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Residential surrounding greenspace and age at menopause: A 20-year European study (ECRHS)

Triebner, Kai (författare)
Univ Bergen, Dept Clin Sci, Jonas Lies Veg 65, N-5021 Bergen, Norway;Univ Bergen, Core Facil Metab, Bergen, Norway
Markevych, Iana (författare)
Ludwig Maximilians Univ Munchen, Univ Hosp, Inst & Clin Occupat Social & Environm Med, Munich, Germany;German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Epidemiol, Neuherberg, Germany
Hustad, Steinar (författare)
Univ Bergen, Dept Clin Sci, Jonas Lies Veg 65, N-5021 Bergen, Norway;Univ Bergen, Core Facil Metab, Bergen, Norway
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Benediktsdóttir, Bryndís (författare)
Univ Iceland, Fac Med, Reykjavik, Iceland
Forsberg, Bertil (författare)
Umeå universitet,Avdelningen för hållbar hälsa,Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
Franklin, Karl A (författare)
Umeå universitet,Kirurgi,Umea Univ, Dept Surg & Perioperat Sci Surg, Umea, Sweden
Gullón Blanco, José Antonio (författare)
Univ Hosp San Agustin, Pneumol Dept, Aviles, Spain
Holm, Mathias, 1969 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin,Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine,Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden
Jaquemin, Bénédicte (författare)
Barcelona Inst Global Hlth, Barcelona, Spain
Jarvis, Debbie (författare)
Imperial Coll, Natl Heart & Lung Inst, London, England
Jögi, Rain (författare)
Uppsala universitet,Lung- allergi- och sömnforskning,Tartu Univ Hosp, Lung Clin, Tartu, Estonia
Leynaert, Bénédicte (författare)
INSERM, UMR1152, Paris, France;INSERM, U1168, VIMA, Villejuif, France
Lindberg, Eva (författare)
Uppsala universitet,Lung- allergi- och sömnforskning
Martínez-Moratalla, Jesús (författare)
Albacete Univ Hosp Complex, Hlth Serv La Castilla Mancha, Pulmonol Serv, Albacete, Spain;Castilla La Mancha Univ, Fac Med Albacete, Albacete, Spain
Muniozguren Agirre, Nerea (författare)
Basque Govt, Dept Hlth, Unit Epidemiol & Publ Hlth, Bilbao, Spain
Pin, Isabelle (författare)
CHU Grenoble Alpes, Dept Pediat, Grenoble, France;INSERM, Inst Adv Biosci, Grenoble, France;Univ Grenoble Alpes, Grenoble, France
Sánchez-Ramos, José Luis (författare)
Univ Huelva, Dept Nursing, Huelva, Spain
Heinrich, Joachim (författare)
Ludwig Maximilians Univ Munchen, Univ Hosp, Inst & Clin Occupat Social & Environm Med, Munich, Germany;Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Carlton, Vic, Australia
Gómez Real, Francisco (författare)
Univ Bergen, Dept Clin Sci, Jonas Lies Veg 65, N-5021 Bergen, Norway;Haukeland Hosp, Dept Gynecol & Obstet, Bergen, Norway
Dadvand, Payam (författare)
Barcelona Inst Global Hlth, Barcelona, Spain
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Elsevier, 2019
2019
Engelska.
Ingår i: Environment International. - : Elsevier. - 0160-4120 .- 1873-6750. ; 132
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Menopause is associated with a number of adverse health effects and its timing has been reported to be influenced by several lifestyle factors. Whether greenspace exposure is associated with age at menopause has not yet been investigated. Objective: To investigate whether residential surrounding greenspace is associated with age at menopause and thus reproductive aging. Methods: This longitudinal study was based on the 20-year follow-up of 1955 aging women from a large, population-based European cohort (ECRHS). Residential surrounding greenspace was abstracted as the average of satellite-based Normalized Difference Vegetation Index (NDVI) across a circular buffer of 300 m around the residential addresses of each participant during the course of the study. We applied mixed effects Cox models with centre as random effect, menopause as the survival object, age as time indicator and residential surrounding greenspace as time-varying predictor. All models were adjusted for smoking habit, body mass index, parity, age at menarche, ever-use of contraception and age at completed full-time education as socio-economic proxy. Results: An increase of one interquartile range of residential surrounding greenspace was associated with a 13% lower risk of being menopausal (Hazard Ratio: 0.87, 95% Confidence Interval: 0.79–0.95). Correspondingly the predicted median age at menopause was 1.4 years older in the highest compared to the lowest NDVI quartile. Results remained stable after additional adjustment for air pollution and traffic related noise amongst others. Conclusions: Living in greener neighbourhoods is associated with older age at menopause and might slow reproductive aging. These are novel findings with broad implications. Further studies are needed to see whether our findings can be replicated in different populations and to explore the potential mechanisms underlying this association.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Arbetsmedicin och miljömedicin (hsv//swe)

Nyckelord

Greenspace
Menopause
NDVI
Reproductive aging
Sex hormones
Greenspace
MenopauseN
DVI

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ref (ämneskategori)
art (ämneskategori)

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