Urban green space and the risks of dementia and stroke.

Adult Cohort Studies Dementia / epidemiology Humans Ontario / epidemiology Retrospective Studies Stroke / epidemiology
Dementia Neurological health Residential green space Stroke

Journal

Environmental research
ISSN: 1096-0953
Titre abrégé: Environ Res
Pays: Netherlands
ID NLM: 0147621

Informations de publication

Date de publication:
07 2020
Historique:
received: 18 10 2019
revised: 16 03 2020
accepted: 10 04 2020
pubmed: 29 4 2020
medline: 21 11 2020
entrez: 29 4 2020
Statut: ppublish

Résumé

It is unknown whether urban green space is associated with reduced risk of major neurological conditions, especially dementia and stroke. Retrospective, population-based cohorts were created for each study outcome, including 1.7 and 4.3 million adults in Ontario, Canada for dementia and stroke, respectively. Residential green space was quantified using the satellite-derived Normalized Difference Vegetation Index. Incidence was ascertained using health administrative data with validated algorithms. Mixed-effects Cox models were used to estimate hazard ratios per interquartile range increase in green space exposure. Between 2001 and 2013, 219,013 individuals were diagnosed with dementia and 89,958 had a stroke. The hazard ratio per interquartile range increase in green space was 0.97 (95% CI: 0.96-0.98) for dementia and 0.96 (0.95-0.98) for stroke. Estimates remained generally consistent in sensitivity analyses. Increased exposure to urban green space was associated with reduced incidence of dementia and stroke. To our knowledge, this is the first population-based cohort study to assess these relationships.

Identifiants

DOI: 10.1016/j.envres.2020.109520 PMID: 32344208
pubmed: 32344208
pii: S0013-9351(20)30413-8
doi: 10.1016/j.envres.2020.109520
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

109520

Subventions

Organisme : CIHR
ID : MOP-133463
Pays : Canada

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Lauren A Paul (LA)

Department of Environmental and Occupational Health, Public Health Ontario, 480 University Ave. Suite 300, Toronto, ON, M5G 1V2, Canada. Electronic address: lauren.paul@oahpp.ca.

Perry Hystad (P)

College of Public Health and Human Sciences, Oregon State University, Women's Bldg, 160 SW 26th St., Corvallis, OR, 97331, USA. Electronic address: perry.hystad@oregonstate.edu.

Richard T Burnett (RT)

Population Studies Division, Environmental Health Science and Research Bureau, Health Canada, Finance Bldg, 101 Tunney's Pasture Drwy, Ottawa, ON, K1A 0K9, Canada. Electronic address: rick.burnett@canada.ca.

Jeffrey C Kwong (JC)

Public Health Ontario Laboratories, Public Health Ontario, 661 University Ave. Suite 1701, Toronto, ON, M5G 1M1, Canada; ICES, 2075 Bayview Ave. G1 06, Toronto, ON, M4N 3M5, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College St. Room 500, Toronto, ON, M5T 3M7, Canada; Department of Family and Community Medicine, University of Toronto, 500 University Ave. 5th Floor, Toronto, ON, M5G 1V7, Canada. Electronic address: jeff.kwong@utoronto.ca.

Dan L Crouse (DL)

Health Effects Institute, 75 Federal St. Suite 1400, Boston, MA, 02110-1817, USA. Electronic address: dcrouse@healtheffects.org.

Aaron van Donkelaar (A)

Department of Physics and Atmospheric Science, Dalhousie University, Sir James Dunn Bldg, 6310 Coburg Rd., Halifax, NS, B3H 4J5, Canada. Electronic address: aaron.van.donkelaar@dal.ca.

Karen Tu (K)

Dalla Lana School of Public Health, University of Toronto, 155 College St. Room 500, Toronto, ON, M5T 3M7, Canada; Department of Family and Community Medicine, University of Toronto, 500 University Ave. 5th Floor, Toronto, ON, M5G 1V7, Canada. Electronic address: k.tu@utoronto.ca.

Eric Lavigne (E)

Air Health Science Division, Health Canada, 269 Laurier Ave. W A.L. 4903B, Ottawa, ON, K1A 0K9, Canada; School of Epidemiology and Public Health, University of Ottawa, Alta Vista Campus, 600 Peter Morand Cres. Room 101, Ottawa, ON, K1G 5Z3, Canada. Electronic address: eric.lavigne@canada.ca.

Ray Copes (R)

Department of Environmental and Occupational Health, Public Health Ontario, 480 University Ave. Suite 300, Toronto, ON, M5G 1V2, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College St. Room 500, Toronto, ON, M5T 3M7, Canada. Electronic address: ray.copes@oahpp.ca.

Randall V Martin (RV)

Department of Physics and Atmospheric Science, Dalhousie University, Sir James Dunn Bldg, 6310 Coburg Rd., Halifax, NS, B3H 4J5, Canada. Electronic address: randall.martin@dal.ca.

Hong Chen (H)

Department of Environmental and Occupational Health, Public Health Ontario, 480 University Ave. Suite 300, Toronto, ON, M5G 1V2, Canada; ICES, 2075 Bayview Ave. G1 06, Toronto, ON, M4N 3M5, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College St. Room 500, Toronto, ON, M5T 3M7, Canada. Electronic address: hong.chen@oahpp.ca.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Démence › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Ontario › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Urban green space and the risks of dementia and stroke.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Accident vasculaire cérébral › Urban green space and the risks of dementia and stroke.