Journal article
Neighborhood greenspace and cognition: The cardiovascular health study
Health & place, Vol.79, p.102960
01/03/2023
DOI: 10.1016/j.healthplace.2022.102960
PMCID: PMC9928891
PMID: 36603455
Abstract
We examined whether greenspace measures (overall percent greenspace and forest, and number of greenspace types) were associated with clinically adjudicated dementia status.
In a sample of non-demented older adults (n = 2141, average age = 75.3 years) from the Cardiovascular Health and Cognition Study, Cox proportional hazard and logistic regression analyses were used to estimate associations of baseline greenspace with risks of incident dementia and MCI, respectively, while adjusting for demographics, co-morbidities, and other neighborhood factors. We derived quartiles of percent greenness (greenspace), forest (percent tree canopy cover), and tertiles of greenspace diversity (number of greenspace types) for 5-km radial buffers around participant's residences at study entry (1989-1990) from the 1992 National Land Cover Dataset. Dementia status and mild cognitive impairment (MCI) over 10 years was clinically adjudicated.
We observed no significant association between overall percent greenspace and risk of mild cognitive impairment or dementia and mostly null results for forest and greenspace diversity. Forest greenspace was associated with lower odds of MCI (OR quartile 4 versus 1: 0.54, 95% CI: 0.29-0.98) and greenspace diversity was associated with lower hazard of incident dementia (HR tertile 2 versus 1: 0.70, 95% CI = 0.50-0.99).
We found divergent results for different types of greenspace and mild cognitive impairment or dementia. Improved greenspace type and diversity measurement could better characterize the association between greenspace and cognition.
Details
- Title: Subtitle
- Neighborhood greenspace and cognition: The cardiovascular health study
- Creators
- Sara L Godina - University of PittsburghAndrea L Rosso - University of PittsburghJana A Hirsch - Drexel UniversityLilah M Besser - University of MiamiGina S Lovasi - Drexel UniversityGeoffrey H Donovan - U.S. Department of Agriculture Forest Service, PNW Research Station, 620 SW Main, Suite 502, Portland, OR, 97205, USAParveen K Garg - University of Southern California Keck School of Medicine, 1975 Zonal Avenue, Los Angeles, CA, 90033, USAJonathan M Platt - University of IowaAnnette L Fitzpatrick - University of WashingtonOscar L Lopez - University of Pittsburgh School of MedicineMichelle C Carlson - Johns Hopkins UniversityYvonne L Michael - Drexel University
- Resource Type
- Journal article
- Publication Details
- Health & place, Vol.79, p.102960
- DOI
- 10.1016/j.healthplace.2022.102960
- PMID
- 36603455
- PMCID
- PMC9928891
- NLM abbreviation
- Health Place
- ISSN
- 1353-8292
- eISSN
- 1873-2054
- Language
- English
- Date published
- 01/03/2023
- Academic Unit
- Epidemiology; Injury Prevention Research Center
- Record Identifier
- 9984355859202771
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