Urban environment and health behaviours in children from six European countries

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• dc.contributor.author Fernández-Barrés, Sílvia
• dc.contributor.author Fossati, Serena
• dc.contributor.author Márquez, Sandra
• dc.contributor.author Basagaña Flores, Xavier
• dc.contributor.author Bont, Jeroen de
• dc.contributor.author de Castro, Montserrat
• dc.contributor.author Maitre, Léa
• dc.contributor.author Nieuwenhuijsen, Mark J.
• dc.contributor.author Romaguera Bosch, Dora
• dc.contributor.author Urquiza, José M.
• dc.contributor.author Chatzi, Leda
• dc.contributor.author Vrijheid, Martine
• dc.date.accessioned 2022-11-28T08:00:45Z
• dc.date.available 2022-11-28T08:00:45Z
• dc.date.issued 2022
• dc.description.abstract Background: Urban environmental design is increasingly considered influential for health and wellbeing, but evidence is mostly based on adults and single exposure studies. We evaluated the association between a wide range of urban environment characteristics and health behaviours in childhood. Methods: We estimated exposure to 32 urban environment characteristics (related to the built environment, traffic, and natural spaces) for home and school addresses of 1,581 children aged 6-11 years from six European cohorts. We collected information on health behaviours including total amount of overall moderate-to-vigorous physical activity, physical activity outside school hours, active transport, sedentary behaviours and sleep duration, and developed patterns of behaviours with principal component analysis. We used an exposure-wide association study to screen all exposure-outcome associations, and the deletion-substitution-addition algorithm to build a final multi-exposure model. Results: In multi-exposure models, green spaces (Normalized Difference Vegetation Index, NDVI) were positively associated with active transport, and inversely associated with sedentary time (22.71 min/day less (95 %CI -39.90, -5.51) per interquartile range increase in NDVI). Residence in densely built areas was associated with more physical activity and less sedentary time, and densely populated areas with less physical activity outside school hours and more sedentary time. Presence of a major road was associated with lower sleep duration (-4.80 min/day (95 %CI -9.11, -0.48); compared with no major road). Results for the behavioural patterns were similar. Conclusions: This multicohort study suggests that areas with more vegetation, more building density, less population density and without major roads are associated with improved health behaviours in childhood.
• dc.description.sponsorship The research leading to these results has received funding from the European Community's Seventh Framework Programme [FP7/2007–2013] under grant agreement no 308333 – the HELIX project, from the European Union’s Horizon 2020 research and innovation programme [Grant Agreement No. 733206 LifeCycle], and from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No. 774548 – STOP project (http://www.stopchildobesity.eu/). The STOP Consortium is coordinated by Imperial College London and includes 24 organisations across Europe, the United States and New Zealand. The content of this publication reflects only the views of the authors, and the European Commission is not liable for any use that may be made of the information it contains.
• dc.format.mimetype application/pdf
• dc.identifier.citation Fernández-Barrés S, Robinson O, Fossati S, Márquez S, Basagaña X, de Bont J et al. Urban environment and health behaviours in children from six European countries. Environ Int. 2022 Jul;165:107319. DOI: 10.1016/j.envint.2022.107319
• dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2022.107319
• dc.identifier.issn 0160-4120
• dc.identifier.uri http://hdl.handle.net/10230/55015
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Environ Int. 2022 Jul;165:107319
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/308333
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/733206
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/774548
• dc.rights © 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by- nc-nd/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Childhood
• dc.subject.keyword Health behaviours
• dc.subject.keyword Health patterns
• dc.subject.keyword Multiple exposures
• dc.subject.keyword Principal component analysis
• dc.subject.keyword Urban environment
• dc.title Urban environment and health behaviours in children from six European countries
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion