居住在中国东部绿地面积大的地区与COPD风险增加和肺功能下降有关。

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-01-25 DOI:10.1016/j.hrtlng.2025.01.008

Le-Yun Tan , Yao Wang , Li Yang , Cheng-Shui Chen , Fan Zhang , Ming-Tao Yu , Pi Guo , Qing-Ying Zhang

{"title":"居住在中国东部绿地面积大的地区与COPD风险增加和肺功能下降有关。","authors":"Le-Yun Tan , Yao Wang , Li Yang , Cheng-Shui Chen , Fan Zhang , Ming-Tao Yu , Pi Guo , Qing-Ying Zhang","doi":"10.1016/j.hrtlng.2025.01.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Evidence for a relation between residential greenspace and respiratory health is scarce and controversial.</div></div><div><h3>Objectives</h3><div>The purpose of this study was to explore the association between residential greenspace and its interaction with particulate matter (PM<sub>2.5</sub>) and risk of chronic obstructive pulmonary disease (COPD) and lung function.</div></div><div><h3>Methods</h3><div>A total of 3,759 adults were recruited from Wenzhou in this study. Lung function measurements included forced expiratory volume in 1 s (FEV1); forced vital capacity (FVC); FEV1/FVC ratio; peak expiratory flow (PEF); forced expiratory flow (FEF) at 25 %, 50 %, and 75 %; and maximal mid-expiratory flow (MMEF). The Normalized Difference Vegetation Index (NDVI) was used to characterize the greenspace.</div></div><div><h3>Results</h3><div>The mean (SD) age of study participants was 62.8(10.2) years, with 51.8 % female. NDVI was positively associated with risk of COPD (odds ratio [OR]: 1.26, 95 % CI: 1.04–1.54) and inversely with lung function: the βs (95 % CIs) for FEV1; FVC; FEV1/FVC ratio; PEF; FEF25 %, 50 %, and 75 %; and MMEF were -0.09 (-0.12, -0.06); -0.07 (-0.10, -0.04); -1.39 (-2.06, -0.72); -0.66 ( -0.74, -0.57); -0.52 (-0.61, -0.43), -0.22 (-0.28, -0.15), and -0.05 (-0.09, -0.01); and -0.17 (-0.22, -0.12), respectively. In high PM<sub>2.5</sub> areas, NDVI was positively associated with COPD risk (OR: 5.40, 95 % CI: 3.45–8.58) and inversely with FEV1/FVC ratio (β:8.29, 95 % CI:9.82, -6.76) and FVC (β:0.13, 95 %CI:0.21, 0.06), and in low PM<sub>2.5</sub> areas, was positively associated with risk of COPD (OR: 1.75, 95 % CI: 1.12–2.80) and inversely with FEV1/FVC ratio (β:3.45, 95 % CI:4.80, 2.11).</div></div><div><h3>Conclusions</h3><div>High residential greenspace may be associated with increased risk of COPD and decreased lung function in adults, particularly in areas with high PM<sub>2.5</sub>.</div></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"Pages 329-338"},"PeriodicalIF":2.4000,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Residing in areas with high residential greenspace is associated with increased COPD risk and decreased lung function of adults in eastern China\",\"authors\":\"Le-Yun Tan , Yao Wang , Li Yang , Cheng-Shui Chen , Fan Zhang , Ming-Tao Yu , Pi Guo , Qing-Ying Zhang\",\"doi\":\"10.1016/j.hrtlng.2025.01.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Evidence for a relation between residential greenspace and respiratory health is scarce and controversial.</div></div><div><h3>Objectives</h3><div>The purpose of this study was to explore the association between residential greenspace and its interaction with particulate matter (PM<sub>2.5</sub>) and risk of chronic obstructive pulmonary disease (COPD) and lung function.</div></div><div><h3>Methods</h3><div>A total of 3,759 adults were recruited from Wenzhou in this study. Lung function measurements included forced expiratory volume in 1 s (FEV1); forced vital capacity (FVC); FEV1/FVC ratio; peak expiratory flow (PEF); forced expiratory flow (FEF) at 25 %, 50 %, and 75 %; and maximal mid-expiratory flow (MMEF). The Normalized Difference Vegetation Index (NDVI) was used to characterize the greenspace.</div></div><div><h3>Results</h3><div>The mean (SD) age of study participants was 62.8(10.2) years, with 51.8 % female. NDVI was positively associated with risk of COPD (odds ratio [OR]: 1.26, 95 % CI: 1.04–1.54) and inversely with lung function: the βs (95 % CIs) for FEV1; FVC; FEV1/FVC ratio; PEF; FEF25 %, 50 %, and 75 %; and MMEF were -0.09 (-0.12, -0.06); -0.07 (-0.10, -0.04); -1.39 (-2.06, -0.72); -0.66 ( -0.74, -0.57); -0.52 (-0.61, -0.43), -0.22 (-0.28, -0.15), and -0.05 (-0.09, -0.01); and -0.17 (-0.22, -0.12), respectively. In high PM<sub>2.5</sub> areas, NDVI was positively associated with COPD risk (OR: 5.40, 95 % CI: 3.45–8.58) and inversely with FEV1/FVC ratio (β:8.29, 95 % CI:9.82, -6.76) and FVC (β:0.13, 95 %CI:0.21, 0.06), and in low PM<sub>2.5</sub> areas, was positively associated with risk of COPD (OR: 1.75, 95 % CI: 1.12–2.80) and inversely with FEV1/FVC ratio (β:3.45, 95 % CI:4.80, 2.11).</div></div><div><h3>Conclusions</h3><div>High residential greenspace may be associated with increased risk of COPD and decreased lung function in adults, particularly in areas with high PM<sub>2.5</sub>.</div></div>\",\"PeriodicalId\":55064,\"journal\":{\"name\":\"Heart & Lung\",\"volume\":\"70 \",\"pages\":\"Pages 329-338\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-01-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Heart & Lung\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S014795632500010X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart & Lung","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S014795632500010X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

背景：住宅绿地与呼吸系统健康之间关系的证据很少且有争议。目的：本研究的目的是探讨住宅绿地及其与颗粒物（PM2.5）的相互作用与慢性阻塞性肺疾病（COPD）风险和肺功能的关系。方法：在温州市共招募3759名成人。肺功能测量包括1 s内用力呼气量（FEV1）；强制肺活量;FEV1 / FVC的比率;呼气峰流量；用力呼气流量（FEF）分别为25%、50%和75%；最大呼气中流量（MMEF）。采用归一化植被指数（NDVI）对绿地进行表征。结果：研究参与者的平均（SD）年龄为62.8（10.2）岁，其中51.8%为女性。NDVI与COPD风险呈正相关（比值比[OR]: 1.26, 95% CI: 1.04-1.54），与肺功能呈负相关：FEV1的βs (95% CI)；FVC;FEV1 / FVC的比率;脉动电场;FEF25 %、50 %、75 %；MMEF分别为-0.09 (-0.12,-0.06)；-0.07 (-0.10, -0.04)；-1.39 (-2.06, -0.72)；-0.66 (-0.74, -0.57)；-0.52(-0.61, -0.43), -0.22(-0.28, -0.15),和-0.05 (-0.09,-0.01);和-0.17（-0.22,-0.12）。在高PM2.5地区，NDVI与COPD风险呈正相关（OR: 5.40, 95% CI: 3.45-8.58），与FEV1/FVC比（β:8.29, 95% CI:9.82, -6.76）和FVC （β:0.13, 95% CI:0.21, 0.06）呈负相关；在低PM2.5地区，NDVI与COPD风险呈正相关（OR: 1.75, 95% CI: 1.12-2.80），与FEV1/FVC比呈负相关（β:3.45, 95% CI:4.80, 2.11）。结论：高住宅绿地面积可能与成人COPD风险增加和肺功能下降有关，特别是在PM2.5高的地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Residing in areas with high residential greenspace is associated with increased COPD risk and decreased lung function of adults in eastern China

Background

Evidence for a relation between residential greenspace and respiratory health is scarce and controversial.

Objectives

The purpose of this study was to explore the association between residential greenspace and its interaction with particulate matter (PM_2.5) and risk of chronic obstructive pulmonary disease (COPD) and lung function.

Methods

A total of 3,759 adults were recruited from Wenzhou in this study. Lung function measurements included forced expiratory volume in 1 s (FEV1); forced vital capacity (FVC); FEV1/FVC ratio; peak expiratory flow (PEF); forced expiratory flow (FEF) at 25 %, 50 %, and 75 %; and maximal mid-expiratory flow (MMEF). The Normalized Difference Vegetation Index (NDVI) was used to characterize the greenspace.

Results

The mean (SD) age of study participants was 62.8(10.2) years, with 51.8 % female. NDVI was positively associated with risk of COPD (odds ratio [OR]: 1.26, 95 % CI: 1.04–1.54) and inversely with lung function: the βs (95 % CIs) for FEV1; FVC; FEV1/FVC ratio; PEF; FEF25 %, 50 %, and 75 %; and MMEF were -0.09 (-0.12, -0.06); -0.07 (-0.10, -0.04); -1.39 (-2.06, -0.72); -0.66 ( -0.74, -0.57); -0.52 (-0.61, -0.43), -0.22 (-0.28, -0.15), and -0.05 (-0.09, -0.01); and -0.17 (-0.22, -0.12), respectively. In high PM_2.5 areas, NDVI was positively associated with COPD risk (OR: 5.40, 95 % CI: 3.45–8.58) and inversely with FEV1/FVC ratio (β:8.29, 95 % CI:9.82, -6.76) and FVC (β:0.13, 95 %CI:0.21, 0.06), and in low PM_2.5 areas, was positively associated with risk of COPD (OR: 1.75, 95 % CI: 1.12–2.80) and inversely with FEV1/FVC ratio (β:3.45, 95 % CI:4.80, 2.11).

Conclusions

High residential greenspace may be associated with increased risk of COPD and decreased lung function in adults, particularly in areas with high PM_2.5.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.