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School-based interventions to support healthy indoor and outdoor environments for children: A systematic review

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dc.contributor.author Fernandes, Amanda
dc.contributor.author Ubalde López, Mònica, 1972-
dc.contributor.author Yang, Tiffany C.
dc.contributor.author McEachan, Rosemary R.C.
dc.contributor.author Rashid, Rukhsana
dc.contributor.author Maitre, Léa
dc.contributor.author Nieuwenhuijsen, Mark J.
dc.contributor.author Vrijheid, Martine
dc.date.accessioned 2023-03-08T07:19:09Z
dc.date.available 2023-03-08T07:19:09Z
dc.date.issued 2023
dc.identifier.citation Fernandes A, Ubalde-López M, Yang TC, McEachan RRC, Rashid R, Maitre L, Nieuwenhuijsen MJ, Vrijheid M. School-based interventions to support healthy indoor and outdoor environments for children: A systematic review. Int J Environ Res Public Health. 2023 Jan 18;20(3):1746. DOI: 10.3390/ijerph20031746
dc.identifier.issn 1661-7827
dc.identifier.uri http://hdl.handle.net/10230/56087
dc.description.abstract Environmental exposures are associated with children's health. Schools are often urban exposure 'hotspots' for pollution, noise, lack of green space and un-walkable built environments. The aim of this systematic review was to explore the impact of school-based interventions on the modification of indoor and outdoor stressors related to the built and natural environment on children's exposure and health. A systematic review of seven databases was performed. We included quantitative studies on children aged 5-12, which reported intervention delivered within school settings aimed at addressing key environmental exposures including air pollution, green spaces, traffic noise or active travel; and reported physical and mental health, physical activity or active travel behavior. The quality of studies was assessed and interventions were described using a standardized framework. A narrative synthesis approach was used to describe the findings. Thirty-nine papers were included on three main intervention types: improve indoor air quality by the increase of ventilation rates in classrooms; increase children's green time or greening schools, and multicomponent interventions to increase active travel to school by changes in pedestrian facilities. No eligible intervention to reduce traffic noise at school was found. Increasing ventilation rates improved short-term indoor air quality in classrooms, but the effect on cognitive performance was inconsistent. Greening schools and increasing children's green time have consistent positive effects on cognition and physical activity, but not in behavior. Multi-component interventions can increase walking and cycling after three years. Overall, the studies were rated as having poor quality owing to weak study designs. We found modest evidence that school-based built and natural environment interventions can improve children's exposure and health.
dc.description.sponsorship This work was funded by the European Union’s Horizon 2020 research and innovation programme ATHLETE project (grant agreement 874583). This work was supported by the European Union’s Horizon 2020 research and innovation programme LifeCycle project (Grant Agreement No. 733206) and AF is supported by MCIN/AEI/10.13039/501100011033 and by European Union “NextGenerationEU/PRTR” (PCI2021-122047-2B). RM is supported by the National Institute for Health and Care Research (NIHR) applied research collaboration for Yorkshire and Humber (NIHR200166) and by the UK Prevention Research Partnership (MR/S037527/1). The authors are grateful to Iolanda Molina from ISGlobal, Maria Parras Aznar who is the librarian at Biblioteca/CRAI Universitat Pompeu Fabra, for their support of the search strategy.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Int J Environ Res Public Health. 2023 Jan 18;20(3):1746
dc.rights © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.title School-based interventions to support healthy indoor and outdoor environments for children: A systematic review
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/ijerph20031746
dc.subject.keyword Active travel
dc.subject.keyword Air pollution
dc.subject.keyword Road-traffic noise
dc.subject.keyword School children
dc.subject.keyword Systematic review
dc.subject.keyword Urban green space
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/874583
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/733206
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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