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This systematic review aimed to synthesize this evidence. All observational studies which assessed the association of greenspace and POS with cardiometabolic risk factors including obesity, BMI, HTN, BG, and lipid profiles were included and reviewed by two authors independently.

Overall, relevant articles were included in our review. The majority of the articles were conducted in North America or Europe. According to the random effect meta-analysis, more access to greenspace was significantly associated with lower odds of HTN odds ratio OR : 0. Findings of this systematic review and meta-analysis suggested that greenspace accessibility is associated with some cardiometabolic risk factors. Improving greenspace accessibility could be considered as one of the main strategies to reduce cardiometabolic risk factors at population level.

Peer Review reports. Cardiometabolic risk factors CMRFs including obesity, hypertension, dysglycaemia, and dyslipidemia are among the main risk factors based on the latest global burden of disease report. Resulting in tremendous expenses and a significant amount of morbidity and mortality worldwide. Thus preventive measures to reduce the imposing threats of CMRFs are highly desirable [ 1 ].