Evidence map›Paper›PMID 42021538›Full record

ArticleJournal of pediatric gastroenterology and nutrition2026

Associations between residential greenness, land cover and risk of celiac disease in genetically at-risk children: Celiac Prediction in Skåne study.

Michaela Boström, Marja I Roslund, Lauri Häme, Juulia Manninen, Matthieu Molinier, Aki Sinkkonen, Daniel Agardh

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Michaela BoströmDepartment of Clinical Science, Lund University, Malmö, Sweden.ORCID https://orcid.org/0009-0006-6672-6906
Marja I RoslundNatural Resources Institute Finland (Luke), Helsinki, Finland.
Lauri HämeTerramonitor Oy, Helsinki, Finland.
Juulia ManninenNatural Resources Institute Finland (Luke), Helsinki, Finland.
Matthieu MolinierVTT Technical Research Centre of Finland Ltd, Helsinki, Finland.
Aki SinkkonenEcosystems and Environment Research Programme, Faculty of Biological and Environmental Sciences, University of Helsinki, Helsinki, Finland.
Daniel AgardhDepartment of Clinical Science, Lund University, Malmö, Sweden.

Funding

HORIZON European Union 874864Strategic Research Council 346136
6 · The paper itself

Abstract

objectivesOur aim was to study the association between residential land cover and greenness during childhood and risk of developing celiac disease (CeD).

methodsThe Celiac Prediction in Skåne study prospectively followed 5969 human leukocyte antigen (HLA)-genotyped children born 2001-2004 who were screened for CeD at ages 3, 9, and 15 years in Skåne, Sweden. Among these, 138 (2.3%) children only in the HLA at-risk group were identified and diagnosed with CeD through screening. Children diagnosed with CeD outside the screening program were excluded. For the present study, 2535 children at HLA-risk were included. Residential addresses at birth and screening time points were transformed into spatial coordinates. Coordination of Information on the Environment Land Cover data was collected the corresponding years. Normalized Difference Vegetation Index and Leaf Area Index (LAI) were calculated for the summer months.

resultsHigher residential LAI, an indicator of forest and agricultural land cover within a 500-meter buffer, was associated with increased odds of CeD in adjusted logistic regression models at age 3 (OR 1.52, 95% CI: 1.14-1.99) and age 9 (OR 1.62, 95% CI: 1.13-2.27). After false discovery rate adjustment, several associations with LAI remained statistically significant, whereas no land cover classes were associated with CeD.

conclusionsResidential greenness was associated with increased CeD risk in the Skåne province. This exploratory observational finding warrants replication in independent populations before conclusions can be drawn regarding potential environmental drivers in the etiology of CeD.

Indexed as

Celiac DiseaseEnvironmentResidence CharacteristicsAdolescentAgricultureChildChild, PreschoolFemaleForestsGenetic Predisposition to DiseaseHumansLogistic ModelsMaleProspective StudiesRisk FactorsSwedenautoimmunityenvironmental exposureleaf area indexnormalized difference vegetation indexremote sensing

Identifiers

PMID42021538
PMCPMC13342773

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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.