Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts

Research suggests that maternal exposure to natural environments (i.e., green and blue spaces) promotes healthy fetal growth. However, the available evidence is heterogeneous across regions, with very few studies on the effects of blue spaces. This study evaluated associations between maternal expos...

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Autores: Torres Toda, María, Avraam, Demetris, Cadman, Timothy James, Fossati, Serena, De Castro, Montserrat, Dedele, Audrius, Donovan, Geoffrey, Elhakeem, Ahmed, Estarlich, Marisa, Fernandes, Amanda, Gonçalves, Romy, Grazuleviciene, Regina, Harris, Jennifer R., Harskamp-van Ginkel, Margreet W., Heude, Barbara, Ibarluzea Maurolagoitia, Jesús María, Iñiguez, Carmen, Jaddoe, Vincent W. V., Lawlor, Deborah, Lertxundi Manterola, Aitana, Lepeule, Johanna, McEachan, Rosemary, Moirano, Giovenale, Nader, Johanna L. T., Andersen, Anne-Marie Nybo, Pedersen, Marie, Pizzi, Costanza, Roumeliotaki, Theano, Santos, Susana, Sunyer, Jordi, Yang, Tiffany, Vafeiadi, Marina, Vrijkotte, Tanja G. M., Nieuwenhuijsen, Mark, Vrijheid, Martine, Foraster, Maria, Dadvand, Payam
Tipo de documento: artigo
Data de publicação:2022
País:España
Recursos:Universidad del País Vasco
Repositório:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/60923
Acesso em linha:http://hdl.handle.net/10810/60923
Access Level:Acceso aberto
Palavra-chave:greenness
parks
nature
prenatal
pregnancy
fetal growth
id ES_d8ca6ddf5a2533744eac94b3584fbccf
oai_identifier_str oai:addi.ehu.eus:10810/60923
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
title Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
spellingShingle Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
Torres Toda, María
greenness
parks
nature
prenatal
pregnancy
fetal growth
title_short Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
title_full Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
title_fullStr Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
title_full_unstemmed Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
title_sort Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohorts
dc.creator.none.fl_str_mv Torres Toda, María
Avraam, Demetris
Cadman, Timothy James
Fossati, Serena
De Castro, Montserrat
Dedele, Audrius
Donovan, Geoffrey
Elhakeem, Ahmed
Estarlich, Marisa
Fernandes, Amanda
Gonçalves, Romy
Grazuleviciene, Regina
Harris, Jennifer R.
Harskamp-van Ginkel, Margreet W.
Heude, Barbara
Ibarluzea Maurolagoitia, Jesús María
Iñiguez, Carmen
Jaddoe, Vincent W. V.
Lawlor, Deborah
Lertxundi Manterola, Aitana
Lepeule, Johanna
McEachan, Rosemary
Moirano, Giovenale
Nader, Johanna L. T.
Andersen, Anne-Marie Nybo
Pedersen, Marie
Pizzi, Costanza
Roumeliotaki, Theano
Santos, Susana
Sunyer, Jordi
Yang, Tiffany
Vafeiadi, Marina
Vrijkotte, Tanja G. M.
Nieuwenhuijsen, Mark
Vrijheid, Martine
Foraster, Maria
Dadvand, Payam
author Torres Toda, María
author_facet Torres Toda, María
Avraam, Demetris
Cadman, Timothy James
Fossati, Serena
De Castro, Montserrat
Dedele, Audrius
Donovan, Geoffrey
Elhakeem, Ahmed
Estarlich, Marisa
Fernandes, Amanda
Gonçalves, Romy
Grazuleviciene, Regina
Harris, Jennifer R.
Harskamp-van Ginkel, Margreet W.
Heude, Barbara
Ibarluzea Maurolagoitia, Jesús María
Iñiguez, Carmen
Jaddoe, Vincent W. V.
Lawlor, Deborah
Lertxundi Manterola, Aitana
Lepeule, Johanna
McEachan, Rosemary
Moirano, Giovenale
Nader, Johanna L. T.
Andersen, Anne-Marie Nybo
Pedersen, Marie
Pizzi, Costanza
Roumeliotaki, Theano
Santos, Susana
Sunyer, Jordi
Yang, Tiffany
Vafeiadi, Marina
Vrijkotte, Tanja G. M.
Nieuwenhuijsen, Mark
Vrijheid, Martine
Foraster, Maria
Dadvand, Payam
author_role author
author2 Avraam, Demetris
Cadman, Timothy James
Fossati, Serena
De Castro, Montserrat
Dedele, Audrius
Donovan, Geoffrey
Elhakeem, Ahmed
Estarlich, Marisa
Fernandes, Amanda
Gonçalves, Romy
Grazuleviciene, Regina
Harris, Jennifer R.
Harskamp-van Ginkel, Margreet W.
Heude, Barbara
Ibarluzea Maurolagoitia, Jesús María
Iñiguez, Carmen
Jaddoe, Vincent W. V.
Lawlor, Deborah
Lertxundi Manterola, Aitana
Lepeule, Johanna
McEachan, Rosemary
Moirano, Giovenale
Nader, Johanna L. T.
Andersen, Anne-Marie Nybo
Pedersen, Marie
Pizzi, Costanza
Roumeliotaki, Theano
Santos, Susana
Sunyer, Jordi
Yang, Tiffany
Vafeiadi, Marina
Vrijkotte, Tanja G. M.
Nieuwenhuijsen, Mark
Vrijheid, Martine
Foraster, Maria
Dadvand, Payam
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv European Commission
dc.subject.none.fl_str_mv greenness
parks
nature
prenatal
pregnancy
fetal growth
topic greenness
parks
nature
prenatal
pregnancy
fetal growth
description Research suggests that maternal exposure to natural environments (i.e., green and blue spaces) promotes healthy fetal growth. However, the available evidence is heterogeneous across regions, with very few studies on the effects of blue spaces. This study evaluated associations between maternal exposure to natural environments and birth outcomes in 11 birth cohorts across nine European countries. This study, part of the LifeCycle project, was based on a total sample size of 69,683 newborns with harmonised data. For each participant, we calculated seven indicators of residential exposure to natural environments: surrounding greenspace in 100m, 300m, and 500m using Normalised Difference Vegetation Index (NDVI) buffers, distance to the nearest green space, accessibility to green space, distance to the nearest blue space, and accessibility to blue space. Measures of birth weight and small for gestational age (SGA) were extracted from hospital records. We used pooled linear and logistic regression models to estimate associations between exposure to the natural environment and birth outcomes, controlling for the relevant covariates. We evaluated the potential effect modification by socioeconomic status (SES) and region of Europe and the influence of ambient air pollution on the associations. In the pooled analyses, residential surrounding greenspace in 100m, 300m, and 500m buffer was associated with increased birth weight and lower odds for SGA. Higher residential distance to green space was associated with lower birth weight and higher odds for SGA. We observed close to null associations for accessibility to green space and exposure to blue space. We found stronger estimated magnitudes for those participants with lower educational levels, from more deprived areas, and living in the northern European region. Our associations did not change notably after adjustment for air pollution. These findings may support implementing policies to promote natural environments in our cities, starting in more deprived areas.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/60923
url http://hdl.handle.net/10810/60923
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/grantAgreement/EC/H2020/733206
info:eu-repo/grantAgreement/EC/H2020/824989
info:eu-repo/grantAgreement/MICIU/CEX2018-000806-S/
https://www.sciencedirect.com/science/article/pii/S016041202200575X?via%3Dihub
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869421229968982016
spelling Exposure to natural environments during pregnancy and birth outcomes in 11 European birth cohortsTorres Toda, MaríaAvraam, DemetrisCadman, Timothy JamesFossati, SerenaDe Castro, MontserratDedele, AudriusDonovan, GeoffreyElhakeem, AhmedEstarlich, MarisaFernandes, AmandaGonçalves, RomyGrazuleviciene, ReginaHarris, Jennifer R.Harskamp-van Ginkel, Margreet W.Heude, BarbaraIbarluzea Maurolagoitia, Jesús MaríaIñiguez, CarmenJaddoe, Vincent W. V.Lawlor, DeborahLertxundi Manterola, AitanaLepeule, JohannaMcEachan, RosemaryMoirano, GiovenaleNader, Johanna L. T.Andersen, Anne-Marie NyboPedersen, MariePizzi, CostanzaRoumeliotaki, TheanoSantos, SusanaSunyer, JordiYang, TiffanyVafeiadi, MarinaVrijkotte, Tanja G. M.Nieuwenhuijsen, MarkVrijheid, MartineForaster, MariaDadvand, Payamgreennessparksnatureprenatalpregnancyfetal growthResearch suggests that maternal exposure to natural environments (i.e., green and blue spaces) promotes healthy fetal growth. However, the available evidence is heterogeneous across regions, with very few studies on the effects of blue spaces. This study evaluated associations between maternal exposure to natural environments and birth outcomes in 11 birth cohorts across nine European countries. This study, part of the LifeCycle project, was based on a total sample size of 69,683 newborns with harmonised data. For each participant, we calculated seven indicators of residential exposure to natural environments: surrounding greenspace in 100m, 300m, and 500m using Normalised Difference Vegetation Index (NDVI) buffers, distance to the nearest green space, accessibility to green space, distance to the nearest blue space, and accessibility to blue space. Measures of birth weight and small for gestational age (SGA) were extracted from hospital records. We used pooled linear and logistic regression models to estimate associations between exposure to the natural environment and birth outcomes, controlling for the relevant covariates. We evaluated the potential effect modification by socioeconomic status (SES) and region of Europe and the influence of ambient air pollution on the associations. In the pooled analyses, residential surrounding greenspace in 100m, 300m, and 500m buffer was associated with increased birth weight and lower odds for SGA. Higher residential distance to green space was associated with lower birth weight and higher odds for SGA. We observed close to null associations for accessibility to green space and exposure to blue space. We found stronger estimated magnitudes for those participants with lower educational levels, from more deprived areas, and living in the northern European region. Our associations did not change notably after adjustment for air pollution. These findings may support implementing policies to promote natural environments in our cities, starting in more deprived areas.This project received funding from the European Union's Horizon 2020 research and innovation programme (LIFECYCLE, grant agreement No 733206; EUCAN-Connect grant agreement No 824989). ISGlobal acknowledges support from the Spanish Ministry of Science and Innovation and State Research Agency through the “Centro de Excelencia Severo Ochoa 2019-2023” Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program. For more information of each cohort individual funding, see Supplementary Materials, Information S2. DAL has received support from Medtronic Ltd and Roche Diagnostics for research unrelated to this study. All the other authors declare that they have no competing interests.ElsevierEuropean Commission202320232022info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/60923reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoInglésinfo:eu-repo/grantAgreement/EC/H2020/733206info:eu-repo/grantAgreement/EC/H2020/824989info:eu-repo/grantAgreement/MICIU/CEX2018-000806-S/https://www.sciencedirect.com/science/article/pii/S016041202200575X?via%3Dihubinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/© 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)Atribución 3.0 Españaoai:addi.ehu.eus:10810/609232026-06-18T09:23:17Z
score 15,301603