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Green spaces and adverse pregnancy outcomes

Agay-Shay, Keren ; Peled, Ammatzia ; Crespo, Antonia Valentín ; Peretz, Chava ; Amitai, Yona ; Linn, Shai ; Friger, Michael ; Nieuwenhuijsen, Mark J

Occupational and environmental medicine (London, England), 2014-08, Vol.71 (8), p.562-569 [Periódico revisado por pares]

London: BMJ Publishing Group

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Título:
Green spaces and adverse pregnancy outcomes
Autor: Agay-Shay, Keren ; Peled, Ammatzia ; Crespo, Antonia Valentín ; Peretz, Chava ; Amitai, Yona ; Linn, Shai ; Friger, Michael ; Nieuwenhuijsen, Mark J
Assuntos: Adolescent ; Adult ; Age ; Air pollution ; Biological and medical sciences ; Birth ; Birth Weight ; Births ; Boundaries ; Buffers ; Color ; Diseases of mother, fetus and pregnancy ; Environment ; Exercise ; Female ; Gestational Age ; Green spaces ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Very Low Birth Weight ; Infants ; Israel ; Male ; Medical sciences ; Odds Ratio ; Outdoor air quality ; Plants ; Pregnancy ; Pregnancy Outcome ; Pregnancy. Fetus. Placenta ; Premature Birth ; Proximity ; PTD ; Public health ; Registries ; Regression ; Risk Factors ; Socioeconomic Factors ; Socioeconomic status ; Software ; Statistical significance ; Vegetation ; Young Adult
É parte de: Occupational and environmental medicine (London, England), 2014-08, Vol.71 (8), p.562-569
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Objective The objective of this study was to evaluate the associations between proximity to green spaces and surrounding greenness and pregnancy outcomes, such as birth weight, low birth weight (LBW), very LBW (VLBW), gestational age, preterm deliveries (PTD) and very PTD (VPTD). Methods This study was based on 39 132 singleton live births from a registry birth cohort in Tel Aviv, Israel, during 2000–2006. Surrounding greenness was defined as the average of satellite-based Normalised Difference Vegetation Index (NDVI) in 250 m buffers and proximity to major green spaces was defined as residence within a buffer of 300 m from boundaries of a major green space (5000 m2), based on data constructed from OpenStreetMap. Linear regression (for birth weight and gestational age) and logistic regressions models (for LBW, VLBW, PTD and VPTD) were used with adjustment for relevant covariates. Results An increase in 1 interquartile range greenness was associated with a statistically significant increase in birth weight (19.2 g 95% CI 13.3 to 25.1) and decreased risk of LBW (OR 0.84, 95% CI 0.78 to 0.90). Results for VLBW were in the same direction but were not statistically significant. In general, no associations were found for gestational age, PTD and VPTD. The findings were consistent with different buffer and green space sizes and stronger associations were observed among those of lower socioeconomic status. Conclusions This study confirms the results of a few previous studies demonstrating an association between maternal proximity to green spaces and birth weight. Further investigation is needed into the associations with VLBW and VPTD, which has never been studied before.
Editor: London: BMJ Publishing Group
Idioma: Inglês

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Green spaces and adverse pregnancy outcomes

Agay-Shay, Keren ; Peled, Ammatzia ; Crespo, Antonia Valentín ; Peretz, Chava ; Amitai, Yona ; Linn, Shai ; Friger, Michael ; Nieuwenhuijsen, Mark J

London: BMJ Publishing Group

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