ArticleBMC public health2021
Effects of trees, gardens, and nature trails on heat index and child health: design and methods of the Green Schoolyards Project.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of climate change interventions for improving child health.BMJ paediatrics open · 2026Pooled it
- Summer Heat, Physical Activity, and Sedentary Behavior of Children Outdoors and Indoors in an Urban Setting.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Neighborhood Environmental and Contextual Factors Improve Prediction of Childhood Body Mass Index: An Application of Novel Graph Neural Networks.AJE advances : research in epidemiology · 2025Article
- Interventions to reduce the effects of air pollution and of extreme heat on maternal, newborn, and child health outcomes: a mapping of the literature.Journal of global health · 2025Review
- Community Use and Perceptions of Climate Shelters in Schoolyards in Barcelona.International journal of public health · 2025Article
- HIV in Eswatini: Climate Change Impacts and Adaptation Strategies.Current tropical medicine reports · 2024Article
- Adapting Schools to Climate Change with Green, Blue, and Grey Measures in Barcelona: Study Protocol of a Mixed-Method Evaluation.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Outdoor Time in Childhood: A Mixed Methods Approach to Identify Barriers and Opportunities for Intervention in a Racially and Ethnically Mixed Population.International journal of environmental research and public health · 2023Article
- A Review of the Role of Built Environment and Temperature in the Development of Childhood Obesity.Cureus · 2023Review
- The neighborhood environment and sleep health in adolescents.Sleep health · 2023Article
- Evaluation of the Little Rock Green Schoolyard initiative: a quasi-experimental study protocol.BMC public health · 2023Article
- Warm-season temperatures and emergency department visits among children with health insurance.Environmental research, health : ERH · 2023Article
- Effects of Greenness on Myopia Risk and School-Level Myopia Prevalence Among High School-Aged Adolescents: Cross-sectional Study.JMIR public health and surveillance · 2023Article
- Classification of the Effort Index and Biomechanical Overload in Natural Trails of UNESCO Global Geoparks-A Network Perspective of Trails of the Araripe UGG (NE Brazil).International journal of environmental research and public health · 2022Article
- Playing in 'International journal of environmental research and public health · 2022Article
- A direct observation tool to measure interactions between shade, nature, and children's physical activity: SOPLAY-SN.The international journal of behavioral nutrition and physical activity · 2022Article
- Monitoring climate change and child health: The case for putting children in all policies.Journal of paediatrics and child health · 2021Article
- School Parks as a Community Health Resource: Use of Joint-Use Parks by Children before and during COVID-19 Pandemic.International journal of environmental research and public health · 2021Article
- Prescriptions (Rx) for Prevention: Clinical Tools for Integrating Environmental Health into Pediatric Clinical Care.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundLatinx children in the United States are at high risk for nature-deficit disorder, heat-related illness, and physical inactivity. We developed the Green Schoolyards Project to investigate how green features-trees, gardens, and nature trails-in school parks impact heat index (i.e., air temperature and relative humidity) within parks, and physical activity levels and socioemotional well-being of these children. Herein, we present novel methods for a) observing children's interaction with green features and b) measuring heat index and children's behaviors in a natural setting, and a selection of baseline results.
methodsDuring two September weeks (high temperature) and one November week (moderate temperature) in 2019, we examined three joint-use elementary school parks in Central Texas, United States, serving predominantly low-income Latinx families. To develop thermal profiles for each park, we installed 10 air temperature/relative humidity sensors per park, selecting sites based on land cover, land use, and even spatial coverage. We measured green features within a geographic information system. In a cross-sectional study, we used an adapted version of System for Observing Play and Recreation in Communities (SOPARC) to assess children's physical activity levels and interactions with green features. In a cohort study, we equipped 30 3rd and 30 4th grade students per school during recess with accelerometers and Global Positioning System devices, and surveyed these students regarding their connection to nature. Baseline analyses included inverse distance weighting for thermal profiles and summing observed counts of children interacting with trees.
resultsIn September 2019, average daily heat index ranged 2.0 °F among park sites, and maximum daily heat index ranged from 103.4 °F (air temperature = 33.8 °C; relative humidity = 55.2%) under tree canopy to 114.1 °F (air temperature = 37.9 °C; relative humidity = 45.2%) on an unshaded playground. 10.8% more girls and 25.4% more boys interacted with trees in September than in November.
conclusionsWe found extreme heat conditions at select sites within parks, and children positioning themselves under trees during periods of high heat index. These methods can be used by public health researchers and practitioners to inform the redesign of greenspaces in the face of climate change and health inequities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.