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Vegetation is a crucial and intuitive index that can be used to evaluate the ecological status. Since the 20th century, land use has changed significantly in Yellow River Basin (YRB), along with great changes of vegetation, serious soil erosion, and gradual ecological deterioration. To improve the ecological environment in the YRB, China has carried out a series of ecological protection projects since the 1970s. Therefore, long-term sequence monitoring of vegetation in YRB is necessary to show the conservation effect and better support the further protection and restoration. This study analysed vegetation changes from 2000 to 2019 based on an annual mean fractional vegetation cover (FVC) dataset. The Theil–Sen median trend analysis method was used to analyse trends in FVC. The results showed that the vegetation in the YRB has improved significantly, with an average annual growth rate of 0.65%, and the ‘green line’ of vegetation has moved approximately 300 km westward. The influence of climate on vegetation is essential; therefore, this study also analysed the influence of temperature and precipitation on vegetation over time and space. Ecological control and afforestation are important anthropogenic factors that affect vegetation. The growth trend (0.6%/a) in key ecological function regions (KEFRs) was the fastest, and even though the protection measures are not strict, they provide space for afforestation. The China Ecological Conservation Red Line (CECRL) and the national nature reserves (NNRs) showed relatively flat trends. Ecological afforestation projects were closely correlated with the growth trend of the FVC. The correlation between FVC and the intensity of ecological engineering was significant in typical areas.

Spatial-Temporal Variation Characteristics and Influencing Factors of Vegetation in the Yellow River Basin from 2000 to 2019