Triebner, KaiMarkevych, IanaHustad, SteinarSánchez Ramos, José Luis2019-09-302019-09-302019-08Triebner, 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.2019.1050880160-4120http://hdl.handle.net/10272/16687Background: 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 surroundingengAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/GreenspaceMenopauseNDVIReproductive agingSex hormonesjournal article10.1016/j.envint.2019.105088open access