绿地与血脂异常之间关联的Meta分析  

A meta-analysis of the association between green space and dyslipidemia

作　　者：罗晨曦 何田静[1] 朱继诚 黄亦轶 马露[2] 李阳[1] LUO Chenxi;HE Tianjing;ZHU Jicheng;HUANG Yiyi;MA Lu;LI Yang(Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China;School of Public Health,Wuhan University,Wuhan,Hubei 430071,China;School of Nursing,Hunan University of Medicine,Huaihua,Hunan 418000,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430070 [2]武汉大学公共卫生学院,湖北武汉430071 [3]湖南医药学院护理学院,湖南怀化418000

出　　处：《公共卫生与预防医学》2024年第5期10-14,共5页Journal of Public Health and Preventive Medicine

基　　金：湖北省卫健委科研项目“基于危险因素控制的湖北省居民重大慢性病早死概率预测及干预策略研究”(WJ2021M207)。

摘　　要：目的探究绿地与血脂异常发病风险的关联性。方法以“血脂异常(Dyslipidemia)”和“归一化植被指数(Normalized Difference Vegetation Index,NDVI)”等为检索词,检索数据库PubMed、Embase、Web of Science在2023年9月以前的研究,采用ARHQ统计评估和审查工具和NOS量表评价研究质量,使用R 4.3.1软件进行Meta分析。结果共纳入11篇研究,其中5项横断面研究和5项队列研究被评为“高质量”。Meta分析结果显示,部分缓冲区NDVI的增加与高TC血症、高TG血症、低HDL-C血症和高LDL-C血症的风险降低相关,其中100m缓冲区内NDVI的增加与上述四种疾病风险降低均显著相关,高TC血症(OR=0.87,P<0.05)、高TG血症(OR=0.94,P<0.05)、低HDL-C血症(OR=0.95,P<0.05)和高LDL-C血症(OR=0.87,P<0.05)。敏感性分析提示大部分Meta分析的结果较为稳健。结论随着住宅附近绿地的增加,血脂异常发生的风险可能会降低。Objective To explore the association between green space and the risk of dyslipidemia.Methods"Dyslipidemia"and"Normalized Difference Vegetation Index(NDVI)"were used as search terms to search PubMed,Embase,and Web of Science databases for studies up to September 2023.ARHQ statistical assessment and review tool and NOS scale were employed to evaluate the quality of the studies.R 4.3.1 software was used for Meta-analysis.Results A total of 11 studies were included,of which 5 cross-sectional studies and 5 cohort studies were rated as"high quality".The results of Meta-analysis showed that an increase in NDVI in some buffer zones was associated with reduced risks of hypercholesterolemia,hypertriglyceridemia,low HDL-C,and high LDL-C,while an increase in NDVI in 100m buffer zone was significantly associated with reduced risks of all these four diseases,with hypercholesterolemia(OR=0.87,P<0.05),hypertriglyceridemia(OR=0.94,P<0.05),low HDL-C(OR=0.95,P<0.05),and high LDL-C(OR=0.87,P<0.05).Sensitivity analysis suggested that the results of most meta-analyses were robust.Conclusion With the increase in green space near residential areas,the risk of dyslipidemia may decrease.

关 键 词：NDVI 血脂异常 META分析 

分 类 号：R181[医药卫生—流行病学]