Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project

Sonia Brescianini, Eija Parmes, Juha Pärkkä, Cara Maesano, Clive Sabel, Sandra Baldacci, Sara Maio, Gemma Calamandrei, Giancarlo Pesce, Janja Tratnik, Emanuela Medda, Pierpaolo Marchetti, Silvia Panunzi, Roberto Bono, Giulia Squillacioti, Alessandro Marcon, Isabella Annesi-Maesano

Research output: Contribution to conferenceConference AbstractScientificpeer-review

Abstract

Introduction Exposure to green spaces is expected to have positive health effects, but often means higher exposure to pollens and moulds, which have been shown to increase respiratory symptoms in children in both the short and long term. On the other hand, trees can decrease air pollution levels, which are also adversely associated with respiratory symptoms. Objective To further our understanding of the balance between pollen and air pollution, we analyzed the association between respiratory symptoms in children aged 3-14 years and the percentage of green spaces within 500 m of their residence. Methods Data from 7,727 children, aged 3-14, were obtained from six population-based studies participating in the HEALS consortium. Land-cover estimates within a 500 m buffer centred on each child’s residential address were computed using the Coordination of Information on the Environment (CORINE) programme. The associations between green space coverage and respiratory symptoms (lifetime and current wheeze, lifetime and current asthma, and allergic rhinitis) were estimated for each survey using logistic regression models, adjusted for sex, age, body mass index, maternal education, exposure to passive smoking, and parental history of allergy. Finally, the pooled effects across studies were estimated using inverse-variance method meta-analyses. Results In the pooled analyses, an increase of 10% in green space was significantly associated with greater risks of lifetime wheeze (OR=1.058, p=0.027), current wheeze (OR=1.131, p=0.001) and allergic rhinitis (OR=1.087, p=0.020). In secondary analyses, the presence of coniferous forests near the residence was significantly associated with increased risk of wheezing (OR=1.720, p=0.043), current wheezing (OR= 3.600, p<0.001), current asthma (OR= 1.427, p=0.005) and allergic rhinitis (OR= 3.254, p<0.001). Conclusion Preliminary results show an increased risk between some respiratory symptoms and the percentage of green space within 500 m in children aged 3 to 14 years. Further analyses will concentrate on other land features, including grey space (urban areas) and agricultural spaces at multiple radii, and on seasonality and concomitant exposure to air pollution in order to better clarify these associations.
Original languageEnglish
Publication statusPublished - 20 May 2019
MoE publication typeNot Eligible
Event2019 Exposome Symposium: Emerging Science and Technology for Effective Prevention and Healthy Outcomes - University of Brescia, Brescia, Italy
Duration: 20 May 201921 May 2019
https://www.sinaiexposomics.com/

Conference

Conference2019 Exposome Symposium
CountryItaly
CityBrescia
Period20/05/1921/05/19
Internet address

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Air Pollution
Respiratory Sounds
Pollen
Asthma
Logistic Models
Maternal Exposure
Tobacco Smoke Pollution
Meta-Analysis
Buffers
Hypersensitivity
Body Mass Index
Fungi
Education
Health
Population
Allergic Rhinitis

Cite this

Brescianini, S., Parmes, E., Pärkkä, J., Maesano, C., Sabel, C., Baldacci, S., ... Annesi-Maesano, I. (2019). Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project. Abstract from 2019 Exposome Symposium, Brescia, Italy.
Brescianini, Sonia ; Parmes, Eija ; Pärkkä, Juha ; Maesano, Cara ; Sabel, Clive ; Baldacci, Sandra ; Maio, Sara ; Calamandrei, Gemma ; Pesce, Giancarlo ; Tratnik, Janja ; Medda, Emanuela ; Marchetti, Pierpaolo ; Panunzi, Silvia ; Bono, Roberto ; Squillacioti, Giulia ; Marcon, Alessandro ; Annesi-Maesano, Isabella. / Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project. Abstract from 2019 Exposome Symposium, Brescia, Italy.
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title = "Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project",
abstract = "Introduction Exposure to green spaces is expected to have positive health effects, but often means higher exposure to pollens and moulds, which have been shown to increase respiratory symptoms in children in both the short and long term. On the other hand, trees can decrease air pollution levels, which are also adversely associated with respiratory symptoms. Objective To further our understanding of the balance between pollen and air pollution, we analyzed the association between respiratory symptoms in children aged 3-14 years and the percentage of green spaces within 500 m of their residence. Methods Data from 7,727 children, aged 3-14, were obtained from six population-based studies participating in the HEALS consortium. Land-cover estimates within a 500 m buffer centred on each child’s residential address were computed using the Coordination of Information on the Environment (CORINE) programme. The associations between green space coverage and respiratory symptoms (lifetime and current wheeze, lifetime and current asthma, and allergic rhinitis) were estimated for each survey using logistic regression models, adjusted for sex, age, body mass index, maternal education, exposure to passive smoking, and parental history of allergy. Finally, the pooled effects across studies were estimated using inverse-variance method meta-analyses. Results In the pooled analyses, an increase of 10{\%} in green space was significantly associated with greater risks of lifetime wheeze (OR=1.058, p=0.027), current wheeze (OR=1.131, p=0.001) and allergic rhinitis (OR=1.087, p=0.020). In secondary analyses, the presence of coniferous forests near the residence was significantly associated with increased risk of wheezing (OR=1.720, p=0.043), current wheezing (OR= 3.600, p<0.001), current asthma (OR= 1.427, p=0.005) and allergic rhinitis (OR= 3.254, p<0.001). Conclusion Preliminary results show an increased risk between some respiratory symptoms and the percentage of green space within 500 m in children aged 3 to 14 years. Further analyses will concentrate on other land features, including grey space (urban areas) and agricultural spaces at multiple radii, and on seasonality and concomitant exposure to air pollution in order to better clarify these associations.",
author = "Sonia Brescianini and Eija Parmes and Juha P{\"a}rkk{\"a} and Cara Maesano and Clive Sabel and Sandra Baldacci and Sara Maio and Gemma Calamandrei and Giancarlo Pesce and Janja Tratnik and Emanuela Medda and Pierpaolo Marchetti and Silvia Panunzi and Roberto Bono and Giulia Squillacioti and Alessandro Marcon and Isabella Annesi-Maesano",
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note = "2019 Exposome Symposium : Emerging Science and Technology for Effective Prevention and Healthy Outcomes ; Conference date: 20-05-2019 Through 21-05-2019",
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Brescianini, S, Parmes, E, Pärkkä, J, Maesano, C, Sabel, C, Baldacci, S, Maio, S, Calamandrei, G, Pesce, G, Tratnik, J, Medda, E, Marchetti, P, Panunzi, S, Bono, R, Squillacioti, G, Marcon, A & Annesi-Maesano, I 2019, 'Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project' 2019 Exposome Symposium, Brescia, Italy, 20/05/19 - 21/05/19, .

Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project. / Brescianini, Sonia; Parmes, Eija; Pärkkä, Juha; Maesano, Cara; Sabel, Clive; Baldacci, Sandra; Maio, Sara ; Calamandrei, Gemma; Pesce, Giancarlo; Tratnik, Janja; Medda, Emanuela; Marchetti, Pierpaolo; Panunzi, Silvia; Bono, Roberto; Squillacioti, Giulia; Marcon, Alessandro; Annesi-Maesano, Isabella.

2019. Abstract from 2019 Exposome Symposium, Brescia, Italy.

Research output: Contribution to conferenceConference AbstractScientificpeer-review

TY - CONF

T1 - Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project

AU - Brescianini, Sonia

AU - Parmes, Eija

AU - Pärkkä, Juha

AU - Maesano, Cara

AU - Sabel, Clive

AU - Baldacci, Sandra

AU - Maio, Sara

AU - Calamandrei, Gemma

AU - Pesce, Giancarlo

AU - Tratnik, Janja

AU - Medda, Emanuela

AU - Marchetti, Pierpaolo

AU - Panunzi, Silvia

AU - Bono, Roberto

AU - Squillacioti, Giulia

AU - Marcon, Alessandro

AU - Annesi-Maesano, Isabella

PY - 2019/5/20

Y1 - 2019/5/20

N2 - Introduction Exposure to green spaces is expected to have positive health effects, but often means higher exposure to pollens and moulds, which have been shown to increase respiratory symptoms in children in both the short and long term. On the other hand, trees can decrease air pollution levels, which are also adversely associated with respiratory symptoms. Objective To further our understanding of the balance between pollen and air pollution, we analyzed the association between respiratory symptoms in children aged 3-14 years and the percentage of green spaces within 500 m of their residence. Methods Data from 7,727 children, aged 3-14, were obtained from six population-based studies participating in the HEALS consortium. Land-cover estimates within a 500 m buffer centred on each child’s residential address were computed using the Coordination of Information on the Environment (CORINE) programme. The associations between green space coverage and respiratory symptoms (lifetime and current wheeze, lifetime and current asthma, and allergic rhinitis) were estimated for each survey using logistic regression models, adjusted for sex, age, body mass index, maternal education, exposure to passive smoking, and parental history of allergy. Finally, the pooled effects across studies were estimated using inverse-variance method meta-analyses. Results In the pooled analyses, an increase of 10% in green space was significantly associated with greater risks of lifetime wheeze (OR=1.058, p=0.027), current wheeze (OR=1.131, p=0.001) and allergic rhinitis (OR=1.087, p=0.020). In secondary analyses, the presence of coniferous forests near the residence was significantly associated with increased risk of wheezing (OR=1.720, p=0.043), current wheezing (OR= 3.600, p<0.001), current asthma (OR= 1.427, p=0.005) and allergic rhinitis (OR= 3.254, p<0.001). Conclusion Preliminary results show an increased risk between some respiratory symptoms and the percentage of green space within 500 m in children aged 3 to 14 years. Further analyses will concentrate on other land features, including grey space (urban areas) and agricultural spaces at multiple radii, and on seasonality and concomitant exposure to air pollution in order to better clarify these associations.

AB - Introduction Exposure to green spaces is expected to have positive health effects, but often means higher exposure to pollens and moulds, which have been shown to increase respiratory symptoms in children in both the short and long term. On the other hand, trees can decrease air pollution levels, which are also adversely associated with respiratory symptoms. Objective To further our understanding of the balance between pollen and air pollution, we analyzed the association between respiratory symptoms in children aged 3-14 years and the percentage of green spaces within 500 m of their residence. Methods Data from 7,727 children, aged 3-14, were obtained from six population-based studies participating in the HEALS consortium. Land-cover estimates within a 500 m buffer centred on each child’s residential address were computed using the Coordination of Information on the Environment (CORINE) programme. The associations between green space coverage and respiratory symptoms (lifetime and current wheeze, lifetime and current asthma, and allergic rhinitis) were estimated for each survey using logistic regression models, adjusted for sex, age, body mass index, maternal education, exposure to passive smoking, and parental history of allergy. Finally, the pooled effects across studies were estimated using inverse-variance method meta-analyses. Results In the pooled analyses, an increase of 10% in green space was significantly associated with greater risks of lifetime wheeze (OR=1.058, p=0.027), current wheeze (OR=1.131, p=0.001) and allergic rhinitis (OR=1.087, p=0.020). In secondary analyses, the presence of coniferous forests near the residence was significantly associated with increased risk of wheezing (OR=1.720, p=0.043), current wheezing (OR= 3.600, p<0.001), current asthma (OR= 1.427, p=0.005) and allergic rhinitis (OR= 3.254, p<0.001). Conclusion Preliminary results show an increased risk between some respiratory symptoms and the percentage of green space within 500 m in children aged 3 to 14 years. Further analyses will concentrate on other land features, including grey space (urban areas) and agricultural spaces at multiple radii, and on seasonality and concomitant exposure to air pollution in order to better clarify these associations.

UR - https://www.sinaiexposomics.com/

M3 - Conference Abstract

ER -

Brescianini S, Parmes E, Pärkkä J, Maesano C, Sabel C, Baldacci S et al. Influence of the proximity of green areas on respiratory symptoms in children. A pan-European study within the HEALS project. 2019. Abstract from 2019 Exposome Symposium, Brescia, Italy.