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Association between Asthma Control and Exposure to Greenness and Other Outdoor and Indoor Environmental Factors: A Longitudinal Study on a Cohort of Asthmatic Children

Author

Listed:
  • Giovanna Cilluffo

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy
    Department of Earth and Marine Sciences, University of Palermo, 90123 Palermo, Italy)

  • Giuliana Ferrante

    (Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, 37134 Verona, Italy)

  • Salvatore Fasola

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

  • Velia Malizia

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

  • Laura Montalbano

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

  • Andrea Ranzi

    (Environmental Health Reference Centre, Regional Agency for Environmental Prevention of Emilia-Romagna, 41124 Modena, Italy)

  • Chiara Badaloni

    (Department of Epidemiology, Lazio Regional Health Service ASL Roma 1, 00147 Rome, Italy)

  • Giovanni Viegi

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy
    Institute of Clinical Physiology (IFC), National Research Council of Italy, 56124 Pisa, Italy)

  • Stefania La Grutta

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

Abstract

Achieving and maintaining asthma control (AC) is the main goal of asthma management. Indoor and outdoor environmental factors may play an important role on AC. The aim of this longitudinal study was to evaluate the association between AC and exposure to greenness and other outdoor or indoor environmental factors in a cohort of asthmatic children. This study involved 179 asthmatic children (5–16 years). Parents were interviewed through a modified version of the SIDRIA questionnaire. AC was assessed at each visit. Exposure to greenness was measured using the normalized difference vegetation index (NDVI). A logistic regression model was applied for assessing risk factors for uncontrolled asthma (UA). Low NDVI exposure was a risk factor for UA (OR: 2.662, 95% CI (1.043–6.799)); children exposed to passive smoke during pregnancy had a higher risk of UA than those non-exposed to passive smoke during pregnancy (OR: 3.816, 95% CI (1.114–13.064)); and a unit increase in the crowding index was associated with an increased risk of UA (OR: 3.376, 95% CI (1.294–8.808)). In conclusion, the current study provided a comprehensive assessment of urban-related environmental exposures on asthma control in children, using multiple indicators of greenness and other outdoor or indoor environmental factors.

Suggested Citation

  • Giovanna Cilluffo & Giuliana Ferrante & Salvatore Fasola & Velia Malizia & Laura Montalbano & Andrea Ranzi & Chiara Badaloni & Giovanni Viegi & Stefania La Grutta, 2022. "Association between Asthma Control and Exposure to Greenness and Other Outdoor and Indoor Environmental Factors: A Longitudinal Study on a Cohort of Asthmatic Children," IJERPH, MDPI, vol. 19(1), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:1:p:512-:d:716929
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    References listed on IDEAS

    as
    1. Giulia Squillacioti & Valeria Bellisario & Stefano Levra & Pavilio Piccioni & Roberto Bono, 2019. "Greenness Availability and Respiratory Health in a Population of Urbanised Children in North-Western Italy," IJERPH, MDPI, vol. 17(1), pages 1-11, December.
    2. Xiaoqi Feng & Thomas Astell-Burt, 2017. "Is Neighborhood Green Space Protective against Associations between Child Asthma, Neighborhood Traffic Volume and Perceived Lack of Area Safety? Multilevel Analysis of 4447 Australian Children," IJERPH, MDPI, vol. 14(5), pages 1-11, May.
    3. Jeffrey A. Burr & Jan E. Mutchler & Kerstin Gerst, 2010. "Patterns of Residential Crowding among Hispanics in Later Life: Immigration, Assimilation, and Housing Market Factors," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(6), pages 772-782.
    4. Teun Remmers & Carel Thijs & Dick Ettema & Sanne de Vries & Menno Slingerland & Stef Kremers, 2019. "Critical Hours and Important Environments: Relationships between Afterschool Physical Activity and the Physical Environment Using GPS, GIS and Accelerometers in 10–12-Year-Old Children," IJERPH, MDPI, vol. 16(17), pages 1-20, August.
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