Effect of nature prescriptions on cardiometabolic and mental health, and physical activity: a systematic review

The Lancet Planetary Health, Год журнала: 2023, Номер 7(4), С. e313 - e328

Опубликована: Апрель 1, 2023

Nature prescriptions are gaining popularity as a form of social prescribing in support sustainable health care. This systematic review and meta-analysis aims to synthesise evidence on the effectiveness nature determine factors important for their success. We searched five databases from inception up July 25, 2021. Randomised non-randomised controlled studies featuring prescription (ie, referral or an organised programme, by professional, encourage spending time nature) were included. Two reviewers independently conducted all steps study selection; one reviewer collected summary data published reports risk bias assessment. Random-effect DerSimonian-Laird meta-analyses key outcomes. identified 92 unique (122 reports), which 28 contributed meta-analyses. Compared with control conditions, programmes resulted greater reduction systolic blood pressure (mean difference -4·82 mm Hg [-8·92 -0·72]) diastolic -3·82 [-6·47 -1·16). also had moderate large effect depression scores (post-intervention standardised mean -0·50 [-0·84 -0·16]; change baseline -0·42 [-0·82 -0·03]) anxiety -0·57 [-1·12 -0·03]; -1·27 [-2·20 -0·33]). increase daily step counts than conditions 900 [790 1010]) but did not improve weekly physical activity 25·90 min [-10·26 62·06]). A subgroup analysis restricted referring institution showed stronger effects scores, counts, general analysis. Beneficial mainly provided interventions involving professionals whereas beneficial pressures professionals. Most have high bias. cardiometabolic mental benefits increases walking. Effective can involve range natural settings activities be implemented via community channels, addition

Язык: Английский

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Exposure to residential green and blue space and the natural environment is associated with a lower incidence of psychiatric disorders in middle-aged and older adults: findings from the UK Biobank

BMC Medicine, Год журнала: 2024, Номер 22(1)

Опубликована: Янв. 15, 2024

Abstract Background There is increasing evidence for the role of environmental factors and exposure to natural environment on a wide range health outcomes. Whether green space, blue (GBN) associated with risk psychiatric disorders in middle-aged older adults has not been prospectively examined. Methods Longitudinal data from UK biobank was used. At study baseline (2006–2010), 363,047 participants (women: 53.4%; mean age 56.7 ± 8.1 years) who had previously diagnosed any disorder were included. Follow-up achieved by collecting records hospitals death registers. Measurements space modeled land use Land Cover Map assigned residential address each participant. Cox proportional hazard models adjustment potential confounders used explore longitudinal associations between GBN then specific (dementia, substance abuse, psychotic disorder, depression, anxiety) adults. Results During an average follow-up 11.5 2.8 years, 49,865 individuals disorders. Compared first tertile (lowest) exposure, at 300 m buffer [hazard ratio (HR): 0.973, 95% confidence interval (CI): 0.952–0.994] (HR: 0.970, CI: 0.948–0.992) 1000 0.975, 0.952–0.999) third (highest) significantly lower incident disorders, respectively. The dementia statistically decreased when exposed buffer. reduction 30.0%, 31.8%, 21.7%, 30.3% developing Subgroup analysis suggested that elderly, men, those living some comorbid conditions may derive greater benefits GBN. Conclusions This suggests significant lowering Future studies are warranted validate these findings understand mechanistic pathways underpinning novel findings.

Язык: Английский

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Nature and Mental Health in Urban Texas: A NatureScore-Based Study

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(2), С. 168 - 168

Опубликована: Фев. 1, 2024

In this cross-sectional study, we examined the impact of access to nature on mental health utilization in urban neighborhoods using Texas outpatient encounters data merged with NatureScoreTM (0–100; low high levels) and US census (household income, education, employment, poverty, insurance coverage) at zipcode level. Our sample size included 61 million across 1169 zipcodes, 63% women 30% elderly. A total 369,344 were identified, anxiety/stress depression representing 68.3% 23.6%, respectively. We found that a NatureScore 60+ had lower overall than those below 40 (RR 0.51, 95%CI 0.38–0.69). This relationship persisted for depression, bipolar disorder, above 80 (p < 0.001). Compared 40, significantly (aRR 0.68, 0.49–0.95) 0.59, 0.36–0.99) after adjusting demographic socioeconomic factors. novel approach, utilizing as proxy greenness, demonstrates correlation between higher reduced utilization. findings highlight importance integrating into our healthcare strategies promote well-being health.

Язык: Английский

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The effects of neighbourhood green spaces on mental health of disadvantaged groups: a systematic review

Humanities and Social Sciences Communications, Год журнала: 2024, Номер 11(1)

Опубликована: Апрель 5, 2024

Abstract Mental disorders affect many different groups around the world, and disadvantaged are often more severely affected. Neighbourhood green spaces (GS) can improve mental health, especially in groups. Many countries address social inequality inequity through GS interventions. However, current evidence shows inconsistencies, which may result from study site, research design, socio-demographically diverse samples, inclusivity considerations, metrics used to quantify exposure health benefits. Few conceptual models explain how neighbourhood greenery act as a structural intervention. We Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) method retrieved 5559 documents eight databases examine whether modify associations found that had substantial protective effects on of people influenced by quality than other exposures, such usage, distance, accessibility. Improvements subjective well-being were most pronounced terms outcomes. Mechanistically, improves mainly increased cohesion and, visibility, young receive further benefits physical activity (PA). These findings offer comprehensive understanding mechanisms between groups, addressing equities induced unfair distribution GS, thus promoting health-oriented environmental planning policies.

Язык: Английский

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Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication

Occupational and Environmental Medicine, Год журнала: 2023, Номер 80(2), С. 111 - 118

Опубликована: Янв. 16, 2023

Background Exposure to natural environments is thought be beneficial for human health, but the evidence inconsistent. Objective To examine whether exposure green and blue spaces in urban associated with mental physical health Finland. Methods The Helsinki Capital Region Environmental Health Survey was conducted 2015−2016 Helsinki, Espoo Vantaa Finland (n=7321). Cross-sectional associations of amounts residential within 1 km radius around respondent’s home (based on Urban Atlas 2012), views from space visits self-reported use psychotropic (anxiolytics, hypnotics antidepressants), antihypertensive asthma medication were examined using logistic regression models. Indicators behaviour, traffic-related outdoor air pollution noise socioeconomic status (SES) used as covariates, last these also a potential effect modifier. Results Amounts or not medications. However, frequency lower odds (OR=0.67, 95% CI 0.55 0.82 3–4 times/week; 0.78, 0.63 0.96 ≥5 times/week) (0.64, 0.52 0.78; 0.59, 0.48 0.74, respectively) (0.74, 0.58 0.94; 0.76, 0.59 0.99, use. observed attenuated by body mass index, no consistent interactions SES indicators observed. Conclusions Frequent visits, spaces, home, less frequent psychotropic, environments.

Язык: Английский

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The Impacts of Visible Green Spaces on the Mental well-being of University Students

Applied Spatial Analysis and Policy, Год журнала: 2024, Номер 17(3), С. 1105 - 1127

Опубликована: Апрель 13, 2024

Abstract The benefits of green spaces on individuals’ health have been widely acknowledged due to their inherent natural qualities. Currently, university students are experiencing significantly higher levels mental problems than other social groups. There is a scarcity studies examining the association between built environment factors and issues among students, particularly in Chinese context. University campuses China physically isolated, secluded communities, this respect, they differ markedly from spatial organisation patterns Western universities. Therefore, study focuses correlation extent space exposure within closed occurrence resident students. A deep-learning methodology incorporating streetscape images, remote sensing data, multilevel linear modelling employed order facilitate comprehensive analysis. results demonstrate negative campus level Individual socio-demographic characteristics, such as whether person has partner, also found influence that experience. In addition, significant relationship travel issues, with who walked regularly having lower incidence those drove. Our research indicates that, foster healthier communities enhance inclusion, urban planners should prioritise development greener transport services improve accessibility spaces.

Язык: Английский

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Exploring the secret gardens of the city: An assessment of human-nature interactions on informal green space using citizen science data

Urban forestry & urban greening, Год журнала: 2024, Номер 98, С. 128414 - 128414

Опубликована: Июнь 12, 2024

As urbanization progresses globally, there is a growing concern regarding the diminishing connection between humans and nature. Informal green spaces (IGS) have been identified as potential solution to this, offering unscripted opportunities for urban residents engage with nature in way that not possible formally planned parks gardens. Despite an increasing focus on IGS, we are still developing our understanding of extent which people use these interact Our work addresses this research gap by employing spatial analysis method map IGS within Greater Melbourne, Australia. We used citizen science data analyse location density human-nature interactions compared formal spaces, well comparing different types spaces. findings revealed no significant difference observations once variance available area each land accounted for. Notably, railway utility easements exhibited highest among all IGS. This demonstrates make important contribution space networks additional thought should be given how planning management may further increase value interacting

Язык: Английский

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Urbanicity and depression: A global meta-analysis

Journal of Affective Disorders, Год журнала: 2023, Номер 340, С. 299 - 311

Опубликована: Авг. 7, 2023

Язык: Английский

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Green spaces exposure and the risk of common psychiatric disorders: A meta-analysis

SSM - Population Health, Год журнала: 2024, Номер 25, С. 101630 - 101630

Опубликована: Фев. 15, 2024

To explore the effects of green spaces exposure on common psychiatric disorders. PubMed, Embase, Web Science and MEDLINE were screened articles published prior to November 15, 2023 included. Analyses performed disorders, categorized into depression, anxiety, dementia, schizophrenia, attention deficit hyperactivity disorder (ADHD). And subgroup analyses conducted for schizophrenia. In total, 2,0064 studies retrieved, 59 which included in our study; 37 14 8 7 schizophrenia 5 ADHD. Green found benefit moderation disorders (OR = 0.91, 95% CI: 0.89 0.92). positively influence depression 0.89, 0.86 0.93), regardless cross-sectional or cohort studies. can also help mitigate risk anxiety 0.94, 95%CI:0.92 0.96). As an important index measuring spaces, a higher normalized difference vegetation (NDVI) level related lower 0.95, 95%CI:0.91 0.98) 95%:0.92 0.98). The protection was dementia 0.93 0.96), 0.74, 0.67 0.82), ADHD 0.92) results. decrease including Further are needed, more should be considered city planning.

Язык: Английский

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Neighborhood Social Processes and Adolescents' Depressive Symptoms: The Intervening Role of Neighborhood Self‐Efficacy

Journal of Community Psychology, Год журнала: 2025, Номер 53(1)

Опубликована: Янв. 1, 2025

ABSTRACT Via observational data from the Project on Human Development in Chicago Neighborhoods collected between 1994 and 2001, this study examined degree to which neighborhood disorder, collective efficacy, youth‐centered institutional resources are directly associated with adolescents' depressive symptoms across time, mediating role of adolescents'neighborhood self‐efficacy. Latent variable structural equation models were estimated among an unweighted representative sample 1448 adolescents (59% male, mean age 15.19), 79 neighborhoods Chicago, examine direct effects availability at baseline (measured timepoint 1; reported by independent adults) a 3), effect neighborhood‐anchored self‐efficacy 2). Indirect assessed using bootstrap testing. Adolescents' partially mediated greater social physical disorder (indirect β = 0.03, 95% CI [0.008, 0.075]) less −0.01, [−0.030, −0.001]) over time. Adolescents who perceived themselves have lower levels time ( −0.13, [−0.24, −0.03]), as did those −0.11, [−0.19, −0.03]). Those living more −0.24, [−0.36, −0.11]). Neighborhood‐anchored may be one mechanism internalize their environments ways that, affect symptoms. Interventions aimed fostering community that nurture opportunities for youth build efficaciousness promising mitigating adolescent depression.

Язык: Английский

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