Green environments and cardiovascular health

Trends Cardiovasc Med. 2020 May;30(4):241-246. doi: 10.1016/j.tcm.2019.06.005. Epub 2019 Jun 18.


Several large epidemiological studies have found robust associations between greenness and the risk of cardiovascular disease (CVD). These studies report that close residential proximity to greenness is associated with a decrease in cardiovascular mortality as well as major adverse cardiovascular events. Although mechanisms underlying this link are not well understood, the beneficial health effects of greenness have been linked to its ability to relieve stress, decrease air pollution, and encourage physical activity. Greenness in residential neighborhoods could also increase access to healthy goods and services, as well as social interactions. Research into the health effects of greenness could provide new insights into the environmental determinants of CVD risk and could inform the development of actionable greenness-based strategies to prevent CVD and its clinical manifestations.

Keywords: Cardiovascular disease; Environment; Prevention; Risk factors.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / prevention & control*
  • Environment Design
  • Environment*
  • Environmental Exposure / adverse effects
  • Environmental Exposure / prevention & control*
  • Environmental Pollutants / adverse effects*
  • Environmental Pollution / adverse effects
  • Environmental Pollution / prevention & control*
  • Healthy Lifestyle*
  • Humans
  • Protective Factors
  • Residence Characteristics*
  • Risk Assessment
  • Risk Factors
  • Risk Reduction Behavior*
  • Social Environment


  • Environmental Pollutants