Residential greenspace and lung function decline over 20 years in a prospective cohort: The ECRHS study
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- dc.contributor.author Markevych, Iana
- dc.contributor.author Dadvand, Payam
- dc.contributor.author García Aymerich, Judith
- dc.contributor.author Sunyer Deu, Jordi
- dc.contributor.author Heinrich, Joachim
- dc.date.accessioned 2023-07-20T06:45:24Z
- dc.date.available 2023-07-20T06:45:24Z
- dc.date.issued 2023
- dc.description.abstract Background: The few studies that have examined associations between greenspace and lung function in adulthood have yielded conflicting results and none have examined whether the rate of lung function decline is affected. Objective: We explored the association between residential greenspace and change in lung function over 20 years in 5559 adults from 22 centers in 11 countries participating in the population-based, international European Community Respiratory Health Survey. Methods: Forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were measured by spirometry when participants were approximately 35 (1990-1994), 44 (1999-2003), and 55 (2010-2014) years old. Greenness was assessed as the mean Normalized Difference Vegetation Index (NDVI) in 500 m, 300 m, and 100 m circular buffers around the residential addresses at the time of lung function measurement. Green spaces were defined as the presence of agricultural, natural, or urban green spaces in a circular 300 m buffer. Associations of these greenspace parameters with the rate of lung function change were assessed using adjusted linear mixed effects regression models with random intercepts for subjects nested within centers. Sensitivity analyses considered air pollution exposures. Results: A 0.2-increase (average interquartile range) in NDVI in the 500 m buffer was consistently associated with a faster decline in FVC (-1.25 mL/year [95% confidence interval: -2.18 to -0.33]). These associations were especially pronounced in females and those living in areas with low PM10 levels. We found no consistent associations with FEV1 and the FEV1/FVC ratio. Residing near forests or urban green spaces was associated with a faster decline in FEV1, while agricultural land and forests were related to a greater decline in FVC. Conclusions: More residential greenspace was not associated with better lung function in middle-aged European adults. Instead, we observed slight but consistent declines in lung function parameters. The potentially detrimental association requires verification in future studies.
- dc.description.sponsorship The present analyses are part of the Ageing Lungs in European Cohorts (ALEC) Study (https://www.alecstudy.org), which has also received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 633212. The local investigators and funding agencies for the European Community Respiratory Health are reported in the Supplementary Material. ISGlobal is a member of CERCA Programme/Generalitat de Catalunya. These sources of funding had no role in the study design, the collection, analysis and interpretation of data, the writing of the report, and in the decision to submit the article for publication.
- dc.format.mimetype application/pdf
- dc.identifier.citation Markevych I, Zhao T, Fuertes E, Marcon A, Dadvand P, Vienneau D, et al. Residential greenspace and lung function decline over 20 years in a prospective cohort: The ECRHS study. Environ Int. 2023 Jun 12;178:108036. DOI: 10.1016/j.envint.2023.108036
- dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2023.108036
- dc.identifier.issn 0160-4120
- dc.identifier.uri http://hdl.handle.net/10230/57620
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Environ Int. 2023 Jun 12;178:108036
- dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/633212
- dc.rights © 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword ECRHS
- dc.subject.keyword FEV(1)
- dc.subject.keyword FVC
- dc.subject.keyword Green space
- dc.subject.keyword Nature
- dc.subject.keyword Spirometry
- dc.title Residential greenspace and lung function decline over 20 years in a prospective cohort: The ECRHS study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion