCjrGDgqRdNxyuue1VR0vXRc2o43Aqy1hLtO8I50tXQgTH2Kvk3cTYr_tpBHvfbZwjCYAHGbNeOylZLwVpWonKI2xZwT9HqT_NqkZ02J3vvXK_3uX-_968l_aX45HNl2a3DvvTfhJXA-BaC8uvOQ9qC9Y-cT2FG76P975BVLDZz8</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Liang, Ze</creator><creator>Wang, Wanzhou</creator><creator>Yang, Chao</creator><creator>Wang, Yueyao</creator><creator>Shen, Jiashu</creator><creator>Li, Pengfei</creator><creator>Ma, Lin</creator><creator>Wei, Feili</creator><creator>Chen, Rui</creator><creator>Liang, Chenyu</creator><creator>Li, Shuangcheng</creator><creator>Zhang, Luxia</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20220201</creationdate><title>Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease</title><author>Liang, Ze ; Wang, Wanzhou ; Yang, Chao ; Wang, Yueyao ; Shen, Jiashu ; Li, Pengfei ; Ma, Lin ; Wei, Feili ; Chen, Rui ; Liang, Chenyu ; Li, Shuangcheng ; Zhang, Luxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-19b15021f349269cd2ed1764b5153f2316bf7d57cb546eccc05db65b0b37de6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Air Pollution - analysis</topic><topic>China - epidemiology</topic><topic>Chronic kidney disease</topic><topic>Cross-Sectional Studies</topic><topic>Cross-sectional study</topic><topic>Greenness</topic><topic>Humans</topic><topic>Male</topic><topic>NDVI</topic><topic>Particulate Matter - analysis</topic><topic>PM2.5</topic><topic>Prevalence</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liang, Ze</creatorcontrib><creatorcontrib>Wang, Wanzhou</creatorcontrib><creatorcontrib>Yang, Chao</creatorcontrib><creatorcontrib>Wang, Yueyao</creatorcontrib><creatorcontrib>Shen, Jiashu</creatorcontrib><creatorcontrib>Li, Pengfei</creatorcontrib><creatorcontrib>Ma, Lin</creatorcontrib><creatorcontrib>Wei, Feili</creatorcontrib><creatorcontrib>Chen, Rui</creatorcontrib><creatorcontrib>Liang, Chenyu</creatorcontrib><creatorcontrib>Li, Shuangcheng</creatorcontrib><creatorcontrib>Zhang, Luxia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Science of the total environment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liang, Ze</au><au>Wang, Wanzhou</au><au>Yang, Chao</au><au>Wang, Yueyao</au><au>Shen, Jiashu</au><au>Li, Pengfei</au><au>Ma, Lin</au><au>Wei, Feili</au><au>Chen, Rui</au><au>Liang, Chenyu</au><au>Li, Shuangcheng</au><au>Zhang, Luxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease</atitle><jtitle>The Science of the total environment</jtitle><addtitle>Sci Total Environ</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>806</volume><issue>Pt 2</issue><spage>150628</spage><epage>150628</epage><pages>150628-150628</pages><artnum>150628</artnum><issn>0048-9697</issn><eissn>1879-1026</eissn><abstract>Green space is associated with many health benefits, but evidence concerning the effects on chronic kidney disease (CKD) has not been investigated. Using the nationwide cross-sectional study of 47,204 adults from the China National Survey of Chronic Kidney Disease dataset and residential greenness assessed by the normalized difference vegetation index (NDVI), this study evaluated the association between residential greenness and CKD prevalence. An interquartile range increase in NDVI1000m (0.26) was associated with decreased odds of CKD for all participants with an odds ratio (OR) of 0.79 (95% confidence interval [CI]: 0.73–0.86). Subgroup analyses demonstrated more apparent inverse associations in younger adults <65 years, male participants, people in higher socio-economic status, as well as people with smoking and alcohol drinking habit. In addition, more apparent inverse associations were found in regions with higher fine particulate matter (PM2.5) concentration levels, with OR of 0.56 (95% CI: 0.49, 0.65) for higher pollution regions, and OR of 0.95 (95% CI: 0.83, 1.09) for lower pollution regions (P for interaction <0.001). The exposure-response curves captured more apparent declines in OR of CKD when in lower NDVI1000m exposure ranges (<0.6), even controlling for the PM2.5 concentration. Our results indicated that residential greenness might be beneficial for the prevention and control of CKD at the population level, suggesting the positive significance of strengthening green space construction, particularly in regions with low greenness.
[Display omitted]
•The first study on associations between residential greenness and CKD•Residential greenness was associated with decreased CKD prevalence.•Stronger protecting effects among people with higher socio-economic status•Stronger protecting effects for regions with higher PM2.5 concentration levels</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34592294</pmid><doi>10.1016/j.scitotenv.2021.150628</doi><tpages>1</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Air Pollution - analysis China - epidemiology Chronic kidney disease Cross-Sectional Studies Cross-sectional study Greenness Humans Male NDVI Particulate Matter - analysis PM2.5 Prevalence Renal Insufficiency, Chronic - epidemiology |
| title | Residential greenness and prevalence of chronic kidney disease: Findings from the China National Survey of Chronic Kidney Disease |
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