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Table 3 Decomposition of the total association between NDVI within 500 m buffer and the risk of total CVD direct and indirect associations mediated by cardiometabolic risk factors

From: Long-term exposure to residential greenness and cardiovascular disease and all-cause mortality in China

Variable

Associationsa

Proportion mediated, % (95% CI)

Total

Ìý

Indirect

Direct

HR (95% CI)

P value

HR (95% CI)

P value

HR (95% CI)

P value

Hypertension

0.86(0.78–0.94)

0.001

1.00(0.99–1.00)

0.129

0.86(0.79–0.94)

0.001

2.52(−0.80,7.91)

Diabetes mellitus

0.86(0.79–0.94)

0.001

1.00(0.99–1.00)

0.020

0.86(0.79–0.94)

0.001

2.45(0.33,7.17)*

Overweight/Obesity

0.92(0.85–0.99)

0.036

1.00(0.99–1.01)

0.717

0.92(0.85–0.99)

0.034

−1.19(−28.24,9.43)

BMI continuous

0.86(0.79–0.94)

0.001

0.99(0.99–1.00)

0.024

0.87(0.79–0.95)

0.002

4.04(0.45,11.95)*

Dyslipidemia

0.86(0.79–0.94)

0.001

1.00(0.99–1.00)

0.302

0.86(0.79–0.94)

0.001

1.90(−2.02,7.35)

TC

0.86(0.79–0.94)

0.001

1.00(0.99–1.00)

0.048

0.87(0.79–0.95)

0.001

2.75(−0.07,8.46)

TG

0.87(0.79–0.95)

0.003

1.00(0.99–1.00)

0.507

0.87(0.80–0.96)

0.004

0.92(−2.33,4.89)

HDL-C

0.87(0.79–0.95)

0.002

0.98(0.96–0.99)

 &±ô³Ù;.001

0.89(0.81–0.97)

0.011

16.18(7.37,47.96)*

LDL-C

0.86(0.79–0.94)

0.001

1.00(1.00–1.00)

0.283

0.86(0.79–0.94)

0.001

1.02(−0.98,3.98)

Physical activity

0.85(0.78–0.93)

0.001

0.99(0.99–1.00)

0.001

0.86(0.79–0.94)

0.001

5.34(2.01,13.55)*

PM2.5

0.85(0.78–0.93)

0.001

0.99(0.99–1.00)

0.058

0.86(0.79–0.94)

0.001

4.16(−0.31,12.05)

Heatwave days

0.86(0.78–0.94)

 &±ô³Ù;.001

1.02(1.00–1.04)

0.017

0.84(0.77–0.92)

 &±ô³Ù;.001

−12.82(−48.79,−2.47)*

  1. Abbreviations: CVD cardiovascular disease, NDVI normalized difference vegetation index, HR hazard ratio, CI confidential interval, BMI body mass index, TC total cholesterol, TG triglyceride, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol, PM particulate matter
  2. aHazard ratios given per tertile increase for NDVI level
  3. *P < 0.05