绿地与居民超重肥胖之间关系的Meta分析
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教育部人文社会科学研究项目(21YJC840032);广州市哲学社科规划2021年度课题(2021GZGJ210);国家自然科学基金项目(41701169,52078222)


A Meta-Analysis of the Effects of Green Space on Overweight and Obesity among Residents
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    摘要:

    已有研究表明,绿地与周边人群超重和肥胖风险存在潜在关联,然而其具体效应有待测定。采用Meta分析(meta-analysis)方法对69篇绿地与居民超重肥胖关系的研究结果进行统计分析,并探究了不同研究设计、绿地指标、样本年龄和不同尺度地理分析单元等亚组的研究结果差异,发现:①总体上,绿地与居民超重或肥胖风险、身体质量指数(body mass index,BMI)和腰围呈负相关关系,但不同研究设计类型(横截面研究和队列研究)之间的研究结果具有较大差异。②对于不同的绿地指标,其与居民超重肥胖的关系也存在一定差异。③相较于儿童和青少年,绿地与成年人超重肥胖的关联性更显著。④两者之间的关系具有明显的尺度效应。Meta分析结果显示,绿地与居民超重肥胖关系在各亚组中存在混杂,意味着它们的关系可能更加复杂,这对未来研究起到一定启示作用:应增加纵向研究以更深入探讨两者之间的因果关系和作用机理;构建完善的绿地测度指标体系,考虑多尺度地理分析单元的影响差异;同时,不应忽视来自样本多方面混杂因素的影响,从而使未来相关领域研究得出更明晰的结论,为城市绿地系统规划及相关政策制定提供科学依据。

    Abstract:

    Previous studies have shown that green space has a potential role in reducing the risk of overweight and obesity of surrounding people, but its specific effectiveness needs to be determined. The purposes of this study are to quantitatively evaluate the published studies on green space and residents" overweight and obesity and to explore the impact of differences between the studies on the results, and make specific recommendations for further research. Based on the meta-analysis, we systematically searched the relevant literature before November 2020 in the Web of Science database and the PubMed database and selected the literature according to the established inclusion criteria. The methodological quality assessment was based on the Agency for Healthcare Research and Quality (AHRQ) and the Newcastle-Ottawa Scale (NOS). Finally, 69 studies on green space and residents’ overweight and obesity were included. We combined the effect sizes above according to the type of outcome variables and divided the research into different subgroups based on study design (cross-sectional studies and cohort studies), measurement of greenspace exposure, participants" age, and geographic analysis unit to find differences in the impact of the results. Our meta-analytical results showed that: ① There is a negative relationship between green space and overweight or obesity risk, body mass index (BMI), and waist circumference, but the results of different study designs are quite different. ② Results of combined effect sizes are inconsistent and mixed across different green space measurement studies. Vegetation coverage is significantly related to lower BMI, overweight, and obesity risks. Accessible green space nearby is good for alleviating obesity. The number of green spaces nearby is conducive to reducing the risk of obesity, but there are no relationships between the proximity and area of green spaces and obesity-related indicators. ③ Compared with children and adolescents, there is a stronger relationship between green space and overweight and obesity of adults. ④ The relationship between green space and residents" overweight and obesity has a significant scale effect, and the results obtained by using geographic analysis units with different scales are not consistent. The farther green space has weakened the effect on reducing the probability of residents" overweight and obesity. The results of the meta-analysis show that the relationship between green space and residents’ overweight and obesity is mixed in the subgroup analysis, which means that their relationship may be more complex. These remind us: more longitudinal studies should be conducted in this field to further explore the causal relationship and mechanism between them. In addition, constructing a complete green space measurement index system, considering complex and multi-scale geographic analysis units, and avoiding ignoring the influence of various confounding factors from participants, will enable future research to draw clearer conclusions and provide a scientific basis for urban green space system planning and related policy-making.

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杨文越,杨如玉,李晖.绿地与居民超重肥胖之间关系的Meta分析.生态学报,2022,42(10):4284~4299

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