Surrounding greenness and pregnancy outcomes in four Spanish birth cohorts
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- dc.contributor.author Dadvand, Payamca
- dc.contributor.author Sunyer Deu, Jordica
- dc.contributor.author Basagaña Flores, Xavierca
- dc.contributor.author Ballester Díez, Ferranca
- dc.contributor.author Lertxundi, Aitanaca
- dc.contributor.author Fernández Somoano, Anaca
- dc.contributor.author Estarlich, Marisaca
- dc.contributor.author García Esteban, Raquelca
- dc.contributor.author Mendez, Michelle A.ca
- dc.contributor.author Nieuwenhuijsen, Mark J.ca
- dc.date.accessioned 2015-04-09T08:14:38Z
- dc.date.available 2015-04-09T08:14:38Z
- dc.date.issued 2012ca
- dc.description.abstract Background: Green spaces have been associated with improved physical and mental health; however, the available evidence on the impact of green spaces on pregnancy is scarce. Objectives: We investigated the association between surrounding greenness and birth weight, head circumference, and gestational age at delivery. Methods: This study was based on 2, 393 singleton live births from four Spanish birth cohorts (Asturias, Gipuzkoa, Sabadell, and Valencia) located in two regions of the Iberian Peninsula with distinct climates and vegetation patterns (2003–2008). We defined surrounding greenness as average of satellite-based Normalized Difference Vegetation Index (NDVI) (Landsat 4–5 TM data at 30 m × 30 m resolution) during 2007 in buffers of 100 m, 250 m, and 500 m around each maternal place of residence. Separate linear mixed models with adjustment for potential confounders and a random cohort effect were used to estimate the change in birth weight, head circumference, and gestational age for 1-interquartile range increase in surrounding greenness. Results: Higher surrounding greenness was associated with increases in birth weight and head circumference [adjusted regression coefficients (95% confidence interval) of 44.2 g (20.2 g, 68.2 g) and 1.7 mm (0.5 mm, 2.9 mm) for an interquartile range increase in average NDVI within a 500-m buffer] but not gestational age. These findings were robust against the choice of the buffer size and the season of data acquisition for surrounding greenness, and when the analysis was limited to term births. Stratified analyses indicated stronger associations among children of mothers with lower education, suggesting greater benefits from surrounding greenness. Conclusions: Our findings suggest a beneficial impact of surrounding greenness on measures of fetal growth but not pregnancy length.en
- dc.description.sponsorship This study was conducted as part of PHENOTYPE project (Positive Health Effects of the Natural Outdoor Environment in Typical Populations in Different Regions in Europe) funded by the European Commission Seventh Framework Programme (grant 282996). It was also partly funded by a grant from Instituto de Salud Carlos III (Red INMA G03/176 and CB06/02/0041). The INMA ASTURIAS cohort is funded by the University of Oviedo and the FISS-PI042018 and FISS-PI09/02311. P.D. is funded by a Juan de la Cierva fellowship (JCI-2011-09937) awarded by the Spanish Ministry of Science and Innovationen
- dc.format.mimetype application/pdfca
- dc.identifier.citation Dadvand P, Sunyer J, Basagana X, Ballester F, Lertxundi A, Fernandez-Somoano A et al. Surrounding greenness and pregnancy outcomes in four Spanish birth cohorts. Environ Health Perspect. 2012;120(10):1481-7. DOI: 10.1289/ehp.1205244ca
- dc.identifier.doi http://dx.doi.org/10.1289/ehp.1205244
- dc.identifier.issn 0091-6765ca
- dc.identifier.uri http://hdl.handle.net/10230/23368
- dc.language.iso engca
- dc.publisher National Institute of Environmental Health Sciences (NIEHS)ca
- dc.relation.ispartof Environmental Health Perspectives. 2012;120(10):1481-7
- dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/282996
- dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/JCI2011-09937
- dc.rights Reproduced with permission from Environmental Health Perspectivesca
- dc.rights.accessRights info:eu-repo/semantics/openAccessca
- dc.subject.keyword Birth weighten
- dc.subject.keyword Cohorten
- dc.subject.keyword Gestational ageen
- dc.subject.keyword Greennessen
- dc.subject.keyword Green spaceen
- dc.subject.keyword Head circumferenceen
- dc.subject.keyword INMAen
- dc.subject.keyword NDVIen
- dc.subject.keyword Pregnancy outcomesen
- dc.subject.keyword Reproductive healthen
- dc.subject.other Embaràsca
- dc.subject.other Endocrinologia obstètricaca
- dc.subject.other Infants -- Alimentacióca
- dc.title Surrounding greenness and pregnancy outcomes in four Spanish birth cohortsen
- dc.type info:eu-repo/semantics/articleca
- dc.type.version info:eu-repo/semantics/publishedVersionca