Evidence map›Paper›PMID 33413276›Full record

ArticleBMC public health2021

Effects of trees, gardens, and nature trails on heat index and child health: design and methods of the Green Schoolyards Project.

Kevin Lanza, Melody Alcazar, Deanna M Hoelscher, Harold W Kohl

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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 · 2026
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  15. Playing in 'International journal of environmental research and public health · 2022
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  16. 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 · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kevin LanzaMichael and Susan Dell Center for Healthy Living, School of Public Health in Austin, The University of Texas Health Science Center at Houston, 1616 Guadalupe St. Suite 6.300, Austin, TX, 78701, USA. Kevin.L.Lanza@uth.tmc.edu.ORCID 0000-0002-5259-6745
Melody AlcazarAustin Parks and Recreation Department, 919 W 28th 1/2 St, Austin, TX, 78705, USA.
Deanna M HoelscherMichael and Susan Dell Center for Healthy Living, School of Public Health in Austin, The University of Texas Health Science Center at Houston, 1616 Guadalupe St. Suite 6.300, Austin, TX, 78701, USA.
Harold W KohlMichael and Susan Dell Center for Healthy Living, School of Public Health in Austin, The University of Texas Health Science Center at Houston, 1616 Guadalupe St. Suite 6.300, Austin, TX, 78701, USA.

Funding

Robert Wood Johnson Foundation 76576
6 · The paper itself

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

Hot TemperatureTreesChildChild HealthCohort StudiesCross-Sectional StudiesFemaleGardensHumansMaleTexasClimate change adaptationHealth equityJoint-use parksOutdoor nature playPlaygroundsSchool physical activityTemperatureUrban Heat Islands

Identifiers

PMID33413276
PMCPMC7792068

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.