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Greenness Availability and Respiratory Health in a Population of Urbanised Children in North-Western Italy

Author

Listed:
  • Giulia Squillacioti

    (Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy)

  • Valeria Bellisario

    (Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy)

  • Stefano Levra

    (Specialty School in Respiratory Diseases, University of Turin, 10126 Turin, Italy)

  • Pavilio Piccioni

    (Complex Structure of Pneumology, Local Health Authority of the City of Turin, 10126 Turin, Italy)

  • Roberto Bono

    (Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy)

Abstract

Paediatric Asthma contributes in paediatric global burden of diseases, as the most common chronic disease in children. Children are exposed to many environmental risk-factors, able to determine or worsen respiratory diseases, and contributing to asthma and asthma-like symptoms increases, especially in metropolitan areas. In urban settings, surrounding vegetation (greenness) may provide important benefits to health, including the promotion of physical activity and the mitigation of air and noise pollution. The aim of this study was to investigate the association between greenness and respiratory health. A total of 187 children (10–13 yrs old) were recruited in Turin, the north-western part of Italy. The prevalence of asthma and asthma-like symptoms was calculated from self-reported data collected by SIDRIA questionnaire. Spirometry test was performed to obtain respiratory flow measurements. Greenness was measured at individual level through the Normalised Difference Vegetation Index (NDVI) estimations from remote-sensing images. Higher exposure (3rd tertile vs. 1st tertile) to NDVI was associated to significantly lower ORs for asthma [0.13 CI 95% 0.02–0.7, p = 0.019], bronchitis [0.14 CI 95% 0.05–0.45, p = 0.001], and current wheezing [0.25 CI 95% 0.09–0.70, p = 0.008]. A significative positive association was found between greenness and FEF 25–75 , since children exposed to the 2nd tertile of NDVI reported a significantly decreased FEF 25–75 compared to those in the 3rd tertile [B: −2.40; C.I.95%: −0.48–0.01; p = 0.049]. This cross-sectional study provided additional data on still inconsistent literature referring to respiratory health in children and green spaces, attesting a positive effect of greenness in a specific area of Italy. Further research is still needed.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:108-:d:300841
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    References listed on IDEAS

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    1. Kelvin C. Fong & Itai Kloog & Brent A. Coull & Petros Koutrakis & Francine Laden & Joel D. Schwartz & Peter James, 2018. "Residential Greenness and Birthweight in the State of Massachusetts, USA," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    2. Giulia Squillacioti & Valeria Bellisario & Elena Grignani & Giulio Mengozzi & Giulia Bardaglio & Paola Dalmasso & Roberto Bono, 2019. "The Asti Study: The Induction of Oxidative Stress in A Population of Children According to Their Body Composition and Passive Tobacco Smoking Exposure," IJERPH, MDPI, vol. 16(3), pages 1-11, February.
    3. Valeria Bellisario & Pavilio Piccioni & Massimiliano Bugiani & Giulia Squillacioti & Stefano Levra & Carlo Gulotta & Giulio Mengozzi & Alberto Perboni & Elena Grignani & Roberto Bono, 2019. "Tobacco Smoke Exposure, Urban and Environmental Factors as Respiratory Disease Predictors in Italian Adolescents," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    4. Linyan Li & Jaime E. Hart & Brent A. Coull & Shi-jie Cao & John D. Spengler & Gary Adamkiewicz, 2019. "Effect of Residential Greenness and Nearby Parks on Respiratory and Allergic Diseases among Middle School Adolescents in a Chinese City," IJERPH, MDPI, vol. 16(6), pages 1-11, March.
    5. Chia-Jung Hsieh & Pei-Ying Yu & Chun-Ju Tai & Rong-Hwa Jan & Tzai-Hung Wen & Shyang-Woei Lin & Chun-Chieh Tseng, 2019. "Association between the First Occurrence of Asthma and Residential Greenness in Children and Teenagers in Taiwan," IJERPH, MDPI, vol. 16(12), pages 1-10, June.
    6. 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.
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    Cited by:

    1. Ingrid Nordeide Kuiper & Iana Markevych & Simone Accordini & Randi J. Bertelsen & Lennart Bråbäck & Jesper Heile Christensen & Bertil Forsberg & Thomas Halvorsen & Joachim Heinrich & Ole Hertel & Gera, 2020. "Associations of Preconception Exposure to Air Pollution and Greenness with Offspring Asthma and Hay Fever," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    2. Giovanna Cilluffo & Giuliana Ferrante & Salvatore Fasola & Velia Malizia & Laura Montalbano & Andrea Ranzi & Chiara Badaloni & Giovanni Viegi & Stefania La Grutta, 2022. "Association between Asthma Control and Exposure to Greenness and Other Outdoor and Indoor Environmental Factors: A Longitudinal Study on a Cohort of Asthmatic Children," IJERPH, MDPI, vol. 19(1), pages 1-14, January.
    3. Enrico Cocchi & Valeria Bellisario & Francesco Cresi & Claudio Plazzotta & Claudio Cassardo & Consolata Siniscalco & Licia Peruzzi & Roberto Bono, 2023. "Air Pollution and Aeroallergens as Possible Triggers in Preterm Birth Delivery," IJERPH, MDPI, vol. 20(2), pages 1-15, January.

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