ArticleEnvironmental epidemiology (Philadelphia, Pa.)2019
Residential greenness, activities of daily living, and instrumental activities of daily living: A longitudinal cohort study of older adults in China.
Article in Environmental epidemiology (Philadelphia, Pa.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Green Space and Health in Mainland China: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Black Carbon Air Pollution and Incident Mortality Among the Advance-Aged Adults in China: A Prospective Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- The Effects of Green Spaces and Noise Exposure on the Risk of Ischemic Stroke: A Case-Control Study in Lebanon.International journal of environmental research and public health · 2024Article
- Access to urban green spaces and use of social services and institutional long-term care among older people in Malmö, Sweden: a longitudinal register study.BMC geriatrics · 2024Article
- The effects of neighborhood socioeconomic status on ADL/IADL among Chinese older adults-neighborhood environments as mediators.Frontiers in public health · 2023Article
- Neighborhood greenness, but not walkability, is associated with self-rated measures of health in older adults: An analysis of the Canadian Longitudinal Study on Aging.Preventive medicine reports · 2022Article
- The effects of greenness exposure on hypertension incidence among Chinese oldest-old: a prospective cohort study.Environmental health : a global access science source · 2022Article
- Association between residential greenspace structures and frailty in a cohort of older Chinese adults.Communications medicine · 2022Article
- Association between allostatic load and mortality among Chinese older adults: the Chinese Longitudinal Health and Longevity Study.BMJ open · 2021Article
- Article
- Effects of residential greenness on clinical outcomes of patients with chronic kidney disease: a large-scale observation study.Kidney research and clinical practice · 2021Article
- Residential Greenness Alters Serum 25(OH)D Concentrations: A Longitudinal Cohort of Chinese Older Adults.Journal of the American Medical Directors Association · 2020Article
- Residential Greenness and Frailty Among Older Adults: A Longitudinal Cohort in China.Journal of the American Medical Directors Association · 2020Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aimed to explore whether higher levels of residential greenness were related to lower odds of disabilities in activities of daily living (ADL) and instrumental activities of daily living (IADL).
methodsWe included older adults 65 years of age or older from the Chinese Longitudinal Healthy Longevity Survey. Our exposure was Normalized Difference Vegetation Index in 500 m radius around residence. Our outcome was ADL and IADL. We used binary logistic regression and mixed-effects logistic regression to estimate the odds of ADL and IADL disabilities.
resultsA total of 36,803 and 32,316 participants were included for the analysis of ADL and IADL, with 71.6% free of ADL disability and 47.3% free of IADL disability. In the logistic regression model, compared with the participants living in the lowest quartile of residential greenness, those in the highest quartile had a 28% (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.65, 0.79) lower odds of ADL disability and a 14% (OR = 0.86; 95% CI = 0.77, 0.95) lower odds of IADL disability. A similar association was found in the mixed-effects logistic regression models. During the follow-up period, 5,004 and 4,880 healthy participants developed ADL and IADL disabilities. Per 0.1-unit increase in baseline annual average Normalized Difference Vegetation Index (NDVI) was related to an OR of 0.95 of developing ADL disability (95% CI = 0.93, 0.98) and IADL disability (95% CI = 0.91, 0.98).
conclusionsOur study suggests that increasing green space is associated with lower odds of ADL and IADL disabilities, which may reduce caregiver burden of long-term care for Chinese older adults.
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