{"title":"中国新疆维吾尔自治区农村成年人住宅绿化与心脏代谢危险因素的相关性：一项横断面研究","authors":"Leyao Jian, Bo Yang, Rulin Ma, Shuxia Guo, Jia He, Yu Li, Yusong Ding, Dongsheng Rui, Yidan Mao, Xin He, Xueying Sun, Shengyu Liao, Heng Guo","doi":"10.3967/bes2024.085","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the relationships between residential greenness and cardiometabolic risk factors among rural adults in Xinjiang Uygur Autonomous Region (Xinjiang) and thus provide a theoretical basis and data support for improving the health of residents in this region.</p><p><strong>Methods: </strong>We recruited 9,723 adult rural residents from the 51st Regiment of the Third Division of the Xinjiang Production and Construction Corps in September 2016. The normalized difference vegetation index (NDVI) was used to estimate residential greenness. The generalized linear mixed model (GLMM) was used to examine the association between residential greenness and cardiometabolic risk factors.</p><p><strong>Results: </strong>Higher residential greenness was associated with lower cardiometabolic risk factor prevalence. After adjustments were made for age, sex, education, and marital status, for each interquartile range (IQR) increase of NDVI <sub>500-m</sub>, the risk of hypertension was reduced by 10.3% ( <i>OR</i> = 0.897, 95% <i>CI</i> = 0.836-0.962), the risk of obesity by 20.5% ( <i>OR</i> = 0.795, 95% <i>CI</i> = 0.695-0.910), the risk of type 2 diabetes by 15.1% ( <i>OR</i> = 0.849, 95% <i>CI</i> = 0.740-0.974), and the risk of dyslipidemia by 10.5% ( <i>OR</i> = 0.895, 95% <i>CI</i> = 0.825-0.971). Risk factor aggregation was reduced by 20.4% ( <i>OR</i> = 0.796, 95% <i>CI</i> = 0.716-0.885) for the same. Stratified analysis showed that NDVI <sub>500-m</sub> was associated more strongly with hypertension, dyslipidemia, and risk factor aggregation among male participants. The association of NDVI <sub>500-m</sub> with type 2 diabetes was stronger among participants with a higher education level. PM <sub>10</sub> and physical activity mediated 1.9%-9.2% of the associations between NDVI <sub>500-m</sub> and obesity, dyslipidemia, and risk factor aggregation.</p><p><strong>Conclusion: </strong>Higher residential greenness has a protective effect against cardiometabolic risk factors among rural residents in Xinjiang. Increasing the area of green space around residences is an effective measure to reduce the burden of cardiometabolic-related diseases among rural residents in Xinjiang.</p>","PeriodicalId":93903,"journal":{"name":"Biomedical and environmental sciences : BES","volume":"37 10","pages":"1184-1194"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between Residential Greenness and Cardiometabolic Risk Factors among Adults in Rural Xinjiang Uygur Autonomous Region, China: A Cross-Sectional Study.\",\"authors\":\"Leyao Jian, Bo Yang, Rulin Ma, Shuxia Guo, Jia He, Yu Li, Yusong Ding, Dongsheng Rui, Yidan Mao, Xin He, Xueying Sun, Shengyu Liao, Heng Guo\",\"doi\":\"10.3967/bes2024.085\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to explore the relationships between residential greenness and cardiometabolic risk factors among rural adults in Xinjiang Uygur Autonomous Region (Xinjiang) and thus provide a theoretical basis and data support for improving the health of residents in this region.</p><p><strong>Methods: </strong>We recruited 9,723 adult rural residents from the 51st Regiment of the Third Division of the Xinjiang Production and Construction Corps in September 2016. The normalized difference vegetation index (NDVI) was used to estimate residential greenness. The generalized linear mixed model (GLMM) was used to examine the association between residential greenness and cardiometabolic risk factors.</p><p><strong>Results: </strong>Higher residential greenness was associated with lower cardiometabolic risk factor prevalence. After adjustments were made for age, sex, education, and marital status, for each interquartile range (IQR) increase of NDVI <sub>500-m</sub>, the risk of hypertension was reduced by 10.3% ( <i>OR</i> = 0.897, 95% <i>CI</i> = 0.836-0.962), the risk of obesity by 20.5% ( <i>OR</i> = 0.795, 95% <i>CI</i> = 0.695-0.910), the risk of type 2 diabetes by 15.1% ( <i>OR</i> = 0.849, 95% <i>CI</i> = 0.740-0.974), and the risk of dyslipidemia by 10.5% ( <i>OR</i> = 0.895, 95% <i>CI</i> = 0.825-0.971). Risk factor aggregation was reduced by 20.4% ( <i>OR</i> = 0.796, 95% <i>CI</i> = 0.716-0.885) for the same. Stratified analysis showed that NDVI <sub>500-m</sub> was associated more strongly with hypertension, dyslipidemia, and risk factor aggregation among male participants. The association of NDVI <sub>500-m</sub> with type 2 diabetes was stronger among participants with a higher education level. PM <sub>10</sub> and physical activity mediated 1.9%-9.2% of the associations between NDVI <sub>500-m</sub> and obesity, dyslipidemia, and risk factor aggregation.</p><p><strong>Conclusion: </strong>Higher residential greenness has a protective effect against cardiometabolic risk factors among rural residents in Xinjiang. Increasing the area of green space around residences is an effective measure to reduce the burden of cardiometabolic-related diseases among rural residents in Xinjiang.</p>\",\"PeriodicalId\":93903,\"journal\":{\"name\":\"Biomedical and environmental sciences : BES\",\"volume\":\"37 10\",\"pages\":\"1184-1194\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Biomedical and environmental sciences : BES\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3967/bes2024.085\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biomedical and environmental sciences : BES","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3967/bes2024.085","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的：探讨新疆维吾尔自治区农村成年人居住绿地与心脏代谢危险因素的关系，为改善该地区居民的健康状况提供理论依据和数据支持。方法：2016年9月在新疆生产建设兵团第三师51团招募9723名成年农村居民。采用归一化植被指数（NDVI）对住宅绿化度进行估算。采用广义线性混合模型（GLMM）检验住宅绿化度与心脏代谢危险因素之间的关系。结果：较高的住宅绿化与较低的心脏代谢危险因素患病率相关。在调整了年龄、性别、教育、婚姻状况,每增加四分位范围(差)的归一化植被指数500 - m,高血压的风险降低了10.3% (OR = 0.897, 95% CI = 0.836 - -0.962),肥胖的风险增加20.5% (OR = 0.795, 95% CI = 0.695 - -0.910), 2型糖尿病的风险增加15.1% (OR = 0.849, 95% CI = 0.740 - -0.974),和血脂异常的风险增加10.5% (OR = 0.895, 95% CI = 0.825 - -0.971)。风险因素聚集减少了20.4% （OR = 0.796, 95% CI = 0.716-0.885）。分层分析显示，在男性受试者中，NDVI 500-m与高血压、血脂异常和危险因素聚集的相关性更强。在受教育程度较高的参与者中，NDVI 500-m与2型糖尿病的相关性更强。pm10和体力活动介导了NDVI 500-m与肥胖、血脂异常和危险因素聚集之间的1.9%-9.2%的关联。结论：较高的居住绿化度对新疆农村居民心脏代谢危险因素具有保护作用。增加住宅周边绿地面积是减轻新疆农村居民心代谢相关疾病负担的有效措施。
Association between Residential Greenness and Cardiometabolic Risk Factors among Adults in Rural Xinjiang Uygur Autonomous Region, China: A Cross-Sectional Study.
Objective: This study aimed to explore the relationships between residential greenness and cardiometabolic risk factors among rural adults in Xinjiang Uygur Autonomous Region (Xinjiang) and thus provide a theoretical basis and data support for improving the health of residents in this region.
Methods: We recruited 9,723 adult rural residents from the 51st Regiment of the Third Division of the Xinjiang Production and Construction Corps in September 2016. The normalized difference vegetation index (NDVI) was used to estimate residential greenness. The generalized linear mixed model (GLMM) was used to examine the association between residential greenness and cardiometabolic risk factors.
Results: Higher residential greenness was associated with lower cardiometabolic risk factor prevalence. After adjustments were made for age, sex, education, and marital status, for each interquartile range (IQR) increase of NDVI 500-m, the risk of hypertension was reduced by 10.3% ( OR = 0.897, 95% CI = 0.836-0.962), the risk of obesity by 20.5% ( OR = 0.795, 95% CI = 0.695-0.910), the risk of type 2 diabetes by 15.1% ( OR = 0.849, 95% CI = 0.740-0.974), and the risk of dyslipidemia by 10.5% ( OR = 0.895, 95% CI = 0.825-0.971). Risk factor aggregation was reduced by 20.4% ( OR = 0.796, 95% CI = 0.716-0.885) for the same. Stratified analysis showed that NDVI 500-m was associated more strongly with hypertension, dyslipidemia, and risk factor aggregation among male participants. The association of NDVI 500-m with type 2 diabetes was stronger among participants with a higher education level. PM 10 and physical activity mediated 1.9%-9.2% of the associations between NDVI 500-m and obesity, dyslipidemia, and risk factor aggregation.
Conclusion: Higher residential greenness has a protective effect against cardiometabolic risk factors among rural residents in Xinjiang. Increasing the area of green space around residences is an effective measure to reduce the burden of cardiometabolic-related diseases among rural residents in Xinjiang.
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