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  1 / 1007 MEDLINE  
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[PMID]:28892499
[Au] Autor:Guzzetta G; Trentini F; Poletti P; Baldacchino FA; Montarsi F; Capelli G; Rizzoli A; Rosà R; Merler S; Melegaro A
[Ad] Endereço:Fondazione Bruno Kessler, Trento, Italy.
[Ti] Título:Effectiveness and economic assessment of routine larviciding for prevention of chikungunya and dengue in temperate urban settings in Europe.
[So] Source:PLoS Negl Trop Dis;11(9):e0005918, 2017 Sep.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the last decades, several European countries where arboviral infections are not endemic have faced outbreaks of diseases such as chikungunya and dengue, initially introduced by infectious travellers from tropical endemic areas and then spread locally via mosquito bites. To keep in check the epidemiological risk, interventions targeted to control vector abundance can be implemented by local authorities. We assessed the epidemiological effectiveness and economic costs and benefits of routine larviciding in European towns with temperate climate, using a mathematical model of Aedes albopictus populations and viral transmission, calibrated on entomological surveillance data collected from ten municipalities in Northern Italy during 2014 and 2015.We found that routine larviciding of public catch basins can limit both the risk of autochthonous transmission and the size of potential epidemics. Ideal larvicide interventions should be timed in such a way to cover the month of July. Optimally timed larviciding can reduce locally transmitted cases of chikungunya by 20% - 33% for a single application (dengue: 18-22%) and up to 43% - 65% if treatment is repeated four times throughout the season (dengue: 31-51%). In larger municipalities (>35,000 inhabitants), the cost of comprehensive larviciding over the whole urban area overcomes potential health benefits related to preventing cases of disease, suggesting the adoption of more localized interventions. Small/medium sized towns with high mosquito abundance will likely have a positive cost-benefit balance. Involvement of private citizens in routine larviciding activities further reduces transmission risks but with disproportionate costs of intervention. International travels and the incidence of mosquito-borne diseases are increasing worldwide, exposing a growing number of European citizens to higher risks of potential outbreaks. Results from this study may support the planning and timing of interventions aimed to reduce the probability of autochthonous transmission as well as the nuisance for local populations living in temperate areas of Europe.
[Mh] Termos MeSH primário: Aedes/virologia
Febre de Chikungunya/prevenção & controle
Dengue/prevenção & controle
Surtos de Doenças/prevenção & controle
Inseticidas
Controle de Mosquitos/métodos
Mosquitos Vetores/virologia
[Mh] Termos MeSH secundário: Animais
Febre de Chikungunya/economia
Febre de Chikungunya/epidemiologia
Febre de Chikungunya/transmissão
Vírus Chikungunya
Clima
Dengue/economia
Dengue/epidemiologia
Dengue/transmissão
Vírus da Dengue
Europa (Continente)/epidemiologia
Incidência
Itália/epidemiologia
Larva
Controle de Mosquitos/economia
Estações do Ano
Viagem
Reforma Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Insecticides)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005918


  2 / 1007 MEDLINE  
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[PMID]:28685549
[Au] Autor:Tang Z; Xu XJ; He XJ; Liang ZS; Liang WB; Li Y; Gao K
[Ad] Endereço:School of Information Management, Guangxi Medical University, Nanning, Guangxi, China.
[Ti] Título:Analysis of hemorrhagic fever with renal syndrome and its pathogenic gene sequence based on geographic information system.
[So] Source:J Biol Regul Homeost Agents;31(2):431-438, 2017 Apr-Jun.
[Is] ISSN:0393-974X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:This study analyzed the temporal-spatial distribution characteristics, epidemiological characteristics and gene sequences of hemorrhagic fever with renal syndrome (HFRS) in Guangxi, with the intention of providing a theoretical and technical support for the prevention of HFRS. A map of the incidence of HFRS of different cities in Guangxi was drawn up using the Geographic Information System (GIS) to investigate the epidemiological characteristics and infection source of HFRS between 2013 and 2016. Guangxi has a low incidence of HFRS, and autumn and winter are the main high-incidence seasons. Cases of HFRS were reported in all regions in Guangxi except Laibin city between 2013 and 2016. The distribution of cases in the four years suggested that Guilin, Nanning, Hechi and Wuzhou were the main infected regions, especially the local areas in the north of Guilin. The nucleotide and amino acid of S fragment and M fragment of Hantaviruses (HV) detected were highly homologous, and no obvious variation was found. Through analyzing the space-time characteristics, epidemiological characteristics and gene sequence of HFRS in Guangxi, it was found that areas rich in water, grass and moisture, such as paddy fields, are the main active areas for the host of HFRS.
[Mh] Termos MeSH primário: Genes Virais
Sistemas de Informação Geográfica
Vírus Hantaan
Febre Hemorrágica com Síndrome Renal
Reforma Urbana
[Mh] Termos MeSH secundário: Animais
China/epidemiologia
Feminino
Vírus Hantaan/genética
Vírus Hantaan/isolamento & purificação
Vírus Hantaan/patogenicidade
Febre Hemorrágica com Síndrome Renal/epidemiologia
Febre Hemorrágica com Síndrome Renal/genética
Seres Humanos
Masculino
Camundongos
Ratos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE


  3 / 1007 MEDLINE  
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[PMID]:28617461
[Au] Autor:Elmqvist T
[Ad] Endereço:Stockholm Resilience Centre, Stockholm University, Sweden.
[Ti] Título:Development: Sustainability and resilience differ.
[So] Source:Nature;546(7658):352, 2017 06 14.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais
Planejamento em Desastres/métodos
Política Ambiental
Reforma Urbana
[Mh] Termos MeSH secundário: Pessoal Administrativo
Animais
Biodiversidade
Cidades
Inundações
Nações Unidas
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1038/546352d


  4 / 1007 MEDLINE  
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[PMID]:28486637
[Au] Autor:White J; Greene G; Farewell D; Dunstan F; Rodgers S; Lyons RA; Humphreys I; John A; Webster C; Phillips CJ; Fone D
[Ti] Título:Improving Mental Health Through the Regeneration of Deprived Neighborhoods: A Natural Experiment.
[So] Source:Am J Epidemiol;186(4):473-480, 2017 Aug 15.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Neighborhood-level interventions provide an opportunity to better understand the impact of neighborhoods on health. In 2001, the Welsh Government, United Kingdom, funded Communities First, a program of neighborhood regeneration delivered to the 100 most deprived of the 881 electoral wards in Wales. In this study, we examined the association between neighborhood regeneration and mental health. Information on regeneration activities in 35 intervention areas (n = 4,197 subjects) and 75 control areas (n = 6,695 subjects) was linked to data on mental health from a cohort study with assessments made in 2001 (before regeneration) and 2008 (after regeneration). Propensity score matching was used to estimate the change in mental health in intervention neighborhoods versus control neighborhoods. Baseline differences between intervention and control areas were of similar magnitude as produced by paired randomization of neighborhoods. Regeneration was associated with an improvement in the mental health of residents in intervention areas compared with control neighborhoods (ß = 1.54, 95% confidence interval: 0.50, 2.59), suggesting a reduction in socioeconomic inequalities in mental health. There was a dose-response relationship between length of residence in regeneration neighborhoods and improvements in mental health (P-trend = 0.05). These results show that targeted regeneration of deprived neighborhoods can improve mental health.
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Transtornos Mentais/epidemiologia
Saúde Mental
Áreas de Pobreza
Distribuição Espacial da População
Reforma Urbana
[Mh] Termos MeSH secundário: Distribuição por Idade
Feminino
Seres Humanos
Masculino
Transtornos Mentais/diagnóstico
Transtornos Mentais/economia
Transtornos Mentais/psicologia
Distribuição por Sexo
Reino Unido/epidemiologia
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kwx086


  5 / 1007 MEDLINE  
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[PMID]:28486487
[Au] Autor:Ruijsbroek A; Wong A; Kunst AE; van den Brink C; van Oers HAM; Droomers M; Stronks K
[Ad] Endereço:National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
[Ti] Título:The impact of urban regeneration programmes on health and health-related behaviour: Evaluation of the Dutch District Approach 6.5 years from the start.
[So] Source:PLoS One;12(5):e0177262, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Large-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run. METHODS: With a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003-04 -mid 2008) and intervention period (mid 2008-2013-14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme. RESULTS: Changes in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes. CONCLUSION: We found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Reforma Urbana
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Estilo de Vida
Masculino
Meia-Idade
Países Baixos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0177262


  6 / 1007 MEDLINE  
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[PMID]:28431333
[Au] Autor:McCartney G; Hearty W; Taulbut M; Mitchell R; Dryden R; Collins C
[Ad] Endereço:NHS Health Scotland, Glasgow, UK. Electronic address: gmccartney@nhs.net.
[Ti] Título:Regeneration and health: a structured, rapid literature review.
[So] Source:Public Health;148:69-87, 2017 Jul.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify and synthesise what is known about the impacts of regeneration on health, health inequalities and their socio-economic determinants. STUDY DESIGN: Rapid, structured literature review. METHODS: A rapid, structured approach was undertaken to identifying relevant studies involving a search of peer-reviewed literature databases, an Internet search to identify relevant grey literature, and a review of articles citing two key systematic reviews. The identified citations were screened, critically appraised according to the research design and narratively synthesised. RESULTS: Of the 1382 identified citations, 46 were screened as relevant to the review and included in the synthesis. Fifteen citations were reviews but most of the evidence identified or included within the reviews was of medium or low quality due to a lack of longitudinal follow-up, low response rates or attrition. The evidence base on the impacts of regeneration is generally not of high quality and is prone to bias. However, it is theorised as being an important means of addressing the socio-economic determinants of health. Housing refurbishment (generally, and for specific improvements) seems likely to lead to small improvements in health, whereas rehousing and mixed-tenure approaches have less clear impacts on health and carry risks of disruption to social networks and higher rents. Changes in the social composition of communities (gentrification) is a common outcome of regeneration and some 'partnership' approaches to regeneration have been shown to have caused difficulties within communities. CONCLUSIONS: The evidence base for regeneration activities is limited but they have substantial potential to contribute to improving population health. Better quality evidence is available for there being positive health impacts from housing-led regeneration programmes involving refurbishment and specific housing improvements. There is also some evidence of the potential harms of regeneration activities, including social stratification (gentrification and residualisation) and the destabilisation of existing community organisations. Broader labour market and housing policy approaches are also likely to be important as a context for understanding impacts. Regeneration programmes require careful design, implementation and evaluation if they are to contribute to improved health and reduced health inequalities.
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Determinantes Sociais da Saúde
Saúde da População Urbana
Reforma Urbana
[Mh] Termos MeSH secundário: Habitação
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE


  7 / 1007 MEDLINE  
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[PMID]:28379993
[Au] Autor:Foley L; Prins R; Crawford F; Humphreys D; Mitchell R; Sahlqvist S; Thomson H; Ogilvie D; M74 study team
[Ad] Endereço:MRC Epidemiology Unit & UKCRC Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
[Ti] Título:Effects of living near an urban motorway on the wellbeing of local residents in deprived areas: Natural experimental study.
[So] Source:PLoS One;12(4):e0174882, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health and wellbeing are partly shaped by the neighbourhood environment. In 2011, an eight kilometre (five mile) extension to the M74 motorway was opened in Glasgow, Scotland, constructed through a predominantly urban, deprived area. We evaluated the effects of the new motorway on wellbeing in local residents. METHODS: This natural experimental study involved a longitudinal cohort (n = 365) and two cross-sectional samples (baseline n = 980; follow-up n = 978) recruited in 2005 and 2013. Adults from one of three study areas-surrounding the new motorway, another existing motorway, or no motorway-completed a postal survey. Within areas, individual measures of motorway proximity were calculated. Wellbeing was assessed with the mental (MCS-8) and physical (PCS-8) components of the SF-8 scale at both time points, and the short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) at follow-up only. RESULTS: In multivariable linear regression analyses, cohort participants living nearer to the new M74 motorway experienced significantly reduced mental wellbeing over time (MCS-8: -3.6, 95% CI -6.6 to -0.7) compared to those living further away. In cross-sectional and repeat cross-sectional analyses, an interaction was found whereby participants with a chronic condition living nearer to the established M8 motorway experienced reduced (MCS-8: -3.7, 95% CI -8.3 to 0.9) or poorer (SWEMWBS: -1.1, 95% CI -2.0 to -0.3) mental wellbeing compared to those living further away. CONCLUSIONS: We found some evidence that living near to a new motorway worsened local residents' wellbeing. In an area with an existing motorway, negative impacts appeared to be concentrated in those with chronic conditions, which may exacerbate existing health inequalities and contribute to poorer health outcomes. Health impacts of this type of urban regeneration intervention should be more fully taken into account in future policy and planning.
[Mh] Termos MeSH primário: Nível de Saúde
Áreas de Pobreza
Transportes
População Urbana/estatística & dados numéricos
[Mh] Termos MeSH secundário: Doença Crônica/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Modelos Lineares
Estudos Longitudinais
Masculino
Saúde Mental
Meia-Idade
Escócia/epidemiologia
Reforma Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174882


  8 / 1007 MEDLINE  
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[PMID]:28334034
[Au] Autor:Coldwell DF; Evans KL
[Ad] Endereço:Animal and Plant Sciences, Alfred Denny Building, University of Sheffield, Western Bank, Sheffield, United Kingdom.
[Ti] Título:Contrasting effects of visiting urban green-space and the countryside on biodiversity knowledge and conservation support.
[So] Source:PLoS One;12(3):e0174376, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Conservation policy frequently assumes that increasing people's exposure to green-space enhances their knowledge of the natural world and desire to protect it. Urban development is, however, considered to be driving declining connectedness to nature. Despite this the evidence base supporting the assumption that visiting green-spaces promotes biodiversity knowledge and conservation support, and the impacts of urbanization on these relationships, is surprisingly limited. Using data from door-to-door surveys of nearly 300 residents in three pairs of small and large urban areas in England we demonstrate that people who visit green-space more regularly have higher biodiversity knowledge and support for conservation (measured using scales of pro-environmental behavior). Crucially these relationships only arise when considering visits to the countryside and not the frequency of visits to urban green-space. These patterns are robust to a suite of confounding variables including nature orientated motivations for visiting green-space, socio-economic and demographic factors, garden-use and engagement with natural history programs. Despite this the correlations that we uncover cannot unambiguously demonstrate that visiting the countryside improves biodiversity knowledge and conservation support. We consider it likely, however, that two mechanisms operate through a positive feedback loop i.e. increased visits to green-space promote an interest in and knowledge of biodiversity and support for conservation, which in turn further increase the desire to visit green-space and experience nature. The intensity of urbanization around peoples' homes, but not city size, is negatively associated with their frequency of countryside visits and biodiversity knowledge. Designing less intensely urbanized cities with good access to the countryside, combined with conservation policies that promote access to the countryside thus seems likely to maximize urban residents' biodiversity knowledge and support for conservation.
[Mh] Termos MeSH primário: Biodiversidade
Conservação dos Recursos Naturais
Conhecimento
Reforma Urbana
[Mh] Termos MeSH secundário: Inglaterra
Jardinagem
Seres Humanos
Motivação
Urbanização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174376


  9 / 1007 MEDLINE  
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[PMID]:28282464
[Au] Autor:Xu F; Xiang N; Higano Y
[Ad] Endereço:School of Economics and Management, Beijing University of Chemical Technology, Beijing, China.
[Ti] Título:How to reach haze control targets by air pollutants emission reduction in the Beijing-Tianjin-Hebei region of China?
[So] Source:PLoS One;12(3):e0173612, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Currently, Haze is one of the greatest environmental problems with serious impacts on human health in China, especially in capital region (Beijing-Tianjin-Hebei region). To alleviate this problem, the Chinese government introduced a National Air Pollution Control Action Plan (NAPCAP) with air pollutants reduction targets by 2017. However, there is doubt whether these targets can be achieved once the plan is implemented. In this work, the effectiveness of NAPCAP is analyzed by developing models of the statistical relationship between PM2.5 concentrations and air pollutant emissions (SO2, NOx, smoke and dust), while taking into account wind and neighboring transfer impacts. The model can also identify ways of calculating the intended emission levels in the Beijing-Tianjin-Hebei area. The results indicate that haze concentration control targets will not be attained by following the NAPCAP, and that the amount of progress needed to meet the targets is unrealistic. A more appropriate approach to reducing air emissions is proposed, which addresses joint regional efforts.
[Mh] Termos MeSH primário: Poluentes Atmosféricos/química
Poluição do Ar/prevenção & controle
Modelos Teóricos
Óxidos de Nitrogênio/química
Dióxido de Enxofre/química
Reforma Urbana
[Mh] Termos MeSH secundário: China
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Nitrogen Oxides); 0UZA3422Q4 (Sulfur Dioxide)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0173612


  10 / 1007 MEDLINE  
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[PMID]:28248974
[Au] Autor:Triguero-Mas M; Gidlow CJ; Martínez D; de Bont J; Carrasco-Turigas G; Martínez-Íñiguez T; Hurst G; Masterson D; Donaire-Gonzalez D; Seto E; Jones MV; Nieuwenhuijsen MJ
[Ad] Endereço:ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
[Ti] Título:The effect of randomised exposure to different types of natural outdoor environments compared to exposure to an urban environment on people with indications of psychological distress in Catalonia.
[So] Source:PLoS One;12(3):e0172200, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Experimental studies have reported associations between short-term exposure to natural outdoor environments (NOE) and health benefits. However, they lack insight into mechanisms, often have low external and ecological validity, and have rarely focused on people with some psycho-physiological affection. The aim of this study was to use a randomized, case-crossover design to investigate: (i) the effects of unconstrained exposure to real natural and urban environments on psycho-physiological indicators of people with indications of psychological distress, (ii) the possible differential effects of 30 and 30+180 minutes exposures, and (iii) the possible mechanisms explaining these effects. MATERIAL AND METHODS: People (n = 26) with indications of psychological distress were exposed to green (Collserola Natural Park), blue (Castelldefels beach) and urban (Eixample neighbourhood) environments in Catalonia. They were exposed to all environments in groups for a period of 30+180 minutes between October 2013 and January 2014. During the exposure period, participants were instructed to do what they would usually do in that environment. Before, during (at 30 and 30+180 minutes) and after each exposure, several psycho-physiological measures were taken: mood (measured as Total Mood Disturbance, TMD), attention capacity (measured as backwards digit-span task), stress levels (measures as salivary cortisol), systolic and diastolic blood pressure, heart rate, autonomous nervous system (assessed as heart rate variability and the indicators: low frequency power (LF), high frequency power (HF), ratio between LF and HF (LF:HF), and coefficients of component variance of LF, HF, and LF:HF). We also measured several potential mediators: air pollution, noise, physical activity, social interactions, and self-perceived restoration experience. RESULTS: When compared with responses to urban environment, we found statistically significantly lower TMD [-4.78 (-7.77, -1.79) points difference], and salivary cortisol [-0.21 (-0.34, -0.08) log nmol/L] in the green exposure environment, and statistically significantly lower TMD [-4.53 (-7.57, -1.49) points difference], and statistically significant favourable changes in heart rate variability indicators (specifically LF:HF and CCV-LF:HF with around -0.20 points of difference of the indicators) in the blue exposure environment. Physical activity and self-perceived restoration experience partially mediated the associations between NOE and TMD. Physical activity and air pollution partially mediated the associations between NOE and heart rate variability. DISCUSSION AND CONCLUSIONS: This study extends the existing evidence on the benefits of NOE for people's health. It also suggests NOE potential as a preventive medicine, specifically focusing on people with indications of psychological distress. TRIAL REGISTRATION: Clinicaltrials.gov NCT02624921.
[Mh] Termos MeSH primário: Exposição Ambiental
Estresse Psicológico/fisiopatologia
Reforma Urbana
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Espanha
Estresse Psicológico/psicologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0172200



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde