Evidence map›Paper›PMID 40751183›Full record

SynthesisBMC public health2025

Greenspace and intestinal diseases: a systematic review and meta-analysis.

Ao Zhang, Tianyi Zhao, Hongyi Li, Tianyu Xia, Shijie Zhang, Yuxin Zhu, Kang Ding

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Ao Zhang *Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, 210001, China.
Tianyi Zhao *Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, 210001, China.
Hongyi LiCollege of Landscape Architecture, Nanjing Forestry University, Nanjing, 210037, China.
Tianyu XiaCollege of Landscape Architecture, Nanjing Forestry University, Nanjing, 210037, China.
Shijie ZhangNanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, 210001, China.
Yuxin ZhuNanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, 210001, China.
Kang DingNanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, 210001, China. fsyy00237@njucm.edu.cn.

Funding

General Project of Jiangsu Province's Science and Technology Development Program for Traditional Chinese Medicine in 2020 YB2020029Jiangsu Province Postgraduate Practical Innovation Program 2025 SJCX25_1061
6 · The paper itself

Abstract

Greenspace has been reported potential therapeutically beneficial for intestinal diseases, yet the findings remain controversial Current researches demonstrate diversity in the assessment of greenspace and involve broad population groups, with the publication bias remaining a concern. This study offers convincing and reliable evidence supporting the beneficial effects of greenspace exposure on intestinal health, through a systematic review and meta-analysis examining the association between greenspace and intestinal disorders. The Greenspace exposure was primarily assessed using the Normalized Difference Vegetation Index (NDVI) and residential proximity to greenspaces. A comprehensive assessment was conducted concurrently by integrating various methods, such as land-use and satellite image data. This research encompassed a variety of intestinal conditions, such as inflammatory bowel disease (IBD), Crohn's disease (CD), ulcerative colitis (UC), colorectal cancer (CRC), and diarrhea. A search was performed cross four English and two Chinese databases, yielding nine studies for systematic review and eight for meta-analysis from 11,497 identified records. The results illustrated a significant protective effect of greenspaces against CD and IBD as well as a potentially protective effect against diarrhea. Nonetheless, no significant association was detected for UC or CRC. The study established that greenspaces could influence intestinal health through potential mechanisms such as improved air quality, enhanced microbial diversity, and reduced stress. These findings provide a solid basis for developing healthier urban environments and advancing strategies for prevention and treatment of intestinal diseases.Trial registration Registration number: CRD42024625968.

Indexed as

Intestinal DiseasesResidence CharacteristicsHumansGreenspaceInflammatory bowel diseaseIntestinal diseasesMeta-analysisPotential mechanismsSystematic review

Identifiers

PMID40751183
PMCPMC12315473

What OpenQuestion holds

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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.