Loss of green space in India shown to be associated with higher cardiometabolic risk

Loss of green space in India shown to be associated with higher cardiometabolic risk

News from ISGlobal

Although the health benefits of green space are supported by a growing body of evidence, few studies on this topic have been carried out in low-or middle-income countries. A new study by the Barcelona Institute for Global Health (ISGlobal), which analysed data on more than 6,000 people living in an area south of Hyderabad (India), offers evidence that urban development leading to a reduction in green space may be associated with an increase in several cardiometabolic risk factors.

The team behind the ISGlobal-coordinated CHAI project decided to investigate the association between land-use changes involving the conversion of natural and crop to built up land use and cardiometabolic risk factors —hypertension, obesity and hyperglycaemia — in a periurban area south of Hyderabad undergoing urbanisation. The study also explored the possible mediating roles of air pollution, physical activity and stress in these associations.

The study included health data from over 6,000 adults and the authors analysed changes in land use over a 14-year period across an area of 700 km2 using classification methods based on satellite remote sensing data from Landsat missions. Levels of air pollution (suspended particulate matter measuring less than 2.5 μm, or PM2.5) were estimated as part of the CHAI project. The cardiometabolic risk factors studied included blood pressure, triglycerides, cholesterol and fasting glucose, and participants answered survey questions about their lifestyle and stress indicators.

The findings showed that a fast increase in built-up land use within 300 m of a person’s residence was associated with an increase in metabolic risk factors. People whose neighbourhoods experienced faster urban development compared to those whose neighbourhoods did not change had higher blood pressure (both systolic and diastolic), waist circumference and fasting glucose values.


Milà C, Ranzani O, Sánchez M, Ambros A, Bhogadi S, Kinra S, Kogevinas M, Dadvand P, Tonne C Land-Use Change and Cardiometabolic Risk Factors in an Urbanizing Area of South India: A Population -Based Cohort Study. Environment Health Perspectives, 3 April 2020. DOI: 10.1289/EHP5445

More information:
ISGlobal website