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dc.contributor.authorAnabitarte Riol, Asier
dc.contributor.authorSubiza Pérez, Mikel
dc.contributor.authorIbarluzea Maurolagoitia, Jesús María
dc.contributor.authorAzkona Fuente, Kepa
dc.contributor.authorGarcía-Baquero Moneo, Gonzalo ORCID
dc.contributor.authorMiralles Guasch, Carme
dc.contributor.authorIrazusta Astiazaran, Jon ORCID
dc.contributor.authorWhitworth, Kristina W.
dc.contributor.authorVich, Guillem
dc.contributor.authorLertxundi Manterola, Aitana
dc.date.accessioned2020-07-09T10:53:31Z
dc.date.available2020-07-09T10:53:31Z
dc.date.issued2020-06-23
dc.identifier.citationInternational Journal of Environmental Research and Public Health 17(12) : (2020) // Article ID 4520es_ES
dc.identifier.issn1660-4600
dc.identifier.urihttp://hdl.handle.net/10810/45256
dc.description.abstractResidential greenness may positively impact diverse human health indicators through the reduction of air pollution, the improvement of psychological health, and the promotion of physical activity. Previous studies indicate a weak but positive association with pregnancy outcomes. Our aim was to test the multiple pathways from residential greenness to pregnancy outcomes model, using residential NO2 concentrations, psychological health, and moderate-to-vigorous physical activity (MVPA) during the first trimester of pregnancy, in a sample of 440 pregnant women residing in Donostia, Spain. Three metrics of residential greenness were calculated around each participant’s home address: normalized difference vegetation index (NDVI) within 300 m, and green space (>5000 m2) availability within 300 and 500 m. Residential NO2 concentrations, psychological health, and MVPA were explored as mediators of the associations between these metrics and the following pregnancy outcomes: birth weight (BW), low birth weight (LBW), prematurity, small for gestational age (SGA), and large for gestational age (LGA). Educational attainment, parity, and body mass index (BMI) were treated as covariates. Counterfactual mediation analyses showed very low to null statistical support for an association between any of the greenspace metrics and pregnancy outcomes in the full sample. Green space availability (300 m) was associated with lower BW and showed a marginal protective effect against LGA.es_ES
dc.description.sponsorshipThis research was funded by Diputación Foral de Gipuzkoa (the Gipuzkoan Provincial Council), grant number 105/19 within their call “Programa Red Guipuzcoana de Ciencia, Tecnología e Innovación 2019” (Network Gipuzkoan Program for Science, Technology and Innovation 2019).es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/
dc.subjectmediatorses_ES
dc.subjectmaternal healthes_ES
dc.subjectnatural effects modelses_ES
dc.subjecturban exposureses_ES
dc.subjectGISes_ES
dc.titleTesting the Multiple Pathways of Residential Greenness to Pregnancy Outcomes Model in a Sample of Pregnant Women in the Metropolitan Area of Donostia-San Sebastiánes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.date.updated2020-06-30T16:28:51Z
dc.rights.holder2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).es_ES
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/17/12/4520/htmes_ES
dc.identifier.doi10.3390/ijerph17124520
dc.departamentoesMedicina preventiva y salud pública
dc.departamentoesFisiología
dc.departamentoesProcesos psicológicos básicos y su desarrollo
dc.departamentoesGeografía, prehistoria y arqueología
dc.departamentoeuPrebentzio medikuntza eta osasun publikoa
dc.departamentoeuFisiologia
dc.departamentoeuOinarrizko psikologia prozesuak eta haien garapena
dc.departamentoeuGeografia,historiaurrea eta arkeologia


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2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).