Associations between neighbourhood greenness and asthma in preschool children in Kaunas, Lithuania: a case–control study
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- dc.contributor.author Andrušaitytė, Sandra
- dc.contributor.author Gražulevičienė, Regina
- dc.contributor.author Kudzyte, Jolanta
- dc.contributor.author Bernotiene, Asta
- dc.contributor.author Dedele, Audrius
- dc.contributor.author Nieuwenhuijsen, Mark J.
- dc.date.accessioned 2023-02-13T12:07:32Z
- dc.date.available 2023-02-13T12:07:32Z
- dc.date.issued 2016
- dc.description.abstract The aim of this study was to investigate the associations between surrounding greenness levels and asthma among children, and to explore a possible change of this association by the distance of the residence to a city park. A nested case–control study. Children aged 4−6 years residing at their current address since birth in Kaunas, Lithuania, whose mothers were recruited in 2007–2009 to the KANC newborns cohort study. The participants were 1489 children whose parents in 2012–2013 filled in the questionnaires and agreed to participate in the study. We estimated clinically diagnosed asthma risk factors. The surrounding greenness was measured as the average of the satellite-based Normalised Difference Vegetation Index (NDVI) within the buffers of 100, 300 and 500 m from each child's home address, and the distance to a city park was defined as the distance to the nearest city park. Multivariate logistic regression was performed to study the relationship between the greenness exposures and asthma adjusted for relevant covariates. An increase in the NDVI (>median) in buffers of 100, 300 and 500 m was associated with a slightly increased risk of asthma, while an IQR increase in NDVI-100 m statistically significantly increased the risk of asthma (OR 1.43, 95% CI 1.10 to 1.85). The stratified analysis by surrounding greenness revealed indications of stronger associations for children with higher surrounding greenness (NDVI-100>median) and those living farther away from parks (>1000 m), compared to NDVI-100≤median and the distance to a city park >1000 m (OR 1.47, 95% CI 0.56 to 3.87). A higher level of the surrounding greenness was associated with a slightly increased relative risk of asthma in children. Further investigation is needed to elucidate the influence of city parks and neighbourhood greenness levels on asthma.
- dc.description.sponsorship This work was supported in part by the European Commission grant number FP7-282996, and the grant of Lithuanian Agency for Science Innovation and Technology 2014-10-13 No 31V-66.
- dc.format.mimetype application/pdf
- dc.identifier.citation Andrusaityte S, Grazuleviciene R, Kudzyte J, Bernotiene A, Dedele A, Nieuwenhuijsen MJ. Associations between neighbourhood greenness and asthma in preschool children in Kaunas, Lithuania: a case–control study. BMJ Open. 2016 Apr;6(4):e010341. DOI: 10.1136/bmjopen-2015-010341
- dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2015-010341
- dc.identifier.issn 2044-6055
- dc.identifier.uri http://hdl.handle.net/10230/55747
- dc.language.iso eng
- dc.publisher BMJ Publishing Group
- dc.relation.ispartof BMJ Open. 2016 Apr;6(4):e010341
- dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/282996
- dc.rights This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.other Asma infantil
- dc.subject.other Zones verdes
- dc.subject.other Planificació de barris
- dc.subject.other Parcs urbans
- dc.title Associations between neighbourhood greenness and asthma in preschool children in Kaunas, Lithuania: a case–control study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion