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Please use this identifier to cite or link to this item: http://hdl.handle.net/10651/43491

Title: Urban green and grey space in relation to respiratory health in children
Author(s): Tischer, Christina
Gascón, Mireia
Fernández Somoano, Ana
Tardón García, Adonina
Lertxundi Manterola, Aitana
Ibarluzea, Jesús
Ferrero, Amparo
Estarlich, Marisa
Cirach, Marta
Vrijheid, Martine
Fuertes, Elaine
Dalmau Bueno, Albert
Nieuwenhuijsen, Mark J.
Antó, Josep M.
Sunyer, Jordi
Dadvand, Payam
Issue date: 2017
Publisher version: http://dx.doi.org/10.1183/13993003.02112-2015
Citation: European Respiratory Journal, 49(6): 1502112 (2017); doi:10.1183/13993003.02112-2015
Abstract: We assessed the effect of three different indices of urban built environment on allergic and respiratory conditions. This study involved 2472 children participating in the ongoing INMA birth cohort located in two biogeographic regions (Euro-Siberian and Mediterranean) in Spain. Residential surrounding built environment was characterised as 1) residential surrounding greenness based on satellite-derived normalised difference vegetation index (NDVI), 2) residential proximity to green spaces and 3) residential surrounding greyness based on urban land use patterns. Information on wheezing, bronchitis, asthma and allergic rhinitis up to age 4 years was obtained from parent-completed questionnaires. Logistic regression and generalised estimating equation modelling were performed. Among children from the Euro-Siberian region, higher residential surrounding greenness and higher proximity to green spaces were negatively associated with wheezing. In the Mediterranean region, higher residential proximity to green spaces was associated with a reduced risk for bronchitis. A higher amount of residential surrounding greyness was found to increase the risk for bronchitis in this region. Associations between indices of urban residential greenness and greyness with respiratory diseases differ by region. The pathways underlying these associations require further exploration.
URI: http://hdl.handle.net/10651/43491
ISSN: 0903-1936
Sponsored: The following are the funding bodies and awards that supported the work featured herein: INMA Asturias: This study was funded by grants from the Instituto de Salud Carlos III (Red INMA G03/176 and CB06/02/0041), the Spanish Ministry of Health (FIS-FEDER PI042018, PI09/02311, and PI13/02429), the Obra Social Cajastur/Fundación Liberbank, and the University of Oviedo. INMA Gipuzkoa: This study was funded by grants from the Instituto de Salud Carlos III (FIS-PI06/0867, FIS-PS09/ 00090, and FIS-PI13/02187), the Department of Health of the Basque Government (2005111093, 2009111069, and 2013111089), and the Provincial Government of Gipuzkoa (DFG06/004 and DFG08/001) (as annual agreements with the municipalities of the study area: Zumarraga, Urretxu, Legazpi, Azkoitia and Azpeitia, and Beasain). INMA Sabadell: This study was funded by grants from the Instituto de Salud Carlos III (Red INMA G03/176) and the Generalitat de Catalunya CIRIT (1999SGR 00241). The 4–5 year follow-up was funded by grants from the Instituto de Salud Carlos III (Red INMA G03/176, CB06/02/0041, PI041436, and PI081151 incl. FEDER funds), the Generalitat de Catalunya CIRIT (1999SGR 00241), and the Fundació La marató de TV3 (090430). INMA Valencia: This study was funded by Grants from the European Union (FP7-ENV-2011 cod 282957 and HEALTH.2010.2.4.5-1), the Instituto de Salud Carlos III (Red INMA G03/176, CB06/02/0041, FIS-FEDER 03/1615, 04/ 1509, 04/1112, 04/1931, 05/1079, 05/1052, 06/1213, 07/0314, 09/02647, 11/0178, 11/01007, 11/02591, 11/02038, 13/1944, 13/2032, 14/0891, and 14/1687) and the Conselleria de Sanitat, Generalitat Valenciana. Christina Tischer is the recipient of a European Respiratory Society Fellowship (RESPIRE2-2015-7251). Elaine Fuertes is the recipient of a Marie Curie Individual Fellowship (MSCA-IF-2016). Payam Dadvand is funded by a Ramón y Cajal fellowship (RYC-2012-10995) awarded by the Spanish Ministry of Economy and Competitiveness.
Project id.: FIS-FEDER PI042018
FIS-FEDER PI09/02311
FIS-FEDER PI13/02429
Marie Curie/MSCA-IF-2016
Ramón y Cajal/RYC-2012-10995
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