Helsinki by nature: The Nature Step to Respiratory Health

Clinical and Translational Allergy

Tonya Winders¹  Arunas Valiulis²  Leena von Hertzen³  Eric D. Bateman⁴  Dean Schraufnagel⁵  Paulo Camargos⁶  Boleslaw Samolinski⁷  Niels Chavannes⁸  Bilun Gemicioğlu⁹  Arzu Yorgancioğlu^1,10  Vitezslav Kolek^1,11  Kazi Bennoor^1,12  Mohamed Tag Eldin^1,13  Digambar Behera^1,14  Hironori Sagara^1,15  Piotr Kuna^1,16  Eeva Furman^1,17  Abay Baigenzhin^1,18  Arvid Nyberg^1,19  Nils E. Billo^1,19  Tuula Vasankari^1,19  Nikolai Khaltaev^2,20  Jorge Quel^2,21  Maria Do Céu Teixeira^2,22  Sandra Gonzalez Diaz^2,23  Josep M. Anto^2,24  Jose Rosado-Pinto^2,25  Anahi Yañez^2,26  Giovanni Viegi^2,27  Stefania La Grutta^2,27  Talant Sooronbaev^2,28  Peter W. Hellings^2,29  Jaime Correia de Sousa^3,30  Jean Bousquet^3,31  Cherian Varghese^3,32  Yousser Mohammad^3,33  Marina Erhola^3,34  Pekka Jousilahti^3,34  Florin Mihaltan^3,35  Alvaro Cruz^3,36  Tamaz Maglakelidze^3,37  Elizabete Nunes^3,38  Le Thi Tuyet Lan^3,39  Mohamed R. Masjedi^4,40  Tari Haahtela^4,41  Osman Yusuf^4,42  Teresa To^4,43  Chunxue Bai^4,44 

[1] Allergy & Asthma Network;Clinic of Children’s Diseases, Institute of Clinical Medicine, and Department of Public Health, Institute of Health Sciences, Vilnius University;Department of Dermatology, Allergology and Venereology, Helsinki University Hospital;Department of Medicine, University of Cape Town;Department of Medicine, University of Illinois at Chicago;Department of Pediatrics, Medical School, Federal University of Minas Gerais;Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw;Department of Public Health and Primary Care, Leiden University Medical Center;Department of Pulmonary Diseases, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa;Department of Pulmonary Diseases, Faculty of Medicine, Celal Bayar University;Department of Respiratory Diseases and Tuberculosis, University Hospital Olomouc;Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital;Department of Thoracic Diseases, Ain Shams Faculty of Medicine;Dept. of Pulmonary Medicine, Postgraduate Institute of Medical Education & Research;Division of Allergology & Respiratory Medicine, Showa University School of Medicine;Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz;Environmental Policy Centre, Finnish Environment Institute;EuroAsian Respiratory Society;FILHA, Finnish Lung Health Association;Global Alliance Against Chronic Respiratory Diseases (GARD);Hispanic American Allergy Asthma & Immunology Association;Hospital Dr Agostinho Neto;Hospital Universitario y Facultad de Medicina;ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL);Immunoallergology Department, Hospital da Luz Lisboa;Investigaciones en Alergia y Enfermedades Respiratorias (INAER);Istituto per la Ricerca e l’Innovazione Biomedica (IRIB), Consiglio Nazionale delle Ricerche (CNR);Kyrgyzstan National Centre of Cardiology and Internal Medicine, Euro-Asian Respiratory Society;Laboratory of Clinical Immunology, Department of Microbiology and Immunology, KU Leuven;Life and Health Sciences Research Institute, ICVS, School of Medicine, University of Minho;MACVIA-France, Fondation Partenariale FMC VIA-LR, CHRU Arnaud de Villeneuve;Management of NCDs, WHO;National Center for Research in Chronic Respiratory Diseases, Tishreen University School of Medicine;National Institute for Health and Welfare (THL);National Institute of Pneumology M. Nasta;ProAR – Nucleo de Excelencia em Asma, Federal University of Bahia;Pulmonology Department, Ivane Javakhishvili Tbilisi State University, Chapidze Emergency Cardiology Center;Pulmonology Department, Maputo Central Hospital;Respiratory Care Center, University Medical Center;Shahid Beheshti University of Medical Sciences;Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki;The Allergy and Asthma Institute;The Hospital for Sick Children, Research Institute and Della Lana School of Public Health, University of Toronto;Zhongshan Hospital, Fudan University, Shanghai Respiratory Research Institute;

关键词: Nature;    Biodiversity;    Immune regulation;    Lifestyle;    Respiratory diseases;    Environment;   

DOI  :  10.1186/s13601-019-0295-2

来源: DOAJ

【 摘 要 】

Abstract Background The Nature Step to Respiratory Health was the overarching theme of the 12th General Meeting of the Global Alliance against Chronic Respiratory Diseases (GARD) in Helsinki, August 2018. New approaches are needed to improve respiratory health and reduce premature mortality of chronic diseases by 30% till 2030 (UN Sustainable Development Goals, SDGs). Planetary health is defined as the health of human civilization and the state of the natural systems on which it depends. Planetary health and human health are interconnected, and both need to be considered by individuals and governments while addressing several SDGs. Results The concept of the Nature Step has evolved from innovative research indicating, how changed lifestyle in urban surroundings reduces contact with biodiverse environments, impoverishes microbiota, affects immune regulation and increases risk of NCDs. The Nature Step calls for strengthening connections to nature. Physical activity in natural environments should be promoted, use of fresh vegetables, fruits and water increased, and consumption of sugary drinks, tobacco and alcohol restricted. Nature relatedness should be part of everyday life and especially emphasized in the care of children and the elderly. Taking “nature” to modern cities in a controlled way is possible but a challenge for urban planning, nature conservation, housing, traffic arrangements, energy production, and importantly for supplying and distributing food. Actions against the well-known respiratory risk factors, air pollution and smoking, should be taken simultaneously. Conclusions In Finland and elsewhere in Europe, successful programmes have been implemented to reduce the burden of respiratory disorders and other NCDs. Unhealthy behaviour can be changed by well-coordinated actions involving all stakeholders. The growing public health concern caused by NCDs in urban surroundings cannot be solved by health care alone; a multidisciplinary approach is mandatory.

【 授权许可】

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