Residential green space types, allergy symptoms and mental health in a cohort of tree pollen allergy patients

Stas, Michiel; Aerts, Raf; Hendrickx, Marijke; Dendoncker, Nicolas; Dujardin, Sébastien; Linard, Catherine; Nawrot, Tim S.; Nieuwenhuyse, An Van; Aerts, Jean Marie; Orshoven, Jos Van; Somers, Ben

doi:10.1016/j.landurbplan.2021.104070

Cited by 14 publications

(10 citation statements)

References 44 publications

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“…It could be that people with more multiple prescriptions are more likely to live closer to green space (residential self-selection bias), since they rely more on having a better environment (de Keijzer et al 2020). Existing studies have found that woodland may cause different kinds of allergies and thus increase local demands for prescriptions (Stas et al 2021). Another explanation is that some unobserved risk factors (e.g., alcohol consumption and cigarette smoking) are also high in places with more woodland.…”

Section: The Goodness-of-fit Of Mgwr Modelsmentioning

confidence: 99%

Examining the spatially varying and interactive effects of green and blue space on health outcomes in Northern Ireland using multiscale geographically weighted regression modeling

Wang

Grekousis

Maguire

et al. 2023

Environ. Res. Commun.

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Previous studies have mainly examined the independent effects of green or blue space on health from a perspective of spatial homogeneity, which neglects their interactive or spatially varying effects. Here, we examined the spatially varying and interactive effects of green and blue space on health using open access data in Northern Ireland (NI). Aggregate health data was collected from 2017 Northern Ireland Multiple Deprivation Measure at the Super Output Area (SOA) level. Green and blue spaces were extracted from Land Cover Map data. The proportion of grassland and the proportion of woodland for each SOA were calculated as proxies for green space, while the proportion of water bodies was calculated for measuring blue space. Spatially varying effects of green and blue space were modelled using multiscale Geographic Weighted Regression (MGWR). Interaction terms between green and blue spaces were added into the MGWR models to test the interactive association of green and blue space on different health outcomes (e.g., preventable death ratio and cancer registrations). Results indicate that associations were distributed zonally, with green and blue spaces in eastern areas of NI more strongly associated with health outcomes than in western areas. Within these large regional zones, further spatially varying effects of different green and blue spaces were observed. Grassland was generally positively associated with some health outcomes (e.g., less preventable death ratio, cancer registrations ratio, multiple prescriptions ratio, and long-term health problem or disability ratio), while the results of woodland and water body were mixed. Water bodies were found to strengthen the effect of woodland and grassland.The above results indicate that green and blue space have independently and interactive spatially varying associations with different health outcomes in NI. It is also important to combine both green and blue space elements to enhance health impacts in future interventions.

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Section: The Goodness-of-fit Of Mgwr Modelsmentioning

confidence: 99%

Examining the spatially varying and interactive effects of green and blue space on health outcomes in Northern Ireland using multiscale geographically weighted regression modeling

Wang

Grekousis

Maguire

et al. 2023

Environ. Res. Commun.

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“…Exposome science may offer a more sophisticated understanding of the relationship between green space, an individual's personal interconnection within nature (nature relatedness), and health and wellbeing 105,106 . At the same time, we can better understand how specific types of natural environments, especially human‐designed green space within planned/restored residential communities, might promote the health of some, but contribute to the burden of allergic diseases in others 107,108 . Moreover, with efforts underway to “rewild” urban environments with vegetation and microbiome‐inspired green infrastructure (MIGI) 109 to increase human contact with diverse microbiota (according to the microbiome rewilding theory 110 ), evaluations using the exposome approach will be essential.…”

Section: Nature‐based Solutions: Tangible Actions With Co‐benefits Fo...mentioning

confidence: 99%

“… 105 , 106 At the same time, we can better understand how specific types of natural environments, especially human‐designed green space within planned/restored residential communities, might promote the health of some, but contribute to the burden of allergic diseases in others. 107 , 108 Moreover, with efforts underway to “rewild” urban environments with vegetation and microbiome‐inspired green infrastructure (MIGI) 109 to increase human contact with diverse microbiota (according to the microbiome rewilding theory 110 ), evaluations using the exposome approach will be essential. In an encouraging example, a new study shows that indoor air‐circulating “green walls” increased bacterial abundance and diversity on skin of office workers, and that this was associated with lower proinflammatory blood cytokine measurements (IL‐17A).…”

Section: Nature‐based Solutions: Tangible Actions With Co‐benefits Fo...mentioning

confidence: 99%

Exiting the Anthropocene: Achieving personal and planetary health in the 21st century

Prescott

Logan²,

Bristow³

et al. 2022

Allergy

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Planetary health provides a perspective of ecological interdependence that connects the health and vitality of individuals, communities, and Earth's natural systems. It includes the social, political, and economic ecosystems that influence both individuals and whole societies. In an era of interconnected grand challenges threatening health of all systems at all scales, planetary health provides a framework for cross-sectoral collaboration and unified systems approaches to solutions. The field of allergy is at the forefront of these efforts. Allergic conditions are a sentinel measure of environmental impact on human health in early life-illuminating how ecological changes affect immune development and predispose to a wider range of inflammatory noncommunicable diseases (NCDs). This shows how adverse macroscale ecology in the Anthropocene penetrates to the molecular level of personal and microscale ecology, including the microbial systems at the foundations of all ecosystems. It provides the

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“…Key symptoms include nasal itching and congestion, rhinorrhoea, sneezing, itching and redness of the eyes, and tearing 3 . Besides the physical burden of experiencing allergy symptoms, allergic rhinitis also represents a psychological burden with detrimental effects on mood and mental health 4–6 . The high prevalence, substantial economic costs, often life‐long morbidity and negative impact on daily functioning, sleep, mood, mental health, and quality of life all contribute to the high burden of allergic rhinitis 7–9 …”

Section: Introductionmentioning

confidence: 99%

Daily allergy burden and heart rate characteristics in adults with allergic rhinitis based on a wearable telemonitoring system

Buekers

Stas

Aerts

et al. 2023

Clinical & Translational All

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Background Allergic rhinitis includes a certain degree of autonomic imbalance. However, no information is available on how daily changes in allergy burden affect autonomic imbalance. We aimed to estimate associations between daily allergy burden (allergy symptoms and mood) and daily heart rate characteristics (resting heart rate and sample entropy, both biomarkers of autonomic balance) of adults with allergic rhinitis, based on real‐world measurements with a wearable telemonitoring system. Methods Adults with a tree pollen allergy used a smartphone application to self‐report daily allergy symptoms (score 0–44) and mood (score 0–4), and a Mio Alpha 2 wristwatch to collect heart rate characteristics during two pollen seasons of hazel, alder and birch in Belgium. Associations between daily allergy burden and heart rate characteristics were estimated using linear mixed effects distributed lag models with a random intercept for individuals and adjusted for potential confounders. Results Analyses included 2497 participant‐days of 72 participants. A one‐point increase in allergy symptom score was associated with an increase in next‐day resting heart rate of 0.08 (95% CI: 0.02–0.15) beats per minute. A one‐point increase in mood score was associated with an increase in same‐day sample entropy of 0.80 (95% CI: 0.34–1.26) × 10 −2 . No associations were found between allergy symptoms and heart rate sample entropy, nor between mood and resting heart rate. Conclusion Daily repeated measurements with a wearable telemonitoring system revealed that the daily allergy burden of adults with allergic rhinitis has systemic effects beyond merely the respiratory system.

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Residential green space types, allergy symptoms and mental health in a cohort of tree pollen allergy patients

Cited by 14 publications

References 44 publications

Examining the spatially varying and interactive effects of green and blue space on health outcomes in Northern Ireland using multiscale geographically weighted regression modeling

Examining the spatially varying and interactive effects of green and blue space on health outcomes in Northern Ireland using multiscale geographically weighted regression modeling

Exiting the Anthropocene: Achieving personal and planetary health in the 21st century

Daily allergy burden and heart rate characteristics in adults with allergic rhinitis based on a wearable telemonitoring system

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