2021 No https://pubmed.ncbi.nlm.nih.gov/34499893/ Luo, Y Asia Review Students Elementary (K-5) Middle/Jr High (6-8) High School (9-12) Green space Blood pressure Cardiovascular health Pediatrics Epidemiology One interquartile range increase in greenness was associated with a 17%–20% reduced prevalence of hypertension for all measures of greenness (odds ratios for VCF500m = 20% (95% CI:18%, 23%); for NDVI500m = 17% (95% CI:13%, 21%); and for SAVI500m = 17% (95% CI: 13%, 20%). Increases in greenness were also associated with reductions in systolic blood pressure (0.48–0.58 mmHg) and diastolic blood pressure (0.26–0.52 mmHg). Older participants, boys, and urban dwellers showed stronger associations than their counterparts. No evidence of mediation was observed for air pollution (i.e., NO2 and PM2.5) and body mass index.

Higher greenness around schools may lower blood pressure levels and prevalent hypertension among Chinese children and adolescents, particularly in older subjects, boys, and those living in urban districts. Further studies, preferably longitudinal, are needed to examine causality.