Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women

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• dc.contributor.author Triebner, Kai
• dc.contributor.author Markevych, Iana
• dc.contributor.author Bertelsen, Randi Jacobsen
• dc.contributor.author Sved Skottvoll, Bente
• dc.contributor.author Hustad, Steinar
• dc.contributor.author Forsberg, Bertil
• dc.contributor.author Franklin, Karl
• dc.contributor.author Holm, Mathias
• dc.contributor.author Lindberg, Eva
• dc.contributor.author Heinrich, Joachim
• dc.contributor.author Gómez Real, Francisco
• dc.contributor.author Dadvand, Payam
• dc.date.accessioned 2022-05-09T06:36:27Z
• dc.date.available 2022-05-09T06:36:27Z
• dc.date.issued 2022
• dc.description.abstract Background: The premenstrual syndrome (PMS) causes clinically relevant psychological and physical symptoms in up to 20% of women of reproductive age. To date, no studies have investigated the relationship between PMS and residential surrounding greenspace, although a green living environment has been reported to have beneficial associations with overall and reproductive health. Objective: To investigate whether lifelong exposure to residential surrounding greenspace is associated with PMS and whether such an association is mediated by BMI, air pollution or physical activity. Methods: This study used data collected in 2013-2015 from 1069 Scandinavian women aged 18-49 years, participating in RHINESSA, a European multi-centre and population-based cohort. Satellite-derived Normalised Difference Vegetation Index was used as a proxy of greenspace. Presence of eight common PMS symptoms and their sum (PMS symptom count) were used as outcomes. The associations were assessed by adjusted multilevel logistic and negative binomial regressions. Subsequently we carried out mediation analyses for physical activity, BMI and air pollution exposure. Results: Higher exposure to residential surrounding greenspace was associated with "Anxiety or tension" (Odds Ratio 0.82, 95% Confidence Interval (CI): 0.70 - 0.95), "Depression or hopelessness" (0.84, 0.73 - 0.98), "Difficulty with sleeping" (0.82, 0.68 - 1.00) and "Breast tenderness and abdominal bloating" (0.84, 0.71 - 0.99) before or around the start of the menstrual period. There was also an association with a lower PMS symptom count (Risk Ratio: 0.94, 95% CI: 0.91 - 0.99). These associations were robust to sensitivity analyses and were not mediated by BMI, physical activity or air pollution. Conclusions: Living in greener areas may be beneficial against PMS symptoms. Further studies are needed to confirm these novel findings and to explore the underlying biological mechanisms.
• dc.description.sponsorship Kai Triebner has received a postdoctoral fellowship from the University of Bergen. Payam Dadvand is funded by a Ramón y Cajal fellowship (Grant: RYC-2012–10995) awarded by the Spanish Ministry of Economy and Finance. The present analyses are part of a project funded by the Norwegian Research Council (Grant: 228174). Co-ordination of the RHINESSA study has received funding from the Research Council of Norway (Grants No. 274767, 214123, 228174, 230,827 and 273838), ERC StG project BRuSH #804199, the European Union's Horizon 2020 research and innovation programme under grant agreement No. 633,212 (the ALEC Study WP2), the Bergen Medical Research Foundation, and the Western Norwegian Regional Health Authorities (Grants No. 912011, 911892 and 911631). Study centre Bergen has further received local funding from the above-named grants for study establishment and co-ordination and in addition from the World University Network, the Norwegian Labour Inspection, and the Norwegian Asthma and Allergy Association. Iana Markevych is supported from the “NeuroSmog: Determining the impact of air pollution on the developing brain” (Nr. POIR 040.04.00-1763/18-00) which is implemented as part of the TEAM-NET programme of the Foundation for Polish Science, co-financed from EU resources, obtained from the European Regional Development Fund under the Smart Growth Operational Programme. The funding sources were not involved in the conduct of the research and/or preparation of the article, in study design, in the collection, analysis and interpretation of data, in the writing of the report or in the decision to submit the article for publication.
• dc.format.mimetype application/pdf
• dc.identifier.citation Triebner K, Markevych I, Bertelsen RJ, Sved Skottvoll B, Hustad S, Forsberg B, Franklin KA, Holm M, Lindberg E, Heinrich J, Gómez Real F, Dadvand P. Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women. Environ Int. 2022 Jan;158:106975. DOI: 10.1016/j.envint.2021.106975
• dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2021.106975
• dc.identifier.issn 0160-4120
• dc.identifier.uri http://hdl.handle.net/10230/53019
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Environ Int. 2022 Jan;158:106975
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/633212
• dc.rights © 2021 The Author(s). 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 Air pollution
• dc.subject.keyword Green space
• dc.subject.keyword Greenness
• dc.subject.keyword Natural environment
• dc.subject.keyword Parks
• dc.subject.keyword Reproductive health
• dc.subject.keyword Sexual health
• dc.title Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion