A Review of Epidemiologic Studies on Greenness and Health: Updated Literature Through 2017
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Purpose of review Many studies suggest that exposure to natural vegetation, or greenness, may be beneficial for a variety of health outcomes. We summarize the recent research in this area. Recent findings We observed consistent and strong evidence of associations for higher greenness with improvements in birth weights and physical activity, as well as lower mortality rates. Recent studies also suggested that exposure to greenness may lower levels of depression and depressive symptoms. The evidence on greenness and cardiovascular health remains mixed. Findings are also inconsistent for greenness measures and asthma and allergies. Our knowledge of the impacts of greenness on a wide variety of health outcomes continues to evolve. Future research should incorporate information on specific species and some qualities of natural greenness that might drive health outcomes, integrate exposure assessments that incorporate personal mobility into analyses, and include prospective designs to add to the growing evidence that nature exposure positively affects health.
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Reviews of longitudinal and experimental studies have evaluated the evidence as inconsistent or suggestive.
“reviews of longitudinal and experimental studies have evaluated the evidence as inconsistent or suggestive.9–12”
From Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication (2023) · cites this paper as [11]
The Conclusions report inconsistent evidence for some greenness-related health outcomes, but consistent and strong evidence for birth weight, physical activity, and mortality. The Methods state that the review included only observational studies and that experimental studies were outside its scope, so it cannot support the claim about reviews of experimental evidence. (LLM, conf=0.90)
Experimental — accuracy not yet measuredFindings for asthma have been inconsistent.
“In particular, findings for asthma have been inconsistent.11”
From Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication (2023) · cites this paper as [11]
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Cites
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Markevych, I., Schoierer, J., Hartig, T., Chudnovsky, A., Hystad, P., Dzhambov, A. M., de Vries, S., Triguero-Mas, M., Brauer, M., Nieuwenhuijsen, M. J., et al. (2017) · Environmental Research · doi:10.1016/j.envres.2017.06.028 · Cited by 2,543 · see citing works
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- Authors
- Fong, K. C., Hart, J. E., & James, P.
- Affiliations
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Fong, Kelvin C.
- Venue
- Current Environmental Health Reports
- Published
- 2018-02-01
- Volume
- 5
- Issue
- 1
- Pages
- 77-87
- ISSN
- 2196-5412 (ISSN-L)
- PMC
- PMC5878143
- OpenAlex
- W2792098998
- Cited by
- 542
- References
- 4
- Citations by year
- 2026: 33 · 2025: 53 · 2024: 59 · 2023: 62 · 2022: 88 · 2021: 112 · 2020: 68 · 2019: 48 · 2018: 19
- FWCI
- 6.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Environmental Health Reports (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Environmental Protection Agency
- National Institutes of Health
- National Cancer Institute (R00CA201542)
- National Institute on Minority Health and Health Disparities (P50MD010428)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- vegetation greenness, nature exposure, natural vegetation, birth weight, physical activity, mortality, depression, depressive symptoms, cardiovascular health, asthma, allergy, environmental exposure assessment, personal mobility
- MeSH terms
- Asthma, Cardiovascular Diseases, Environment, Female, Health, Health Status, Humans, Hypersensitivity, Mental Health, Mortality, Plants, Pregnancy, Pregnancy Outcome, Risk Factors, Exercise
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