Residential Exposure to Urban Trees and Medication Sales for Mood Disorders and Cardiovascular Disease in Brussels, Belgium: An Ecological Study.

BACKGROUND: The available evidence for positive associations between urban trees and human health is mixed, partly because the assessment of exposure to trees is often imprecise because of, for instance, exclusion of trees in private areas and the lack of three-dimensional (3D) exposure indicators (e.g., crown volume). OBJECTIVES: We aimed to quantify all trees and relevant 3D structural traits in Brussels (Belgium) and to investigate associations between the number of trees, tree traits, and sales of medication commonly prescribed for mood disorders and cardiovascular disease. METHODS: We developed a workflow to automatically isolate all individual trees from airborne light detection and ranging (LiDAR) data collected in 2012. Trait data were subsequently extracted for 309,757 trees in 604 census tracts. We used the average annual age-standardized rate of medication sales in Brussels for the period 2006 to 2014, calculated from reimbursement information on medication prescribed to adults (19-64 years of age). The medication sales data were provided by sex at the census tract level. Generalized log-linear models were used to investigate associations between the number of trees, the crown volume, tree structural variation, and medication sales. Models were run separately for mood disorder and cardiovascular medication and for men and women. All models were adjusted for indicators of area-level socioeconomic status. RESULTS: Single-factor models showed that higher stem densities and higher crown volumes are both associated with lower medication sales, but opposing associations emerged in multifactor models. Higher crown volume [an increase by one interquartile range (IQR) of 1.4×104 m³/ha] was associated with 34% lower mood disorder medication sales [women, ß=-0.341 (95% CI: -0.379, -0.303); men, ß=-0.340 (95% CI: -0.378, -0.303)] and with 21-25% lower cardiovascular medication sales [women, ß=-0.214 (95% CI: -0.246, -0.182); men, ß=-0.252 (95% CI: -0.285, -0.219)]. Conversely, a higher stem density (an increase by one IQR of 21.8 trees/ha) was associated with 28-32% higher mood disorder medication sales [women, ß=0.322 (95% CI: 0.284, 0.361); men, ß=0.281 (95% CI: 0.243, 0.319)] and with 20-24% higher cardiovascular medication sales [women, ß=0.202 (95% CI: 0.169, 0.236); men, ß=0.240 (95% CI: 0.206, 0.273)]. DISCUSSION: We found a trade-off between the number of trees and the crown volumes of those trees for human health benefits in an urban environment. Our results demonstrate that conserving large trees in urban environments may not only support conservation of biodiversity but also human health. https://doi.org/10.1289/EHP9924.

Foliar optical traits capture physiological and phenological leaf plasticity in Tilia×euchlora in the urban environment.

Knowledge on the response of trees to the urban heat island (UHI) effect and soil sealing is currently limited, yet of vital importance in an era characterized by both climate change and urbanization. We investigated the physiological and phenological leaf plasticity of Tilia×euchlora trees to the UHI effect and soil sealing and explored the potential of leaf optical traits to quantify the magnitude of leaf plasticity. Temporal changes of leaf water content (LWC), specific leaf area (SLA), total chlorophyll (Chl) and carotenoids (Car) content, Car:Chl ratio and leaf reflectance for 46 Tilia×euchlora trees were measured along a soil sealing and urbanization gradient. The leaf functional traits displayed trait-specific temporal patterns during the growing season. We observed higher LWC and SLA but lower Chl and Car contents in the coolest zones. We found earlier autumn downregulation in Chl and Car content at paved sites compared to unsealed sites (maximum difference = 13 days). The magnitude of plasticity in relation to the UHI and soil sealing varied in leaf functional traits with largest variation observed in Chl (38%), followed by Car:Chl (31%), Car (29%), SLA (26%) and LWC (8%). The proposed spectral indices calculated using leaf reflectance measurements were able to track the spatiotemporal variations and phenology in the leaf functional traits. Our results clearly demonstrate the leaf plasticity of Tilia×euchlora trees, which provides Tilia×euchlora trees the necessary capacity to adapt to rapid changes in the urban environment. More importantly, we demonstrated the suitability of leaf optical traits to serve as a proxy of leaf functional traits for studying the spatiotemporal response of urban trees to environmental factors, which opens up new possibilities for large scale ecological studies using remote sensing.