PMID- 31672364
OWN - NLM
STAT- MEDLINE
DCOM- 20200212
LR  - 20200212
IS  - 1873-6424 (Electronic)
IS  - 0269-7491 (Linking)
VI  - 256
DP  - 2020 Jan
TI  - Greenness around schools associated with lower risk of hypertension among 
      children: Findings from the Seven Northeastern Cities Study in China.
PG  - 113422
LID - S0269-7491(19)33159-8 [pii]
LID - 10.1016/j.envpol.2019.113422 [doi]
AB  - Evidence suggests that residential greenness may be protective of high blood 
      pressure, but there is scarcity of evidence on the associations between greenness 
      around schools and blood pressure among children. We aimed to investigate this 
      association in China. Our study included 9354 children from 62 schools in the 
      Seven Northeastern Cities Study. Greenness around each child's school was 
      measured by NDVI (Normalized Difference Vegetation Index) and SAVI (Soil-Adjusted 
      Vegetation Index). Particulate matter </= 1 mum (PM(1)) concentrations were 
      estimated by spatiotemporal models and nitrogen dioxide (NO(2)) concentrations 
      were collected from air monitoring stations. Associations between greenness and 
      blood pressure were determined by generalized linear and logistic mixed-effect 
      models. Mediation by air pollution was assessed using mediation analysis. Higher 
      greenness was consistently associated with lower blood pressure. An increase of 
      0.1 in NDVI corresponded to a reduction in SBP of 1.39 mmHg (95% CI: 1.86, -0.93) 
      and lower odds of hypertension (OR = 0.76, 95% CI: 0.69, 0.82). Stronger 
      associations were observed in children with higher BMI. Ambient PM(1) and NO(2) 
      mediated 33.0% and 10.9% of the association between greenness and SBP, 
      respectively. In summary, greater greenness near schools had a beneficial effect 
      on blood pressure, particularly in overweight or obese children in China. The 
      associations might be partially mediated by air pollution. These results might 
      have implications for policy makers to incorporate more green space for both 
      aesthetic and health benefits.
CI  - Copyright (c) 2019 Elsevier Ltd. All rights reserved.
FAU - Xiao, Xiang
AU  - Xiao X
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Yang, Bo-Yi
AU  - Yang BY
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Hu, Li-Wen
AU  - Hu LW
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Markevych, Iana
AU  - Markevych I
AD  - Institute and Clinic for Occupational, Social and Environmental Medicine, 
      University Hospital, LMU Munich, Ziemssenstrasse 1, 80336, Munich, Germany; 
      Institute of Epidemiology, Helmholtz Zentrum Munchen - German Research Center for 
      Environmental Health, Ingolstadter Landstrasse 1, 85764, Neuherberg, Germany.
FAU - Bloom, Michael S
AU  - Bloom MS
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China; Departments of Environmental Health Sciences & Epidemiology and 
      Biostatistics, University at Albany, State University of New York, Rensselaer, 
      NY, 12144, USA.
FAU - Dharmage, Shyamali C
AU  - Dharmage SC
AD  - Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School 
      of Population and Global Health, The University of Melbourne, Melbourne, VIC, 
      3004, Australia; Murdoch Children Research Institute, Melbourne, VIC, 3010, 
      Australia.
FAU - Jalaludin, Bin
AU  - Jalaludin B
AD  - Centre for Air Quality and Health Research and Evaluation, Glebe, NSW, 2037, 
      Australia; IIngham Institute for Applied Medial Research, University of New South 
      Wales, Sydney, 2170, Australia.
FAU - Knibbs, Luke D
AU  - Knibbs LD
AD  - School of Public Health, The University of Queensland, Herston, Queensland, 4006, 
      Australia.
FAU - Heinrich, Joachim
AU  - Heinrich J
AD  - Institute and Clinic for Occupational, Social and Environmental Medicine, 
      University Hospital, LMU Munich, Ziemssenstrasse 1, 80336, Munich, Germany; 
      Comprehensive Pneumology Center Munich, German Center for Lung Research, 
      Ziemssenstrasse 1, 80336, Munich, Germany.
FAU - Morawska, Lidia
AU  - Morawska L
AD  - International Laboratory for Air Quality and Health, Queensland University of 
      Technology (QUT), GPO Box 2434, Brisbane, Queensland, 4001, Australia.
FAU - Lin, Shao
AU  - Lin S
AD  - Departments of Environmental Health Sciences & Epidemiology and Biostatistics, 
      University at Albany, State University of New York, Rensselaer, NY, 12144, USA.
FAU - Roponen, Marjut
AU  - Roponen M
AD  - Department of Environmental and Biological Sciences, University of Eastern 
      Finland, Kuopio, FI, 70211, Finland.
FAU - Guo, Yuming
AU  - Guo Y
AD  - Department of Epidemiology and Preventive Medicine, School of Public Health and 
      Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
FAU - Lam Yim, Steve Hung
AU  - Lam Yim SH
AD  - Department of Geography and Resource Management, The Chinese University of Hong 
      Kong, Shatin, N.T., Hong Kong, China; Stanley Ho Big Data Decision Analytics 
      Research Centre, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, 
      China.
FAU - Leskinen, Ari
AU  - Leskinen A
AD  - Finnish Meteorological Institute, Kuopio, 70211, Finland; Department of Applied 
      Physics, University of Eastern Finland, Kuopio, 70211, Finland.
FAU - Komppula, Mika
AU  - Komppula M
AD  - Finnish Meteorological Institute, Kuopio, 70211, Finland.
FAU - Jalava, Pasi
AU  - Jalava P
AD  - Department of Environmental and Biological Sciences, University of Eastern 
      Finland, Kuopio, FI, 70211, Finland.
FAU - Yu, Hong-Yao
AU  - Yu HY
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Zeeshan, Mohammed
AU  - Zeeshan M
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Zeng, Xiao-Wen
AU  - Zeng XW
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China.
FAU - Dong, Guang-Hui
AU  - Dong GH
AD  - Guangdong Provincial Engineering Technology Research Center of Environmental 
      Pollution and Health Risk Assessment, Department of Occupational and 
      Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, 
      510080, China. Electronic address: donggh5@mail.sysu.edu.cn.
LA  - eng
PT  - Journal Article
DEP - 20191018
PL  - England
TA  - Environ Pollut
JT  - Environmental pollution (Barking, Essex : 1987)
JID - 8804476
RN  - 0 (Particulate Matter)
RN  - S7G510RUBH (Nitrogen Dioxide)
SB  - IM
MH  - Air Pollution/analysis/statistics & numerical data
MH  - Blood Pressure
MH  - Child
MH  - China/epidemiology
MH  - Cities
MH  - Environmental Exposure/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Hypertension/*epidemiology
MH  - Male
MH  - Nitrogen Dioxide/analysis
MH  - Obesity
MH  - Particulate Matter/analysis
MH  - Risk
MH  - Schools
MH  - *Sustainable Development
OTO - NOTNLM
OT  - Blood pressure
OT  - Greenness
OT  - Hypertension
OT  - Mediation
OT  - Modification
EDAT- 2019/11/02 06:00
MHDA- 2020/02/13 06:00
CRDT- 2019/11/02 06:00
PHST- 2019/06/14 00:00 [received]
PHST- 2019/10/12 00:00 [revised]
PHST- 2019/10/15 00:00 [accepted]
PHST- 2019/11/02 06:00 [pubmed]
PHST- 2020/02/13 06:00 [medline]
PHST- 2019/11/02 06:00 [entrez]
AID - S0269-7491(19)33159-8 [pii]
AID - 10.1016/j.envpol.2019.113422 [doi]
PST - ppublish
SO  - Environ Pollut. 2020 Jan;256:113422. doi: 10.1016/j.envpol.2019.113422. Epub 2019 
      Oct 18.