ArticleScientific reports2019
School environment associates with lung function and autonomic nervous system activity in children: a cross-sectional study.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 40 citations in OpenAlex.
- Trial
- It's time to take a sustainable approach to health care in the face of the challenges of the 21st century.One health (Amsterdam, Netherlands) · 2023Review
- Basis of preventive and non-pharmacological interventions in asthma.Frontiers in public health · 2023Review
- The impact of Alzheimer's disease risk factors on the pupillary light response.Frontiers in neuroscience · 2023Review
- Residential greenness, asthma, and lung function among children at high risk of allergic sensitization: a prospective cohort study.Environmental health : a global access science source · 2022Article
- Association between Land Use Mix and Respiratory Symptoms and Asthma in Children from the Generation XXI Birth Cohort.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Increasing Vegetable Diversity Consumption Impacts the Sympathetic Nervous System Activity in School-Aged Children.Nutrients · 2021Article
- A cross-sectional study of the impact of school neighbourhood on children obesity and body composition.European journal of pediatrics · 2021Article
- Subjective Proximity to Green Spaces and Blood Pressure in Children and Adolescents: The CASPIAN-V Study.Journal of environmental and public health · 2020Article
- Helsinki by nature: The Nature Step to Respiratory Health.Clinical and translational allergy · 2019Review
- Urban-level environmental factors related to pediatric asthma.Porto biomedical journalReview
Corrections and comments
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Authors and funding
19 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Children are in contact with local environments, which may affect respiratory symptoms and allergic sensitization. We aimed to assess the effect of the environment and the walkability surrounding schools on lung function, airway inflammation and autonomic nervous system activity. Data on 701 children from 20 primary schools were analysed. Lung function, airway inflammation and pH from exhaled breath condensate were measured. Pupillometry was performed to evaluate autonomic activity. Land use composition and walkability index were quantified within a 500 m buffer zone around schools. The proportion of effects explained by the school environment was measured by mixed-effect models. We found that green school areas tended to be associated with higher lung volumes (FVC, FEV1 and FEF25-75%) compared with built areas. FVC was significantly lower in-built than in green areas. After adjustment, the school environment explained 23%, 34% and 99.9% of the school effect on FVC, FEV1, and FEF25-75%, respectively. The walkability of school neighbourhoods was negatively associated with both pupil constriction amplitude and redilatation time, explaining -16% to 18% of parasympathetic and 8% to 29% of sympathetic activity. Our findings suggest that the environment surrounding schools has an effect on the lung function of its students. This effect may be partially mediated by the autonomic nervous system.
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