Associations of residential greenspace exposure and fetal growth across four areas in Spain

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• dc.contributor.author Torres Toda, Maria
• dc.contributor.author Estarlich, Marisa
• dc.contributor.author Ballester Díez, Ferran
• dc.contributor.author de Castro, Montserrat
• dc.contributor.author Fernández-Somoano, Ana
• dc.contributor.author Ibarluzea, Jesús
• dc.contributor.author Iñiguez, Carmen
• dc.contributor.author Lertxundi, Aitana
• dc.contributor.author Subiza-Pérez, Mikel
• dc.contributor.author Sunyer Deu, Jordi
• dc.contributor.author Tardón, Adonina
• dc.contributor.author Foraster Pulido, Maria, 1984-
• dc.contributor.author Dadvand, Payam
• dc.date.accessioned 2022-12-02T07:11:35Z
• dc.date.available 2022-12-02T07:11:35Z
• dc.date.issued 2022
• dc.description.abstract An accumulating body of evidence has associated exposure to greenspace with improved birth outcomes, including higher birth weight and lower risk of low birth weight; however, evidence on such association with in-utero fetal growth is scarce. We explored the influence of maternal exposure to residential greenspace and fetal growth in four INMA (Infancia y Medio Ambiente) Spanish birth cohorts (2003-2008), with 2,465 participants. Residential greenspace was characterised by the Normalised Difference Vegetation Index (NDVI) average across 100 m, 300 m, and 500 m buffers around the residence. Repeated ultrasound measurements of the abdominal circumference (AC), biparietal diameter (BPD), femur length (FL), and estimated fetal weight (EFW) were used. We created customised-generalised least squares models to evaluate associations of residential greenspace exposure on each fetal growth parameter, controlled for the relevant confounders. There were associations between the 500 m buffer and BPD, FL, and AC. We also found associations in the 300 m buffer and FL and AC. The associations in the 100 m buffer were null. Estimates were higher among participants with lower socioeconomic status. Mediation analyses found that air pollution might explain 15-37% of our associations. Mediation by physical activity was not observed. Greenspace exposure may be beneficial for fetal growth.
• dc.format.mimetype application/pdf
• dc.identifier.citation Torres Toda M, Estarlich M, Ballester F, De Castro M, Fernández-Somoano A, Ibarluzea J, Iñiguez C, Lertxundi A, Subiza-Perez M, Sunyer J, Tardón A, Foraster M, Dadvand P. Associations of residential greenspace exposure and fetal growth across four areas in Spain. Health Place. 2022 Nov;78:102912. DOI: 10.1016/j.healthplace.2022.102912
• dc.identifier.doi http://dx.doi.org/10.1016/j.healthplace.2022.102912
• dc.identifier.issn 1353-8292
• dc.identifier.uri http://hdl.handle.net/10230/55075
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Health Place. 2022 Nov;78:102912
• 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 Fetal development
• dc.subject.keyword Greenness exposure
• dc.subject.keyword Natural environments
• dc.subject.keyword Pregnancy
• dc.subject.keyword Ultrasound measurements
• dc.title Associations of residential greenspace exposure and fetal growth across four areas in Spain
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion