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Greenspace and Atopic Sensitization in Children and Adolescents—A Systematic Review

Author

Listed:
  • Katrina A. Lambert

    (School of Psychology and Public Health, La Trobe University, 3086 Bundoora, Australia)

  • Gayan Bowatte

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 3000 Melbourne, Australia
    National Institute of Fundamental Studies, Kandy 20000, Sri Lanka)

  • Rachel Tham

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 3000 Melbourne, Australia
    Behaviour, Environment and Cognition Research Program, Mary MacKillop Institute for Health Research, Australian Catholic University, 3065 Fitzroy, Australia)

  • Caroline J. Lodge

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 3000 Melbourne, Australia)

  • Luke A. Prendergast

    (Department of Mathematics and Statistics, La Trobe University, 3086 Bundoora, Australia)

  • Joachim Heinrich

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 3000 Melbourne, Australia
    Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Clinical Center, Ludwig Maximilians University, Comprehensive Pneumology Centre Munich, German Centre for Lung Research, Ziemssenstrasse, 80336 Munich, Germany)

  • Michael J. Abramson

    (School of Public Health & Preventive Medicine, Monash University, 3004 Melbourne, Australia)

  • Shyamali C. Dharmage

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 3000 Melbourne, Australia
    These authors contributed equally to this work.)

  • Bircan Erbas

    (School of Psychology and Public Health, La Trobe University, 3086 Bundoora, Australia
    These authors contributed equally to this work.)

Abstract

In the last decade, studies investigating greenspace have highlighted several benefits to human health. However, the effect of greenspace on allergies and atopic sensitization in children was not clear. While several studies have investigated this link, the evidence has not been systematically synthesized. We conducted a systematic search of eight databases. Study characteristics and findings were extracted from five articles covering 11 cohorts published between 2012 and 2016, and study quality assessments were performed. Due to significant heterogeneity, meta-analysis was not conducted. Findings were not consistent, possibly due to variations in exposure measurements, study populations and location, the specific allergens tested, and inclusion of confounders. Protective effects from greenspace were reported in four cohorts, while two cohorts showed an increase in sensitization related to greenspace. The other five cohorts found no significant effect of greenspace on atopic sensitization. There is limited understanding of the contributions of greenspace to specific allergens. Future research should consider amount and type of greenspace, as well as the specific allergens tested.

Suggested Citation

  • Katrina A. Lambert & Gayan Bowatte & Rachel Tham & Caroline J. Lodge & Luke A. Prendergast & Joachim Heinrich & Michael J. Abramson & Shyamali C. Dharmage & Bircan Erbas, 2018. "Greenspace and Atopic Sensitization in Children and Adolescents—A Systematic Review," IJERPH, MDPI, vol. 15(11), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2539-:d:182399
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    References listed on IDEAS

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    1. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
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    2. William L. Rice & Sarah Y. Michels & Miranda Foster & Jon Graham & Peter Whitney & Jennifer M. Thomsen, 2023. "Exploring the Impacts of Protected Areas’ Attributes on Pediatric Health: The Case for Additional Research beyond Greenspace," Land, MDPI, vol. 12(8), pages 1-19, August.
    3. Giulia Squillacioti & Valeria Bellisario & Stefano Levra & Pavilio Piccioni & Roberto Bono, 2019. "Greenness Availability and Respiratory Health in a Population of Urbanised Children in North-Western Italy," IJERPH, MDPI, vol. 17(1), pages 1-11, December.
    4. Amanda Alderton & Karen Villanueva & Meredith O’Connor & Claire Boulangé & Hannah Badland, 2019. "Reducing Inequities in Early Childhood Mental Health: How Might the Neighborhood Built Environment Help Close the Gap? A Systematic Search and Critical Review," IJERPH, MDPI, vol. 16(9), pages 1-23, April.
    5. Alessio Russo & Maria Beatrice Andreucci, 2023. "Raising Healthy Children: Promoting the Multiple Benefits of Green Open Spaces through Biophilic Design," Sustainability, MDPI, vol. 15(3), pages 1-21, January.
    6. Alessandro Rigolon & Matthew H. E. M. Browning & Olivia McAnirlin & Hyunseo (Violet) Yoon, 2021. "Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    7. Matthew H. E. M. Browning & Alessandro Rigolon, 2019. "School Green Space and Its Impact on Academic Performance: A Systematic Literature Review," IJERPH, MDPI, vol. 16(3), pages 1-22, February.
    8. Rachel L. Peters & Suzanne Mavoa & Jennifer J. Koplin, 2022. "An Overview of Environmental Risk Factors for Food Allergy," IJERPH, MDPI, vol. 19(2), pages 1-12, January.

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    Keywords

    atopy; IgE; skin prick; greenness;
    All these keywords.

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