News and events News Green neighbourhoods linked with better heart health Making streets and neighbourhoods greener has many benefits and this study investigated whether it had any relationship with rates of heart disease. The researchers also examined whether planting more vegetation in a locality would be accompanied by reductions in heart disease over time. “Higher levels of greenness were associated with lower rates of heart conditions and stroke over time, both when an area maintained high greenness and when greenness increased. It was remarkable that these relationships appeared in just five years, a relatively short amount of time for a positive environmental impact.” Study author Dr. William Aitken of the University of Miami, US The study included 243,558 US Medicare beneficiaries aged 65 and older who lived in the same area of Miami during 2011 to 2016. Participants were categorised based on whether they lived in low, medium or high greenness blocks in 2011. The process was repeated for those same residents and the greenness of their blocks in 2016. During that period of time Miami-Dade County Parks conducted tree planting programmes so, for example, there was the possibility that someone in a low greenness block in 2011 could be living in a high greenness block in 2016. The researchers analysed the odds of developing any new cardiovascular disease, and the number of new cardiovascular conditions, based on block-level greenness. The analyses were adjusted for other factors that could be related to new-onset heart disease: age, sex, race/ethnicity, number of baseline cardiovascular conditions, and neighbourhood characteristics including median household income and walkability. The researchers first compared heart health among those continually living in high versus low greenness areas during the five-year study. Residents of high greenness blocks throughout the study had a 16% lower odds of developing any new cardiovascular conditions compared to those in low greenness blocks. Among participants who developed a cardiovascular condition during follow-up, those in high greenness areas developed 4% fewer new diseases compared with those in low greenness blocks. The researchers then compared heart health in participants whose neighbourhood became greener versus those who continued to live in areas with low vegetation. When compared to residents of low greenness areas throughout the study, those living in areas that increased their greenness from low in 2011 to high in 2016 had 15% lower odds of developing new cardiovascular conditions. Dr. Aitken said: “We suspect that multiple factors may account for these observations. For instance, people living in greener areas may do more outdoor exercise and might feel less stressed due to being surrounded by nature. In addition, vegetation could provide some protection from air and/or noise pollution. This is an area for further exploration.” He added: “Tree planting and greening of neighbourhoods is associated with multiple benefits and offers a relatively low-cost investment to enhance health and well-being in many circumstances. For the cost of one emergency room visit for a heart attack, trees could be planted in a neighbourhood with 100 residents and potentially prevent ten heart diseases in this group.” The research was recently presented at the European Society of Cardiology Congress 2021.