Evidence map›Paper›PMID 42583560›Full record

ArticleEnvironmental epidemiology (Philadelphia, Pa.)2026

Association between residential greenness and preeclampsia in Japan.

Hisashi Ohseto, Ami Uematsu, Mami Ishikuro, Zheng Xian, Yuta Takahashi, Masatsugu Orui, Keiko Murakami, Aoi Noda, Genki Shinoda, Geng Chen and 7 more

Abstract read
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In one paragraph

Article in Environmental epidemiology (Philadelphia, Pa.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

17 authors.

Hisashi OhsetoInternational Research Institute of Disaster Science, Tohoku University, Sendai, Miyagi, Japan.ORCID https://orcid.org/0000-0001-6716-9095
Ami UematsuGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Mami IshikuroGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Zheng XianDepartment of Frontier Sciences for Advanced Environment, Graduate School of Environmental Studies, Tohoku University, Sendai, Miyagi, Japan.
Yuta TakahashiDepartment of Frontier Sciences for Advanced Environment, Graduate School of Environmental Studies, Tohoku University, Sendai, Miyagi, Japan.
Masatsugu OruiInternational Research Institute of Disaster Science, Tohoku University, Sendai, Miyagi, Japan.
Keiko MurakamiTohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.
Aoi NodaGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Genki ShinodaTohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.
Geng ChenGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Noriyuki IwamaTohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.
Masahiro KikuyaTohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.
Hirohito MetokiTohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.
Atsushi HozawaGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Taku ObaraGraduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Tomoki NakayaDepartment of Frontier Sciences for Advanced Environment, Graduate School of Environmental Studies, Tohoku University, Sendai, Miyagi, Japan.
Shinichi KuriyamaInternational Research Institute of Disaster Science, Tohoku University, Sendai, Miyagi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Preeclampsia (PE), characterized by hypertension and organ dysfunction during pregnancy, is a leading cause of maternal and fetal mortality. Residential greenness has been reported to be inversely associated with a broad range of health outcomes. However, evidence on the association between residential greenness and PE remains limited, particularly among East Asian populations. Methods: This study included 20,140 pregnancies among Japanese women from the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Residential greenness was assessed using the normalized difference vegetation index (NDVI) values calculated around the population-weighted centroid of each participant's postal code area. PE was identified using a rule-based phenotyping algorithm applied to medical records. Poisson regression with robust variance was used to estimate risk ratios (RRs) and confidence intervals, adjusting for maternal age, educational attainment, household income, urbanization status, and areal deprivation index. Results: Moderate NDVI levels were associated with a lower risk of PE than low NDVI levels (RR = 0.81 [95% confidence interval = 0.66, 1.00]). For high NDVI levels, the point estimate was below 1.00, but the association was not statistically significant (RR = 0.88 [0.69, 1.11]). No clear dose-response pattern emerged across tertiles ( Conclusion: Moderate residential greenness was associated with a lower risk of PE compared with low residential greenness.

Indexed as

Air pollutionCohort studyHypertensive disorders of pregnancyJapanNormalized difference vegetation indexPreeclampsiaResidential greennessSatellite imagery

Identifiers

PMID42583560
PMCPMC13461103

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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.