Green space and stroke: A scoping review of the evidence.

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dc.citation.volume457
dc.contributor.authorWhyte M
dc.contributor.authorDouwes J
dc.contributor.authorRanta A
dc.coverage.spatialNetherlands
dc.date.accessioned2024-07-04T19:46:30Z
dc.date.available2024-07-04T19:46:30Z
dc.date.issued2024-02-15
dc.description.abstractBACKGROUND: Global industrialisation and urbanisation has led to an increased interest in the link between the environment and health. Stroke is a major cause of morbidity and mortality, and there is increased evidence that environmental factors may affect both the incidence and severity of stroke. This review summarises the evidence for relationship between green space exposure and stroke incidence and outcomes. METHODS: We conducted a literature search in Medline and Scopus until 1 August 2023, and screened references of relevant articles. Selected articles were appraised for their relevance, and critically reviewed. The findings were thematically categorised. RESULTS: Of the 1342 papers identified, 27 were included. These involved a mix of study designs (cohort, cross-sectional, quasi-experimental, time stratified case crossover and ecological). There was consistent evidence indicating a protective association between green space exposure and disability and stroke-related death with mortality hazard ratios between 0.66 and 0.95. Most studies also showed that green space was inversely associated with stroke risk, with risk estimates from studies showing a protective effect ranging between 0.4 and 0.98; however, results were more mixed and some did not reach statistical significance. The moderating effects of green spaces on ambient temperatures, noise and air pollution, and psychosocial health plus greater enjoyment and opportunity for exercise and enrichment of the human microbiome may underly these associations. CONCLUSION: There is likely some protective effect of green space on stroke, with the benefits most convincingly shown for post-stroke outcomes. More research is recommended to confirm the protective association between green space exposure and reduced stroke risk.
dc.description.confidentialfalse
dc.format.pagination122870-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/38219382
dc.identifier.citationWhyte M, Douwes J, Ranta A. (2024). Green space and stroke: A scoping review of the evidence.. J Neurol Sci. 457. (pp. 122870-).
dc.identifier.doi10.1016/j.jns.2024.122870
dc.identifier.eissn1878-5883
dc.identifier.elements-typejournal-article
dc.identifier.issn0022-510X
dc.identifier.number122870
dc.identifier.piiS0022-510X(24)00005-4
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70089
dc.languageeng
dc.publisherElsevier B.V
dc.publisher.urihttps://www.sciencedirect.com/science/article/pii/S0022510X24000054
dc.relation.isPartOfJ Neurol Sci
dc.rights(c) 2024 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectEnvironment
dc.subjectGreen space
dc.subjectGreenness
dc.subjectReview
dc.subjectStroke
dc.subjectHumans
dc.subjectParks, Recreational
dc.subjectCross-Sectional Studies
dc.subjectAir Pollution
dc.subjectStroke
dc.subjectExercise
dc.subjectEnvironmental Exposure
dc.titleGreen space and stroke: A scoping review of the evidence.
dc.typeJournal article
pubs.elements-id485957
pubs.organisational-groupCollege of Health
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