Abstract:
BACKGROUND:Dyslipidemia is a major risk factor for cardiovascular disease. Several studies have explored the associations of greenness with blood lipids. However, the evidence is still limited and mixed, especially in rural areas. METHODS:From May to September 2016, we recruited 4735 Uyghur adults from rural areas of northwestern China. We measured levels of total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). Two satellite-derived vegetation indices - Normalized Difference Vegetation Index (NDVI) and Soil Adjusted Vegetation Index (SAVI) - were used to estimate residential greenness levels. The associations between exposure to residential greenness and blood lipids levels and dyslipidemia prevalence were examined using the Generalized Linear Mixed Models. RESULTS:Living in greener areas was associated with lower TG levels, higher HDL-C levels, and lower odds of hypoalphalipoproteinemia (e.g., per 0.20-unit increase in NDVI100 m was associated with 0.02 mmol/L (95% CI: 0.001, 0.03) higher levels of HDL-C and 0.87-fold (95% CI: 0.77, 0.98) lower odds of hypoalphalipoproteinemia). These associations remained in a series of sensitivity analyses. Stratified analyses showed that the associations of NDVI100 m with LDL-C and HDL-C levels were stronger in women and in participants with higher education level. CONCLUSIONS:Higher greenness exposure was beneficially associated with blood lipids among rural Uyghur population in China, especially among women or those with higher education level.
journal_name
Environ Intjournal_title
Environment internationalauthors
Fan S,Yang BY,Xue Z,Huang WZ,Zhou Z,Yuan J,Wang Y,Zhong Y,Tang X,Dong G,Yang Z,Zhang Zdoi
10.1016/j.envint.2020.105903subject
Has Abstractpub_date
2020-09-01 00:00:00pages
105903eissn
0160-4120issn
1873-6750pii
S0160-4120(20)31858-4journal_volume
142pub_type
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