Evidence map›Paper›PMID 41680721›Full record

ArticleBMC public health2026

Association between exposure to green and blue spaces and respiratory health in the elderly: a scoping review.

Gaia Surya Lombardi, Doris Zjalic, Manuela Del Sario, Chiara Cadeddu, Walter Ricciardi, Leonardo Villani

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2026. 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

6 authors.

Gaia Surya LombardiSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Doris ZjalicErasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands. doriszjalic@gmail.com.
Manuela Del SarioDepartment of Epidemiology, Lazio Regional Health Service, Local Health Unit, Roma 1, Rome, Italy.
Chiara CadedduErasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
Walter RicciardiSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Leonardo VillaniSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

Italian Ministry of Health PREV-B-2022-12377017
6 · The paper itself

Abstract

introductionGiven the ageing global population, chronic respiratory diseases like COPD and emphysema are increasingly contributing to health and economic burdens. Green and blue spaces offer potential respiratory health benefits through improved air quality, increased physical activity, and reduced stress. However, evidence regarding their impact on older adults is limited, with few studies addressing this population's long-term respiratory health outcomes. This scoping review aims to assess the effects of exposure to green and blue spaces on the respiratory health of older adults.

methodsStudies evaluating the impact of green and blue spaces on respiratory health in adults aged > 65 years were identified from Medline, Scopus, and Web of Science, with publications from August 2013 to August 2023 included. Both observational and experimental studies were considered. Inclusion criteria were defined based on the PCC framework (Population, Concept, Context). Data extraction and synthesis were conducted independently by multiple researchers.

resultsAccording to inclusion criteria, 27 studies were identified, including three intervention studies and 24 observational studies. Green spaces were linked to lower risks of mortality from lung cancer, pneumonia, and chronic obstructive pulmonary disease (COPD). However, the evidence for short-term effects was mixed, with some studies showing improvements in lung function and reduced respiratory symptoms after brief exposure to green spaces, while others found no significant changes. Only one study on blue spaces was retrieved, suggesting that coastal living may lessen the impact of air pollution on COPD hospitalizations.

conclusionThis review suggests that exposure to green spaces can offer significant respiratory health benefits, particularly in reducing mortality from respiratory diseases. The evidence for blue spaces remains limited, and the mixed results for short-term effects highlight the need for further research.

Indexed as

Parks, RecreationalRespiratory Tract DiseasesAgedHumansPulmonary Disease, Chronic ObstructiveBlue spacesElderlyGreen spacesRespiratory health

Identifiers

PMID41680721
PMCPMC12998278

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.