Urban ecosystem health evaluation can assist in sustainable ecological management at a regional level. This study examined urban agglomeration ecosystem health in the middle reaches of the Yangtze River with entropy weight and extension theories. The model overcomes information omissions and subjectivity problems in the evaluation process of urban ecosystem health. Results showed that human capital and education, economic development level as well as urban infrastructure have a significant effect on the health states of urban agglomerations. The health status of the urban agglomeration’s ecosystem was not optimistic in 2013. The majority of the cities were unhealthy or verging on unhealthy, accounting for 64.52% of the total number of cities in the urban agglomeration. The regional differences of the 31 cities’ ecosystem health are significant. The cause originated from an imbalance in economic development and the policy guidance of city development. It is necessary to speed up the integration process to promote coordinated regional development. The present study will aid us in understanding and advancing the health situation of the urban ecosystem in the middle reaches of the Yangtze River and will provide an efficient urban ecosystem health evaluation method that can be used in other areas.

Over the past four decades, land use/land cover (LU/LC) change, coupled with persistent drought, has resulted in the decline of groundwater levels in Horqin Sandy Land. Accordingly, this study quantifies changes in LU/LC and groundwater storage (GWS). Furthermore, it investigates the effects of LU/LC changes on GWS. GWS changes are estimated using Gravity Recovery and Climate Experiment (GRACE) data and ground-based measurements obtained from July 2003 to December 2010. Soil moisture and snow water equivalent data derived from the Global Land Data Assimilation System (GLDAS) are used to isolate GWS changes from GRACE-derived terrestrial water storage changes. The result shows that the groundwater depletion rate in Horqin Sandy Land is 13.5 ± 1.9 mm·year⁻¹ in 2003–2010, which is consistent with the results of monitoring well stations. LU/LC changes are detected using bitemporal imageries (2003 and 2010) from Landsat Thematic Mapper through the post-classification comparison method. The result shows that LU/LC significantly changed during the aforementioned period. Bare soil and built-up land have increased by 76.6% and 82.2%, respectively, while cropland, vegetation, and water bodies have decreased by 14.1%, 74.5%, and 82.6%, respectively. The analysis of GWS and LU/LC changes shows that LU/LC changes and persistent drought are the main factors that affect groundwater resources.