Evidence map›Paper›PMID 40704074›Full record

ArticleEnvironment & health (Washington, D.C.)2025

Residential Greenness and the Incidence of Dyslipidemia in Chinese Adults: A Large Prospective Cohort Study.

Jia-Xin Li, Li Li, Shujun Fan, Beibei Li, Hui-Ling Qiu, Aimin Xu, Yu-Ting Xie, Chuanjiang He, Gang-Long Zhou, Xiao-Qi Zhu and 10 more

Abstract read
In one paragraph

Article in Environment & health (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

20 authors.

Jia-Xin LiDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Li LiDepartment of Respiratory and Critical Care Medicine, The First People's Hospital of Kashi (The Affiliated Kashi Hospital of Sun Yat-Sen University), Kashgar City 844000, China.
Shujun FanGuangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Beibei LiDepartment of Respiratory and Critical Care Medicine, The First People's Hospital of Kashi (The Affiliated Kashi Hospital of Sun Yat-Sen University), Kashgar City 844000, China.
Hui-Ling QiuDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Aimin XuDepartment of Respiratory and Critical Care Medicine, The First People's Hospital of Kashi (The Affiliated Kashi Hospital of Sun Yat-Sen University), Kashgar City 844000, China.
Yu-Ting XieDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Chuanjiang HeDepartment of Respiratory and Critical Care Medicine, The First People's Hospital of Kashi (The Affiliated Kashi Hospital of Sun Yat-Sen University), Kashgar City 844000, China.
Gang-Long ZhouDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Xiao-Qi ZhuDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Lu WangDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Jian-Cheng JiangDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Hui-Yun ChenGuangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Yan-Zhao HeGuangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Qinqin JiangGuangzhou Conghua District Center for Disease Control and Prevention, Guangzhou 510440, China.
Zhou-Bin ZhangGuangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Guang-Hui DongDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.ORCID https://orcid.org/0000-0002-2578-3369
Qiansheng HuDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Xiaoguang ZouDepartment of Respiratory and Critical Care Medicine, The First People's Hospital of Kashi (The Affiliated Kashi Hospital of Sun Yat-Sen University), Kashgar City 844000, China.
Bo-Yi YangDepartment of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.ORCID https://orcid.org/0000-0003-0646-2372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dyslipidemia is a significant risk factor for cardiovascular disease. While cross-sectional studies suggest lower odds of dyslipidemia in greener environments, longitudinal research is limited. This prospective cohort study analyzed data from 3,454,623 adults from January 2017 to December 2021, focusing on dyslipidemia and its subtypes. Residential greenness was assessed using vegetation indices and greenspace percentages. Cox regressions and generalized estimating equation models were used to analyze associations between greenness and dyslipidemia outcomes. Over a median follow-up period of 3.21 years, 744,732 cases of dyslipidemia were observed. Greener environments were associated with a reduced risk of dyslipidemia, hypercholesterolemia, hypertriglyceridemia, and hyperbetalipoproteinemia (hazard ratios ranged from 0.82 to 0.96) and an increased risk of hypoalphalipoproteinemia (hazard ratios were 1.12 to 1.15). Higher greenness levels were linked to lower serum lipids. These associations were stronger among older adults and those with higher education. Mediation analyses showed that lower air pollution, temperature, and higher physical activity accounted for 2.08-33.72% of the associations between greenness and dyslipidemia. Our findings suggest that greenspace exposure can be incorporated into dyslipidemia etiology and prevention strategies. Nature therapies like forest bathing can be supplementary strategies.

Indexed as

ChineseCohort studyDyslipidemiaGreennessMediation

Identifiers

PMID40704074
PMCPMC12281202

What OpenQuestion holds

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LicenceCC BY-NC-ND
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 OpenQuestion graph.