Urban Open Space Is Associated with Better Renal Function of Adult Residents in New Taipei City

• Published in: International journal of environmental research and public health 2019-07, Vol.16 (13), p.2436
• Main Authors: Chien, Jien-Wen, Yang, Ya-Ru, Chen, Szu-Ying, Chang, Yu-Jun, Chan, Chang-Chuan
• Format: Article
• Language: English
• Subjects: Adult; Age; Aged; Aged, 80 and over; Alcohol; Blood pressure; Cities - statistics & numerical data; Cross-Sectional Studies; Elementary schools; Fasting; Female; Gender; Glomerular Filtration Rate - physiology; Humans; Hypertension; Kidney diseases; Land use; Logistic Models; Male; Medical screening; Middle Aged; Missing data; Mortality; Odds Ratio; Open spaces; Parks & recreation areas; Playgrounds; Population density; Prevalence; Public utilities; Recreation areas; Renal function; Renal Insufficiency, Chronic - epidemiology; Risk Factors; Schools; Sports complexes; Studies; Taiwan - epidemiology; Utilities; Variables
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph16132436

The purpose of this study is to explore the association between proximity to open space and adult renal function. This was a cross-sectional study. Adult residents of Taipei metropolis were recruited in the analysis. The proximity of each subject to open space was measured using the Geographic Information System. Residents were divided into two groups: with and without chronic kidney disease (CKD). We made univariable comparisons between the two groups. The logistic regression models were used to estimate the odds ratio of CKD. Forest plot was used to examine the effect of interaction between distance to open space and subgroup variable on CKD. A total number of 21,656 subjects with mean age 53.6 years were enrolled in the study. Of the subjects, 2226 (10.28%) had CKD. The mean and standard deviation of distance to open space were 117.23 m and 80.19 m, respectively. Every 100 m distance to open space was associated with an odds ratio of 1.071 for CKD. Subgroup analysis revealed that residents of female, without hypertension, or without impaired fasting glucose (IFG) living more than 200 m from open spaces have greater odds of CKD than those living less than 200 m. Conclusions: Proximity to open space was associated with a lower prevalence of CKD among adults in Taiwan. Such association was enhanced among females and healthy adults without hypertension or impaired fasting glucose (IFG).