RT Journal Article
T1 Residential greenspace and lung function decline over 20 years in a prospective cohort: The ECRHS study
A1 Markevych, Iana
A1 Sánchez Ramos, José Luis
A1 Heinrich, Joachim
AB Background: The few studies that have examined associations between greenspace and lung function in adulthood have yielded conflicting results and none have examined whether the rate of lung function decline is affected.Objective: We explored the association between residential greenspace and change in lung function over 20 years in 5559 adults from 22 centers in 11 countries participating in the population-based, international European Community Respiratory Health Survey.Methods: Forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were measured by spirometry when participants were approximately 35 (1990-1994), 44 (1999-2003), and 55 (2010-2014) years old. Greenness was assessed as the mean Normalized Difference Vegetation Index (NDVI) in 500 m, 300 m, and 100 m circular buffers around the residential addresses at the time of lung function measurement. Green spaces were defined as the presence of agricultural, natural, or urban green spaces in a circular 300 m buffer. Associations of these greenspace parameters with the rate of lung function change were assessed using adjusted linear mixed effects regression models with random intercepts for subjects nested within centers. Sensitivity analyses considered air pollution exposures.Results: A 0.2-increase (average interquartile range) in NDVI in the 500 m buffer was consistently associated with a faster decline in FVC (-1.25 mL/year [95% confidence interval: -2.18 to -0.33]). These associations were especially pronounced in females and those living in areas with low PM10 levels. We found no consistent associations with FEV1 and the FEV1/FVC ratio. Residing near forests or urban green spaces was associated with a faster decline in FEV1, while agricultural land and forests were related to a greater decline in FVC.Conclusions: More residential greenspace was not associated with better lung function in middle-aged European adults. Instead, we observed slight but consistent declines in lung function parameters. The potentially detrimental association requires verification in future studies.
PB Elsevier
SN 0160-4120
SN 1873-6750 (electrónico)
YR 2023
FD 2023-06
LK https://hdl.handle.net/10272/23860
UL https://hdl.handle.net/10272/23860
LA eng
NO Markevych, I., Zhao, T., Fuertes, E., Marcon, A., Dadvand, P., Vienneau, D., Garcia Aymerich, J., Nowak, D., de Hoogh, K., Jarvis, D., Abramson, M. J., Accordini, S., Amaral, A. F., Bentouhami, H., Jacobsen Bertelsen, R., Boudier, A., Bono, R., Bowatte, G., Casas, L., … Heinrich, J. (2023). Residential greenspace and lung function decline over 20 years in a prospective cohort: The ECRHS study. In Environment International (Vol. 178, p. 108036). Elsevier BV. https://doi.org/10.1016/j.envint.2023.108036
NO This study was specifically funded by the German Research Foundation(GZ: KA 4737/2–1 | NO 262/13–1 | HE 3294/12–1) and theComprehensive Pneumology Center Munich (CPC-M), German Centerfor Lung Research (DZL), Munich, Germany.The authors appreciate the support provided by the National NaturalScience Foundation of China (M-0420).The present analyses are part of the Ageing Lungs in European Cohorts(ALEC) Study (https://www.alecstudy.org), which has alsoreceived funding from the European Union’s Horizon 2020 research andinnovation programme under grant agreement No. 633212. The localinvestigators and funding agencies for the European Community RespiratoryHealth are reported in the Supplementary Material. ISGlobal isa member of CERCA Programme/Generalitat de Catalunya. Thesesources of funding had no role in the study design, the collection,analysis and interpretation of data, the writing of the report, and in thedecision to submit the article for publication.Iana Markevych is supported from the “NeuroSmog: Determining theimpact of air pollution on the developing brain” (Nr.POIR.04.04.00–1763/18–00) which is implemented as part of theTEAM-NET programme of the Foundation for Polish Science, cofinancedfrom EU resources, obtained from the European RegionalDevelopment Fund under the Smart Growth Operational Programme.Elaine Fuertes is support by the Imperial College ResearchFellowship.We acknowledge support from the Spanish Ministry of Science and Innovation through the “Centro de Excelencia Severo Ochoa2019–2023” Program (CEX2018-000806-S), and support from theGeneralitat de Catalunya through the CERCA Program to ISGlobal.
DS Repositorio Institucional de la Universidad de Huelva
RD 31 may 2026