The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China
Background: Although studies have examined the association between residential greenness and birth weight, there is no evidence regarding the association between residential greenness and fetal growth in utero. We aimed to investigate the associations of residential greenness with both fetal growth...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Environment International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0160412019345714 |
| _version_ | 1811340330510843904 |
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| author | Lizi Lin Qin Li Jie Yang Na Han Gongbo Chen Chuyao Jin Xiangrong Xu Zheng Liu Jue Liu Shusheng Luo Hein Raat Yuming Guo Haijun Wang |
| author_facet | Lizi Lin Qin Li Jie Yang Na Han Gongbo Chen Chuyao Jin Xiangrong Xu Zheng Liu Jue Liu Shusheng Luo Hein Raat Yuming Guo Haijun Wang |
| author_sort | Lizi Lin |
| collection | DOAJ |
| description | Background: Although studies have examined the association between residential greenness and birth weight, there is no evidence regarding the association between residential greenness and fetal growth in utero. We aimed to investigate the associations of residential greenness with both fetal growth in utero and birth weight. Methods: A birth cohort (2014–2017) with 18,665 singleton pregnancies was established in Tongzhou Maternal and Child hospital of Beijing, China. Residential greenness was matched with maternal residential address and estimated from remote satellite data using normalized difference vegetation index with 200 m and 500 m buffers (NDVI-200 and NDVI-500). Fetal parameters including estimated fetal weight (EFW), abdominal circumference (AC), head circumference (HC) and femur length (FL) were assessed by ultrasound measurements during pregnancy. Fetal parameters were standardized as gestational-age- and gender-adjusted Z-score and undergrowth was defined as Z-score < −1.88. Birth weight Z-score, low birth weight (LBW) and small for gestational age (SGA) were assessed as birth outcomes. Generalized estimating equations with the autoregressive working correlation structure and generalized linear regression were used to examine the associations of residential greenness with quantitative and categorized outcomes. Results: We found an increase Z-score of EFW [0.054, 95% confidence interval (CI): 0.020–0.087], AC (0.045, 95%CI: 0.011–0.080) and HC (0.054, 95%CI: 0.020–0.089) associated with residential greenness above NDVI-500 median compared to less than and equal to NDVI-500 median. Stratified analyses indicated that the associations might be stronger in women exposed to lower levels of particles with aerodynamic diameters ≤2.5 µm. No associations were found in the analyses of NDVI-250 with fetal growth in utero. We didn’t observe significant associations of NDVI with birth weight Z-score, LBW and SGA. Conclusions: This study identified a positive association of NDVI-500 and fetal growth in utero, but we didn’t observe its association with birth weight measures. Our results suggest that building sufficient green infrastructure might potentially promote early life health. |
| first_indexed | 2024-04-13T18:39:26Z |
| format | Article |
| id | doaj.art-f99192049c414e6884445b4b68084e09 |
| institution | Directory Open Access Journal |
| issn | 0160-4120 |
| language | English |
| last_indexed | 2024-04-13T18:39:26Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Environment International |
| spelling | doaj.art-f99192049c414e6884445b4b68084e092022-12-22T02:34:46ZengElsevierEnvironment International0160-41202020-08-01141105793The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, ChinaLizi Lin0Qin Li1Jie Yang2Na Han3Gongbo Chen4Chuyao Jin5Xiangrong Xu6Zheng Liu7Jue Liu8Shusheng Luo9Hein Raat10Yuming Guo11Haijun Wang12Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of China; Reproductive Medical Centre, Department of Obstetrics and Gynaecology, Peking University Third Hospital, Beijing 100191, People’s Republic of ChinaTongzhou Maternal and Child Health Hospital, Beijing 101101, People’s Republic of ChinaTongzhou Maternal and Child Health Hospital, Beijing 101101, People’s Republic of ChinaDepartment of Global Health, School of Health Sciences, Wuhan University, Wuhan 430071, People’s Republic of ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, People’s Republic of ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of ChinaDepartment of Public Health, Erasmus University Medical Centre, Rotterdam, the NetherlandsDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, People’s Republic of China; Corresponding author at: Department of Maternal and Child Health, School of Public Health, Peking University, No. 38 Xueyuan Rd, Haidian District, Beijing 100191, People’s Republic of China.Background: Although studies have examined the association between residential greenness and birth weight, there is no evidence regarding the association between residential greenness and fetal growth in utero. We aimed to investigate the associations of residential greenness with both fetal growth in utero and birth weight. Methods: A birth cohort (2014–2017) with 18,665 singleton pregnancies was established in Tongzhou Maternal and Child hospital of Beijing, China. Residential greenness was matched with maternal residential address and estimated from remote satellite data using normalized difference vegetation index with 200 m and 500 m buffers (NDVI-200 and NDVI-500). Fetal parameters including estimated fetal weight (EFW), abdominal circumference (AC), head circumference (HC) and femur length (FL) were assessed by ultrasound measurements during pregnancy. Fetal parameters were standardized as gestational-age- and gender-adjusted Z-score and undergrowth was defined as Z-score < −1.88. Birth weight Z-score, low birth weight (LBW) and small for gestational age (SGA) were assessed as birth outcomes. Generalized estimating equations with the autoregressive working correlation structure and generalized linear regression were used to examine the associations of residential greenness with quantitative and categorized outcomes. Results: We found an increase Z-score of EFW [0.054, 95% confidence interval (CI): 0.020–0.087], AC (0.045, 95%CI: 0.011–0.080) and HC (0.054, 95%CI: 0.020–0.089) associated with residential greenness above NDVI-500 median compared to less than and equal to NDVI-500 median. Stratified analyses indicated that the associations might be stronger in women exposed to lower levels of particles with aerodynamic diameters ≤2.5 µm. No associations were found in the analyses of NDVI-250 with fetal growth in utero. We didn’t observe significant associations of NDVI with birth weight Z-score, LBW and SGA. Conclusions: This study identified a positive association of NDVI-500 and fetal growth in utero, but we didn’t observe its association with birth weight measures. Our results suggest that building sufficient green infrastructure might potentially promote early life health.http://www.sciencedirect.com/science/article/pii/S0160412019345714Residential greennessEnvironmental factorsFetal growthBirth weight |
| spellingShingle | Lizi Lin Qin Li Jie Yang Na Han Gongbo Chen Chuyao Jin Xiangrong Xu Zheng Liu Jue Liu Shusheng Luo Hein Raat Yuming Guo Haijun Wang The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China Environment International Residential greenness Environmental factors Fetal growth Birth weight |
| title | The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China |
| title_full | The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China |
| title_fullStr | The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China |
| title_full_unstemmed | The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China |
| title_short | The associations of residential greenness with fetal growth in utero and birth weight: A birth cohort study in Beijing, China |
| title_sort | associations of residential greenness with fetal growth in utero and birth weight a birth cohort study in beijing china |
| topic | Residential greenness Environmental factors Fetal growth Birth weight |
| url | http://www.sciencedirect.com/science/article/pii/S0160412019345714 |
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