Green spaces, excess weight and obesity in Spain

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• dc.contributor.author O'Callaghan-Gordo, Cristina
• dc.contributor.author Espinosa, Aina
• dc.contributor.author Valentín, Antònia
• dc.contributor.author Tonne, Cathryn
• dc.contributor.author Castaño Vinyals, Gemma
• dc.contributor.author Cirach, Marta
• dc.contributor.author Bustamante Pineda, Mariona
• dc.contributor.author Nieuwenhuijsen, Mark J.
• dc.contributor.author Kogevinas, Manolis
• dc.date.accessioned 2021-04-27T09:46:26Z
• dc.date.available 2021-04-27T09:46:26Z
• dc.date.issued 2020
• dc.description.abstract Background: The epidemiological evidence on green spaces and obesity is inconsistent. Objectives: To study the association of access to green spaces and surrounding greenness with obesity in Spain. Methods: We enrolled 2354 individuals 20-85 years from urban areas of seven provinces of Spain between 2008-13. Subjects were randomly selected population controls of the MCC-Spain case-control study. We geocoded current residences and defined exposures in a buffer of 300 m around them: i) access to green space, identified using Urban Atlas, and ii) levels of surrounding greenness, measured by the Normalized Difference Vegetation Index. We examined excess weight/obesity as binary outcomes based on body mass index and waist-hip ratio. We examined effect modification by genetic factors, sex and individual socio-economic status and mediation by physical activity and concentrations of PM2.5 and NO2. To assess potential effect modification by genetic factors, we used a polygenic risk score based on obesity polymorphisms detected in genome-wide association studies. We used logistic mixed-effects models with a random effect for catchment area adjusted for potential confounders. Results: Access to green space was associated with a reduced risk of excess weight/obesity after adjusting for confounders [excess weight: OR (95%CI) = 0.82 (0.63, 1.07), p-value = 0.143; abdominal obesity: OR (95%CI) = 0.68 (0.45, 1.01), p-value = 0.057]. In the stratified analysis, this association was only observed in women. Associations between surrounding greenness and excess weight/obesity were null or modest based on a 1 IQR increase in NDVI [excess weight: OR (95%CI) = 0.99 (0.88, 1.11), p-value = 0.875; abdominal obesity: OR (95%CI) = 0.91 (0.79, 1.05), p-value = 0.186]. The observed associations were not mediated by physical activity or air pollution. Discussion: Access to green space may be associated with decreased risk of excess weight/obesity among women in Spain. Mechanisms explaining this association remain unclear.
• dc.description.sponsorship The study was conducted with the Support of Department of Health, Catalan Government grant SLT002/16/00223. The study was partially funded by the “Acción Transversal del Cáncer", approved on the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos III-FEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773-Cantabria, PS09/01903-Valencia, PI11/01403, PI11/01889-FEDER, PI11/01810, PI12/00488, PI12/00265, PI12/01270, PI12/00715, PI14/01219, PI14/0613, PI15/00069), by the Fundación Marqués de Valdecilla (API 10/09), by the ICGC International Cancer Genome Consortium CLL (The ICGC CLL-Genome Project is funded by Spanish Ministerio de Economía y Competitividad (MINECO) through the Instituto de Salud Carlos III (ISCIII) and Red Temática de Investigación del Cáncer (RTICC) del ISCIII (RD12/0036/0036), by the Junta de Castilla y León (LE22A10-2), by the Consejería de Salud of the Junta de Andalucía (PI-0571-2009, PI-0306-2011, salud201200057018tra), by the Conselleria de Sanitat of the Generalitat Valenciana (AP_061/10), by the Recercaixa (2010ACUP 00310), by the Regional Government of the Basque Country, by the Consejería de Sanidad de la Región de Murcia, by the European Commission grants FOOD-CT-2006-036224-HIWATE, by the Catalan Government- Agency for Management of University and Research Grants (AGAUR) grants 2017SGR723 and 2014SGR850, by the Fundación Caja de Ahorros de Asturias and by the University of Oviedo. ISGlobal is a member of the CERCA Programme, Generalitat de Catalunya. Biological samples were stored at the biobanks supported by Instituto de Salud Carlos III- FEDER: Parc de Salut MAR Biobank (MARBiobanc) (RD09/0076/00036), “Biobanco La Fe” (RD 09 0076/00021) and FISABIO Biobank (RD09 0076/00058)
• dc.format.mimetype application/pdf
• dc.identifier.citation O'Callaghan-Gordo C, Espinosa A, Valentin A, Tonne C, Pérez-Gómez B, Castaño-Vinyals G et al. Green spaces, excess weight and obesity in Spain. Int J Hyg Environ Health. 2020 Jan;223(1):45-55. DOI: 10.1016/j.ijheh.2019.10.007
• dc.identifier.doi http://dx.doi.org/10.1016/j.ijheh.2019.10.007
• dc.identifier.issn 1438-4639
• dc.identifier.uri http://hdl.handle.net/10230/47227
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP6/36224
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.ijheh.2019.10.007
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Zones verdes
• dc.subject.other Obesitat
• dc.title Green spaces, excess weight and obesity in Spain
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion