A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study
https://orcid.org/0000-0001-5723-9061
https://orcid.org/0000-0002-0786-5002
https://orcid.org/0000-0002-6792-6348
https://orcid.org/0000-0002-5177-8598
https://orcid.org/0000-0001-6168-378X
https://orcid.org/0000-0002-3965-1359
Highlights This study aimed to quantify the effects of greenness on the development of kidney disease. This study constructed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts for the period 2000–2016. We collected annual average Enhanced Vegetation Index (EVI) based on ZIP codes of beneficiaries and used Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for kidney diseases. For total kidney disease, hazard ratios (HRs) was 0.95 (95% CI: 0.93 to 0.97) for a 0.1 increase in EVI. For AKI , HR was 0.94 (0.92 to 0.97) for a 0.1 increase in EVI. To the best of our knowledge, this is the first and largest epidemiological study that investigates the association between greenness and the development of kidney diseases.
Abstract Background Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney disease is not clear. We aimed to investigate the association between residential greenness and the development of kidney disease. Methods We performed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts (2000–2016). We assessed greenness with the annual average Enhanced Vegetation Index (EVI) based on residential ZIP codes of beneficiaries. We applied Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for total kidney disease, chronic kidney disease (CKD), and acute kidney injury (AKI), separately. Results Data for 1,462,949 beneficiaries who resided in a total of 644 ZIP codes were analyzed. The total person-years of follow-up for total kidney disease, CKD, and AKI were 9.8, 10.9, and 10.8 million person-years, respectively. For a 0.1 increase in annual EVI, the hazard ratios (HRs) were 0.95 (95% CI: 0.93 to 0.97) for the first hospital admission for total kidney disease, and the association was more prominent for AKI (HR: 0.94 with 95% CI: 0.92 to 0.97) than CKD (HR: 0.98 with 95% CI: 0.95–1.01]). The estimated effects of EVI on kidney disease were generally more evident in White beneficiaries and those residing in metropolitan areas compared to the overall population. Conclusions This study found that higher levels of annual residential greenness were associated with a lower risk of the first hospital admission for kidney diseases. Results are consistent with the hypothesis that higher residential greenness benefits kidney patients.
Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study
https://orcid.org/0000-0001-5723-9061
https://orcid.org/0000-0002-0786-5002
https://orcid.org/0000-0002-6792-6348
https://orcid.org/0000-0002-5177-8598
https://orcid.org/0000-0001-6168-378X
https://orcid.org/0000-0002-3965-1359
Highlights This study aimed to quantify the effects of greenness on the development of kidney disease. This study constructed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts for the period 2000–2016. We collected annual average Enhanced Vegetation Index (EVI) based on ZIP codes of beneficiaries and used Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for kidney diseases. For total kidney disease, hazard ratios (HRs) was 0.95 (95% CI: 0.93 to 0.97) for a 0.1 increase in EVI. For AKI , HR was 0.94 (0.92 to 0.97) for a 0.1 increase in EVI. To the best of our knowledge, this is the first and largest epidemiological study that investigates the association between greenness and the development of kidney diseases.
Abstract Background Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney disease is not clear. We aimed to investigate the association between residential greenness and the development of kidney disease. Methods We performed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts (2000–2016). We assessed greenness with the annual average Enhanced Vegetation Index (EVI) based on residential ZIP codes of beneficiaries. We applied Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for total kidney disease, chronic kidney disease (CKD), and acute kidney injury (AKI), separately. Results Data for 1,462,949 beneficiaries who resided in a total of 644 ZIP codes were analyzed. The total person-years of follow-up for total kidney disease, CKD, and AKI were 9.8, 10.9, and 10.8 million person-years, respectively. For a 0.1 increase in annual EVI, the hazard ratios (HRs) were 0.95 (95% CI: 0.93 to 0.97) for the first hospital admission for total kidney disease, and the association was more prominent for AKI (HR: 0.94 with 95% CI: 0.92 to 0.97) than CKD (HR: 0.98 with 95% CI: 0.95–1.01]). The estimated effects of EVI on kidney disease were generally more evident in White beneficiaries and those residing in metropolitan areas compared to the overall population. Conclusions This study found that higher levels of annual residential greenness were associated with a lower risk of the first hospital admission for kidney diseases. Results are consistent with the hypothesis that higher residential greenness benefits kidney patients.
Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study
https://orcid.org/0000-0001-5723-9061
https://orcid.org/0000-0002-0786-5002
https://orcid.org/0000-0002-6792-6348
https://orcid.org/0000-0002-5177-8598
https://orcid.org/0000-0001-6168-378X
https://orcid.org/0000-0002-3965-1359
Highlights This study aimed to quantify the effects of greenness on the development of kidney disease. This study constructed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts for the period 2000–2016. We collected annual average Enhanced Vegetation Index (EVI) based on ZIP codes of beneficiaries and used Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for kidney diseases. For total kidney disease, hazard ratios (HRs) was 0.95 (95% CI: 0.93 to 0.97) for a 0.1 increase in EVI. For AKI , HR was 0.94 (0.92 to 0.97) for a 0.1 increase in EVI. To the best of our knowledge, this is the first and largest epidemiological study that investigates the association between greenness and the development of kidney diseases.
Abstract Background Recent studies have identified the association of environmental stressors with reduced kidney function and the development of kidney disease. While residential greenness has been linked to many health benefits, the association between residential greenness and the development of kidney disease is not clear. We aimed to investigate the association between residential greenness and the development of kidney disease. Methods We performed a longitudinal population-based cohort study including all fee-for-service Medicare Part A beneficiaries (aged 65 years or older) in Massachusetts (2000–2016). We assessed greenness with the annual average Enhanced Vegetation Index (EVI) based on residential ZIP codes of beneficiaries. We applied Cox-equivalent Poisson models to estimate the association between EVI and first hospital admission for total kidney disease, chronic kidney disease (CKD), and acute kidney injury (AKI), separately. Results Data for 1,462,949 beneficiaries who resided in a total of 644 ZIP codes were analyzed. The total person-years of follow-up for total kidney disease, CKD, and AKI were 9.8, 10.9, and 10.8 million person-years, respectively. For a 0.1 increase in annual EVI, the hazard ratios (HRs) were 0.95 (95% CI: 0.93 to 0.97) for the first hospital admission for total kidney disease, and the association was more prominent for AKI (HR: 0.94 with 95% CI: 0.92 to 0.97) than CKD (HR: 0.98 with 95% CI: 0.95–1.01]). The estimated effects of EVI on kidney disease were generally more evident in White beneficiaries and those residing in metropolitan areas compared to the overall population. Conclusions This study found that higher levels of annual residential greenness were associated with a lower risk of the first hospital admission for kidney diseases. Results are consistent with the hypothesis that higher residential greenness benefits kidney patients.
Associations between greenness and kidney disease in Massachusetts: The US Medicare longitudinal cohort study
Lee, Whanhee (author) / Heo, Seulkee (author) / Stewart, Rory (author) / Wu, Xiao (author) / Fong, Kelvin C. (author) / Son, Ji-Young (author) / Sabath, Benjamin (author) / Braun, Danielle (author) / Park, Jae Yoon (author) / Kim, Yong Chul (author)
2023-02-19
Article (Journal)
Electronic Resource
English
Associations between residential greenness and blood lipids in Chinese Uyghur adults
| DOAJ | 2020