Residential surrounding greenspace and age at menopause: A 20-year European study (ECRHS)
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Abstract
Background: Menopause is associated with a number of adverse health effects and its timing has been reported to
be influenced by several lifestyle factors. Whether greenspace exposure is associated with age at menopause has
not yet been investigated.
Objective: To investigate whether residential surrounding greenspace is associated with age at menopause and
thus reproductive aging.
Methods: This longitudinal study was based on the 20-year follow-up of 1955 aging women from a large, population-
based European cohort (ECRHS). Residential surrounding greenspace was abstracted as the average of
satellite-based Normalized Difference Vegetation Index (NDVI) across a circular buffer of 300m around the
residential addresses of each participant during the course of the study. We applied mixed effects Cox models
with centre as random effect, menopause as the survival object, age as time indicator and residential surrounding
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Bibliographic citation
Triebner, K., Markevych, I., Hustad, S., Benediktsdóttir, B., Forsberg, B., Franklin, K. A., … Dadvand, P. (2019). Residential surrounding greenspace and age at menopause: A 20-year European study (ECRHS). Environment International, 132, 105088. DOI: https://doi.org/10.1016/j.envint.2019.105088
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