Population Lives Research Articles

Body mass index and joint mobility in a group of elderly people from Romania

Multiple factors are responsible for changes in mobility and health with aging. Chronic pain, fractures or injuries, sarcopenia, obesity, fibromyalgia, osteoarthritis, osteoporosis or neuro-muscular diseases decrease the ability to walk or move in order to function independently. Obesity is one of the comorbidities that decrease the quality of life in old population for both men and women. Material and methods. The research was carried out online and 224 respondents over the age of 51 were selected for this study. Data were statistically analyzed. Results. The most common diseases affecting the joints in our study group are arthrosis (14.72%), osteoporosis (12.12%) and lumbosciatics (10.82%). 27.84% of women declared that they suffer from osteoporosis and only 6.67% of men. 36.61% of the subjects are overweight and 30.80% of them suffer from obesity, with a general BMI range between 14.2 and 50.00. Discussion. In our study group, as in scientific literature, elderly people’s mobility is affected mostly by conditions associated with high values of BMI and endocrine disorders.

Vascular Impairment, Muscle Atrophy, and Cognitive Decline: Critical Age-Related Conditions.

The triad of vascular impairment, muscle atrophy, and cognitive decline represents critical age-related conditions that significantly impact health. Vascular impairment disrupts blood flow, precipitating the muscle mass reduction seen in sarcopenia and the decline in neuronal function characteristic of neurodegeneration. Our limited understanding of the intricate relationships within this triad hinders accurate diagnosis and effective treatment strategies. This review analyzes the interrelated mechanisms that contribute to these conditions, with a specific focus on oxidative stress, chronic inflammation, and impaired nutrient delivery. The aim is to understand the common pathways involved and to suggest comprehensive therapeutic approaches. Vascular dysfunctions hinder the circulation of blood and the transportation of nutrients, resulting in sarcopenia characterized by muscle atrophy and weakness. Vascular dysfunction and sarcopenia have a negative impact on physical function and quality of life. Neurodegenerative diseases exhibit comparable pathophysiological mechanisms that affect cognitive and motor functions. Preventive and therapeutic approaches encompass lifestyle adjustments, addressing oxidative stress, inflammation, and integrated therapies that focus on improving vascular and muscular well-being. Better understanding of these links can refine therapeutic strategies and yield better patient outcomes. This study emphasizes the complex interplay between vascular dysfunction, muscle degeneration, and cognitive decline, highlighting the necessity for multidisciplinary treatment approaches. Advances in this domain promise improved diagnostic accuracy, more effective therapeutic options, and enhanced preventive measures, all contributing to a higher quality of life for the elderly population.

Полиморфные варианты генов цитокинов в популяциях Арктической зоны России: предрасположенность к заболеваниям

The strategy for the development of the Arctic zone of Russia is primarily aimed at improving the quality of life of the Arctic population, health saving and reducing morbidity. The climatic and geographical conditions of the Arctic zone are extremely uncomfortable for living and cause the development of a number of diseases, as well as the polysyndrome of “northern stress”. Moreover, the Arctic population is affected by persistent organic pollutants that enter the body through a traditional diet and contribute to the development of oncological diseases by suppressing the functions of the immune system. Cytokines — proteins encoded by genes with a high degree of polymorphism, responsible for the nature of inflammatory processes, for the effectiveness of defense functions of the body in response to infections and the oncological process development — are one of the main mediators of the immune system. The distribution of polymorphisms in the cytokine genes produced by different types of cells of immune system (rs2069762 IL2, rs2243250 IL4, rs2069812 IL5, rs1800872 IL10, rs1800925 IL13, rs2275913 IL17A, rs7044343 IL33) in the populations of Nenets, Dolgan-Nganasans and Slavs was studied. Analysis of the results showed that the frequency of TG and GG genotypes rs2069762 IL2, CT genotype rs2243250 IL4, CT genotype rs2069812 IL5, TG genotype rs1800872 IL10, CC genotype rs1800925 IL13, GA genotype rs2275913 IL17A, CC rs7044343 IL33 genotype is significantly higher in Arctic populations compared to Slavs, and may be a potential genetic marker of disease development. The studied mutations are associated with the expression level of the corresponding cytokines and their production, which entails changes in the functioning of the cytokine network. It can be concluded that the indigenous inhabitants of the Russian Arctic have genetically determined rapid development of immune reactions, protection to the development of allergic diseases and resistance to the formation of malignant tumours in comparison with Slavs, i.e. the immigrant population.

Modeling and prediction of age-specific mortality rates using the Lee–Carter model

BACKGROUND: High mortality remains one of the most significant health concerns in Russia. One of the priorities of the state policy is to reduce mortality rates among the working-age population and increase life expectancy. Predicting population mortality rates serves as a valuable tool for effectively allocating the available resources. AIM: To perform mathematical modeling and prediction of mortality rates of the population of the Orenburg region using the Lee–Carter model. MATERIAL AND METHODS: The age- and sex-specific mortality rates and the population size of the Orenburg region for the period 1991–2020 was used as a study base. The Lee–Carter method was applied to model and predict population mortality. By deriving key parameters, a random walk model with drift was developed, and an accuracy assessment was performed. RESULTS: The Lee-Carter model has been utilized to analyze the mortality rates of the male population in the Orenburg region. Through this modeling process, an accuracy rate of 87% was achieved, providing a reliable basis for long-term prediction. Mortality forecasts have been generated up to the year 2035, allowing for a comprehensive evaluation of future trends in the region. CONCLUSION: The analysis of the results indicates that the pandemic's impact on population mortality is expected to be short-term. In the upcoming years, the mortality rate of the male population in the Orenburg region is projected to continue decreasing.

Actors in the spotlight: scrutinising how actors affect strategic environmental assessment towards sustainability in municipal master plans

ABSTRACT Changing the paradigm towards sustainability falls implicitly in transforming the urban systems, as most of the world's population lives in cities. The Strategic Environmental Assessment (SEA) process is relevant in this context because it supports the evaluation of the sustainability of the plans and promotes open and accountable decision-making. However, SEA processes are embedded in a broader decision-making context, where the different roles of the actors and their impacts on the planning process remain unclear. This study explores the contributions of the SEA actors and how they influence the outcomes of SEA towards sustainability, employing a case study research design and a content analysis on the SEA of 12 Municipal Master Plans (MMP) in Portugal. Results show that public participation tends to be weak and is only sought after all decisions have been made in the planning process. The study revealed that the SEA practitioner’s role is distanced from the MMP planning team, constraining their capacity to influence the plan development. The results highlighted the significance of initiating actors’ involvement at the beginning of the assessment process and improving the knowledge exchange between the actors. These strategies have the potential to foster collaboration, transparency, and a more integrated approach to SEA.

Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990-2019.

As an essential part of health services, rehabilitation is of great significance to improve the health and quality of life of the whole population. Accelerating aging calls for a significant expansion of rehabilitation services in China, but rehabilitation needs remain unclear. We conducted the study to explore the rehabilitation needs in China and project the trend of rehabilitation needs from 2020 to 2034. The data of health conditions that might potentially benefit from rehabilitation were obtained from Global Burden of Disease (GBD) study. Estimated annual percentage changes (EAPCs) were calculated to quantify the trends of the age-standardized rates. Projections of rehabilitation needs were made until 2034 using Bayesian age-period-cohort analysis (BAPC). Approximately 460 million persons (33.3% of the total population) need rehabilitation in China, contributing to 63 million years lived with disabilities (YLDs) in 2019. The number of prevalent cases increased from around 268 (95% uncertainty interval [UI]: 257-282) million in 1990 to almost 460 (95% UI: 443-479) million in 2019, representing an increase of 71.3%. The highest contribution to the need for rehabilitation was musculoskeletal disorders with about 322 (95% UI: 302-343) million persons in seven aggregate disease and injury categories, and hearing loss with over 95 (95% UI: 84-107) million people among 25 health conditions. Based on the projection results, there will be almost 636 million people (45% of the total population) needing rehabilitation services in China by 2034, representing an increase of 38.3%. The rehabilitation needs of neoplasms, cardiovascular diseases, and neurological disorders are expected to increase significantly from 2019 to 2034, with increases of 102.3%, 88.8% and 73.2%, respectively. The need for rehabilitation in China substantially increased over the last 30years. It is predicted that over two in five people will require rehabilitation by 2034, thus suggesting the need to develop rehabilitation services that meet individuals' rehabilitation needs.

International and domestic experience in standard regulation of bottled drinking water quality

Regulatory control of the quality of bottled drinking water is an important area of protecting health and enhancing quality of life in population, including children. The aim of the study is to conduct a comparative analysis of regulatory measures for the quality of bottled drinking water based on chemical indices, with a view to considering international standards to improve the Russian legal framework in this field. The analysis incorporates foreign regulatory and legal instruments in the area of control and monitoring of the quality of packaged drinking water, such as the Codex Alimentarius and directives of the European Parliament, Council of the European Union, Code of Special Regulations of Food and Drug Administration, ТР ЕАЭС 044/2017 Technical Regulations.Current international and domestic regulations, ensuring bottled water quality, have been analyzed. In spite of the fact that regulatory documents comprise fifty three common indices, over half of the international standard values differ significantly as compared to ТР ЕАЭС 044/2017 Regulations. There are noted advantages of domestic regulations, considering the specific requirements for bottled drinking water for children and the physiological benefits of water. In this study, only the regulation of chemical indices in packaged drinking water has been considered based on 4 regulatory documents. Additionally, the work has not taken into account in detail those indices that are not included in domestic regulations. Conclusion. A comparative analysis of international and national regulations has shown the Russian Federation to have more stringent requirements for the regulatory values of bottled water quality. Taking into account current trends it is necessary to improve and expand constantly the system of regulatory quality control of bottled drinking water by including those indices concentrations of which are regulated by international legislation.

Sustainability and Quality of Life in Marginalized Areas: An Impact Evaluation of a Community Center in Santa Fe, Mexico

The aim of this paper is to present the results of an impact evaluation of a community center in health, capacity building, and digital access, which form an approximation of quality of life, in the population of Santa Fe town in Mexico City, from 2022 to 2024. The methodology is quantitative, using an impact index and the differences in differences (DD) technique. The data were obtained from primary sources with surveys undertaken via questionnaires. The center is operated by a private university and funded by private firms. The results show a positive impact of 0.287127 out of 1 on the weighted impact index, which allows us to consider this program successful in improving the quality of life of the target population. Through impact evaluation, the effectiveness of interventions and opportunities for improvement are identified, fostering collaboration among local actors, including community members, state-run public programs, and community centers. This collaborative effort improves the quality of life, creating a sustainable community wherein each actor addresses specific needs. Impact evaluation plays a crucial role in measuring sustainability because it is a continuous improvement process that, when combined with other actions, enhances the community’s overall well-being.

ODISSEI Secure Supercomputer - a breakthrough in complex data linkage and applications.

The social reality is becoming increasingly complex and social scientists interested in studying those complexities and resolving real-world problems (such as increased inequalities or the spread of contiguous diseases) require an advanced infrastructure to advance this task. Ideally, a research infrastructure delivers access to rich and interlinked data that can be analysed with sufficient computational capacity while adhering to the highest security standards imposed by the sensitivity of this data. ODISSEI (Open Data Infrastructure for Social Sciences and Economic Innovation) offers such a unique opportunity in the Netherlands. In this talk, the ODISSEI Secure Supercomputer (OSSC) and its potential will be highlighted. This infrastructure allows researchers to to work with the extremely rich administrative data curated by Statistics Netherlands, covering different facets of life of the whole Dutch population and application of the complex models, pushing the boundaries of social sciences. The OSSC offers researchers sufficient computational power, memory, and GPUs to execute projects that include complex applications, such as Agent Based Models, network analysis, machine learning or LLM methods (such as life2vec). Moreover, high-security standards to which the environment adheres allow complex linkage with the genetic data, expanding the scope of research questions that can be studied even further. In this talk, the results of the ongoing studies will be presented, as well as the possibilities to conduct research using the OSSC infrastructure.

Hidradenitis Suppurativa in Elderly Patients: Clinical and Therapeutical Outcomes-A Review of the Literature.

The management of hidradenitis suppurativa (HS) in elderly patients presents unique challenges due to its chronic inflammatory nature, heterogeneous clinical presentation and comorbidities. While HS typically affects the anogenital and intertriginous regions, elderly patients may exhibit atypical features such as the involvement of the neck, mammary area and gluteal region. The prevalence of HS in the elderly population is lower and the average age of disease onset is higher than in patients under 65. In contrast, it is unclear whether HS in the elderly has different clinical features. The elderly frequently present multiple comorbidities, including obesity, diabetes, and heart disease, which further complicate management decisions. Therapeutic interventions must consider the frailty and increased risk of multimorbidity and adverse events in elderly patients. While systemic antibiotics remain a mainstay of HS treatment, biologic agents such as TNFα inhibitors and secukinumab offer promising options for refractory cases. However, their safety and efficacy in elderly patients, particularly those with multiple comorbidities, require careful consideration. A comprehensive approach to managing HS in elderly patients involves not only pharmacological interventions but also lifestyle modifications and surgical options where appropriate. Multidisciplinary collaboration between dermatologists, geriatricians and other specialists is essential for tailoring treatment strategies and optimizing long-term outcomes and quality of life in special population.

What do Climate Change, Nutrition, and the Environment Have to do With Mental Health?

Climate change is becoming the most significant global challenge and must be addressed on a global scale. At the time that this article is being written, the planetary heat in 2023 was the hottest on record. Similarly, the World Health Organization reports that 99% of the world's population lives in regions of unhealthy air pollution. Similarly, depression has become one of the leading causes of global mental and physical disabilities, and the impact of depression is predicted to only worsen over the next 25years. It is interesting to note that climate experts often overlook the adoption of nutrition via a whole plant-based diet as a solution to both mental illness and climate change. In this review, we will touch upon the role of nutrition in gut microbiota and mental health, the impact diet has on greenhouse gases, the role of ultra-processed food, and environmental factors such as air pollution and increasing planetary heat and their growing impacts on mental health. In the end, the promotion of plant-based foods has the potential to improve personal mental and physical health while improving planetary health.

Understanding the Role of Oxidative Stress in Platelet Alterations and Thrombosis Risk among Frail Older Adults.

Frailty and cardiovascular diseases are increasingly prevalent in aging populations, sharing common pathological mechanisms, such as oxidative stress. The evidence shows that these factors predispose frail individuals to cardiovascular diseases but also increase the risk of thrombosis. Considering this background, this review aims to explore advances regarding the relationship between oxidative stress, platelet alterations, and cardiovascular diseases in frailty, examining the role of reactive oxygen species overproduction in platelet activation and thrombosis. The current evidence shows a bidirectional relationship between frailty and cardiovascular diseases, emphasizing how frailty not only predisposes individuals to cardiovascular diseases but also accelerates disease progression through oxidative damage and increased platelet function. Thus, oxidative stress is the central axis in the increase in platelet activation and secretion and the inadequate response to acetylsalicylic acid observed in frail people by mitochondrial mechanisms. Also, key biomarkers of oxidative stress, such as isoprostanes and derivate reactive oxygen metabolites, can be optimal predictors of cardiovascular risk and potential targets for therapeutic intervention. The potential of antioxidant therapies in mitigating oxidative stress and improving cardiovascular clinical outcomes such as platelet function is promising in frailty, although further research is necessary to establish the efficacy of these therapies. Understanding these mechanisms could prove essential in improving the health and quality of life of an aging population faced with the dual burden of frailty and cardiovascular diseases.

Usability of APIMedOlder: A Web Application to Manage Potentially Inappropriate Medication in Older Adults.

Considering the increase in the proportion of the older population worldwide, the demand for health system resources also arises. These tools optimize clinical decision-making, thus avoiding iatrogenesis and thus contributing to a better quality of life for the older population. In response, we created an online web application, the APIMedOlder, that provides access to healthcare professionals to allow healthcare professionals to access potentially inappropriate medication identification criteria through a useful tool with a simplified profile, allowing its applicability in clinical practice. This study aims to assess the usability of the APIMedOlder online web application by healthcare professionals. A questionnaire, based on the System Usability Scale, was distributed among 15 healthcare professionals (five pharmacists, four physicians, three pharmacy technicians, and three nurses), to fully explore the website. Overall, healthcare professionals' evaluation of the usability of the APIMedOlder online web application was rated as "Best imaginable" (mean score of 87.17 points), with individual scores ranging from 75 to 100 points. Internal consistency of α = 0.881 (CI 95%: 0.766 - 0.953) was achieved. Specific questionnaire items contributing to this high score included ease of use, learning efficiency, and integration of functions. The overall evaluation of the developed tool was positive, with this online application being recognized as being easy to use and having well-integrated functions.

Intervention combinations within multimodal prehabilitation and their effect on health-related quality of life, fatigue, and adherence in the adult cancer population: an umbrella review protocol.

This umbrella review will investigate intervention combinations that are provided as multimodal prehabilitation and their effect on health-related quality of life, fatigue, and adherence in the adult cancer population. Cancer and treatment-related long-term and late effects are a significant source of impairment worldwide. Multimodal prehabilitation has been the subject of intense research in recent years due to its potential to improve cancer treatment and surgical outcomes. Prehabilitation has been provided in different combinations of exercise, nutrition, and psychological support, although evidence of effectiveness varies in the literature. The review will consider quantitative and mixed methods (segregated approach) systematic reviews investigating the effectiveness of multimodal prehabilitation compared with any other or no intervention for adults with cancer (≥18 years). Systematic reviews focusing solely on unimodal prehabilitation or rehabilitation during or after cancer treatment will be excluded. This review will follow the JBI methodology for umbrella reviews. The following databases will be searched from 2001 onwards: MEDLINE, Emcare, PsycINFO, and AMED (Ovid); CINAHL (EBSCOhost); PEDro; Cochrane Database of Systematic Reviews; and Epistemonikos. Backchaining and forward citation tracking will also be performed. Organizational websites will be searched for relevant gray literature. Two reviewers will perform title/abstract and full-text screening against the inclusion criteria, and disagreements will be resolved via discussion or a third reviewer. Relevant population, intervention, and outcome data will be extracted from included full-text documents, and the quality of reports will be determined using the JBI checklist for systematic reviews. The results will be presented in tabular and narrative format. PROSPERO CRD42024511601.

MANAGERIAL CHALLENGES OF SOCIAL INCUBATORS FOCUSED ON SUBSISTENCE ENTREPRENEURS

Although social incubators provide a variety of entrepreneurial support, little is known regarding their design, implementation, operation and management. The identification and characterization of the clients and stakeholders of social incubators is complicated by multiple definitions of entrepreneurship and multiple typologies of entrepreneurs. Their ventures are accompanied by strategic and tactical confusion about objectives and populations served. This study investigates the dynamics of incubator clients’ needs and attributes as they interact with the values and interests of other stakeholders in a social incubator focused on survival entrepreneurs. Our sampling was a medium sized mixed economy town in Brazil. Our thirteen-month ethnographic study analyzed the collective struggle to transcend the tensions between social and economic values and improve the lives of vulnerable populations. Central to this struggle is the incubator management’s unique humanistic ideology coupled with the search for realistic concrete results modulated by community and client attributes. Through our analysis of various interventions that occurred within the social incubator, we discuss the importance of getting to know the vulnerable to better manage social incubators that focus on subsistence entrepreneurship. These contents are valued when discussed in the context of the evolutionary phases (or trajectory) of the vulnerable in a social incubator from welcoming through training, to improvement and other phases, until citizens’ autonomy is achieved.

The Socio-Political and Cultural Life of the Ukrainian-Ruthenian Population of the AustroHungarian Empire on the Pages of the Journal “Kievskaya Starina”

The Socio-Political and Cultural Life of the Ukrainian-Ruthenian Population of the AustroHungarian Empire on the Pages of the Journal “Kievskaya Starina”

Impact of Cognitive and Psychological Functions in Relapsing-Remitting Multiple Sclerosis: A Cross-Sectional Study.

To compare the cognitive functions and trait anxiety in patients diagnosed with relapsing-remitting multiple sclerosis (RRMS) to those of matched healthy controls (HCs). In addition, the study aims to investigate the correlations among cognitive functions, anxiety, depression, and quality of life (QOL) in this clinical population. The sample included RRMS patients ( n = 21) and an equal number of age-, education-, and sex-matched HCs. Participants were assessed on the Indian version of the Wechsler Adult Intelligence Scale-IV, auditory and visual learning and memory, and visual-spatial construction and memory. RRMS patients were also assessed for levels of anxiety, depression, and their QOL. Comparative analyses between RRMS patients and HCs were carried out for neuropsychological assessments. Correlations among cognitive functions, anxiety, depression, and QOL in RRMS patients were examined. RRMS patients showed significant deficits across various cognitive domains, including processing speed and verbal learning, compared to HCs ( P < 0.05). In addition, they reported higher levels of trait anxiety compared to HCs ( P < 0.01), along with moderate state anxiety and mild depression. A significant correlation among anxiety, depression, and QOL was observed in RRMS patients. This study highlights significant cognitive impairments and psychological distress experienced by RRMS individuals, underscoring the critical need for comprehensive care addressing both cognitive impairments and psychological distress to enhance QOL.

Herbal extract (Cervus elaphus Linnaeus, Angelica gigas Nakai, and Astragalus membranaceus Bunge) ameliorates chronic fatigue: A randomized, placebo-controlled, double-blind trial

BackgroundChronic fatigue syndrome (CFS) reduces the health-related quality of life in the working-age population; however, studies have rarely investigated this group. A mixture of Cervus elaphus Linnaeus, Angelica gigas Nakai, and Astragalus membranaceus Bunge (CAA) may be an effective anti-fatigue supplement. However, few clinical trials have explored the anti-fatigue effects of herbal medicines in human participants. Therefore, this study aimed to investigate the effects of the CAA herbal complex on muscle fatigue and endurance capacity in a randomized, placebo-controlled, double-blind trial. MethodsIn an 8-week trial, 80 patients with chronic fatigue symptoms were randomly assigned to the CAA (43.5 ± 1.2 years) or placebo group (41.8 ± 1.3 years). Fatigue and cardiorespiratory endurance were measured at baseline, interim, and post-intervention. Fatigue-related blood biomarkers were assessed before and at the end of the intervention. ResultsA significant improvement in overall fatigue scores was observed on the fatigue severity scale (p = 0.038), multidimensional fatigue inventory (p = 0.037), and 24-hour visual analog scale (p = 0.002) in the CAA group compared to those in the placebo group. Fatigue improvement was observed in the CAA group, as well as physiological variables, such as increased maximal exercise time to exhaustion (p = 0.003), distance until exhaustion (p = 0.003), and maximum oxygen consumption (p = 0.039). ConclusionCAA positively and significantly affected fatigue and cardiorespiratory endurance in patients with chronic fatigue, suggesting the potential use of herbal supplements for treating chronic fatigue. Trial registrationClinical Research Information Service (CRIS, https://cris.nih.go.kr/): KCT0005613.

Экологические проблемы Арктической зоны России на примере Ямало-Ненецкого автономного округа

The authors analyze the ecological state of three environments (media) of the Russian Arctic zone on the example of the Yamal-Nenets Autonomous Area: soil, water and atmosphere. The the Autonomous Area economy is based on the oil and gas production, which has an increasing negative impact on the region ecology. Environmental pollution due to accidents and fires on oil pipelines, the formation of unauthorized landfills near settlements, contamination of rivers and reservoirs, air pollution, year–round navigation in the Gulf of Ob contribute to the overall change in the region microclimate, which leads to degradation of pastures, changes in deer migration routes and disruption of the traditional way of life of the indigenous population — Nenets-reindeer herders. In order to restore pastures and preserve the traditional way of life of reindeer herders, the authors propose building roads and railways on stilts or isolating reindeer herds from transport infrastructure with the help of eco-bridges so that it does not become an obstacle to seasonal migration of reindeer along traditional routes.

Urban parks in developing countries: Challenges and opportunities in Addis Ababa, Ethiopia

The scarcity of well-functioning green spaces in the rapidly growing urban centers of developing countries poses significant challenges, hindering the well-being and quality of life for urban populations. Urban parks, often referred to as the "lungs of the city," have the potential to alleviate these challenges, yet their benefits are not always evident. This study explores the challenges and opportunities faced by urban parks in developing countries through a comparative analysis of Janmeda Park and Entoto Park in Addis Ababa, Ethiopia. The research assesses key dimensions, including accessibility, sociability, comfort, image projection, and management/maintenance. These elements are vital for understanding how well urban parks serve their communities and contribute to urban development. While Janmeda Park, despite its historical importance, struggles with physical and operational challenges, Entoto Park’s well-designed amenities, management, and safety provide a model for future park developments. The study offers recommendations to improve urban parks, such as enhancing accessibility, fostering sociability, ensuring user comfort and safety, strengthening image projection, integrating cultural and historical elements, and improving management and maintenance. It also highlights the importance of monitoring and evaluating park performance. These recommendations aim to guide urban planners and policymakers in enhancing urban parks, thereby supporting community well-being and promoting effective urban development. The insights provided are intended to inform better practices for urban park planning and management, contributing to more vibrant and functional green spaces in developing cities.