Evidence mapPaperPMID 38509487Full record

SynthesisBMC cardiovascular disorders2024

Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis.

Yasaman Sharifi, Sahar Sobhani, Nahid Ramezanghorbani, Moloud Payab, Behnaz Ghoreshi, Shirin Djalalinia, Zahra Nouri Ghonbalani, Mahbube Ebrahimpur, Maysa Eslami, Mostafa Qorbani

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Per Capita Spending on Parks and Associations with Cardiovascular Disease and Other Health Outcomes.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yasaman SharifiDepartment of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Sahar SobhaniNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Nahid RamezanghorbaniDepartment of Development and Coordination Scientific Information and Publications, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran.
Moloud PayabNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Behnaz GhoreshiFaculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Shirin DjalaliniaDevelopment of Research & Technology Center, Ministry of Health and Medical Education, Tehran, Iran.
Zahra Nouri GhonbalaniSocial Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Mahbube EbrahimpurEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Maysa EslamiEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mostafa QorbaniNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. mqorbani1379@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiometabolic conditions are major contributors to the global burden of disease. An emerging body of evidence has associated access to and surrounding public open spaces (POS) and greenspace with cardiometabolic risk factors, including obesity, body mass index (BMI), hypertension (HTN), blood glucose (BG), and lipid profiles. This systematic review aimed to synthesize this evidence.

methodsThis systematic review was conducted based on the PRISMA guidelines. Four electronic databases including Web of Science, PubMed, Scopus, and Google Scholar were searched for eligible articles published until July 2023. All observational studies which assessed the association of greenspace and POS with cardiometabolic risk factors including obesity, BMI, HTN, BG, and lipid profiles were included and reviewed by two authors independently. Heterogeneity between studies was assessed using the I

resultsOverall, 118 relevant articles were included in our review. The majority of the articles were conducted in North America or Europe. In qualitative synthesis, access or proximity to greenspaces or POS impacts BMI and blood pressure or HTN, BG, and lipid profiles via various mechanisms. According to the random effect meta-analysis, more access to greenspace was significantly associated with lower odds of HTN (odds ratio (OR): 0.81, 95% confidence intervals (CIs): 0.61-0.99), obesity (OR: 0.83, 95% CIs: 0.77-0.90), and diabetes (OR:0.79, 95% CI: 0.67,0.90).

conclusionsFindings of this systematic review and meta-analysis suggested that greenspace accessibility is associated with some cardiometabolic risk factors. Improving greenspace accessibility could be considered as one of the main strategies to reduce cardiometabolic risk factors at population level.

Indexed as

Cardiometabolic Risk FactorsAdultAgedBlood GlucoseBody Mass IndexCardiovascular DiseasesFemaleHumansHypertensionMaleMiddle AgedObesityProtective FactorsResidence CharacteristicsRisk AssessmentYoung AdultBlood GlucoseBlood pressureCardiometabolicGreenspaceHyperglycemiaLipid profilesNatural spaceParksUrban environment

Identifiers

PMID38509487
PMCPMC10953288

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.