Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women

Background: The premenstrual syndrome (PMS) causes clinically relevant psychological and physical symptoms in up to 20% of women of reproductive age. To date, no studies have investigated the relationship between PMS and residential surrounding greenspace, although a green living environment has bee...

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Autores principales:	Kai Triebner, Iana Markevych, Randi J Bertelsen, Bente Sved Skottvoll, Steinar Hustad, Bertil Forsberg, Karl A Franklin, Mathias Holm, Eva Lindberg, Joachim Heinrich, Francisco Gómez Real, Payam Dadvand
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Natural environment Reproductive health Parks Sexual health Greenness Green space Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/a4622d5c02ee48eba4280b24eadd511f
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spelling	oai:doaj.org-article:a4622d5c02ee48eba4280b24eadd511f2021-11-14T04:28:27ZLifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women0160-412010.1016/j.envint.2021.106975https://doaj.org/article/a4622d5c02ee48eba4280b24eadd511f2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0160412021006000https://doaj.org/toc/0160-4120Background: The premenstrual syndrome (PMS) causes clinically relevant psychological and physical symptoms in up to 20% of women of reproductive age. To date, no studies have investigated the relationship between PMS and residential surrounding greenspace, although a green living environment has been reported to have beneficial associations with overall and reproductive health. Objective: To investigate whether lifelong exposure to residential surrounding greenspace is associated with PMS and whether such an association is mediated by BMI, air pollution or physical activity. Methods: This study used data collected in 2013–2015 from 1069 Scandinavian women aged 18–49 years, participating in RHINESSA, a European multi-centre and population-based cohort. Satellite-derived Normalised Difference Vegetation Index was used as a proxy of greenspace. Presence of eight common PMS symptoms and their sum (PMS symptom count) were used as outcomes. The associations were assessed by adjusted multilevel logistic and negative binomial regressions. Subsequently we carried out mediation analyses for physical activity, BMI and air pollution exposure. Results: Higher exposure to residential surrounding greenspace was associated with “Anxiety or tension” (Odds Ratio 0.82, 95% Confidence Interval (CI): 0.70 – 0.95), ”Depression or hopelessness” (0.84, 0.73 – 0.98), “Difficulty with sleeping” (0.82, 0.68 – 1.00) and “Breast tenderness and abdominal bloating” (0.84, 0.71 – 0.99) before or around the start of the menstrual period. There was also an association with a lower PMS symptom count (Risk Ratio: 0.94, 95% CI: 0.91 – 0.99). These associations were robust to sensitivity analyses and were not mediated by BMI, physical activity or air pollution. Conclusions: Living in greener areas may be beneficial against PMS symptoms. Further studies are needed to confirm these novel findings and to explore the underlying biological mechanisms.Kai TriebnerIana MarkevychRandi J BertelsenBente Sved SkottvollSteinar HustadBertil ForsbergKarl A FranklinMathias HolmEva LindbergJoachim HeinrichFrancisco Gómez RealPayam DadvandElsevierarticleNatural environmentReproductive healthParksSexual healthGreennessGreen spaceEnvironmental sciencesGE1-350ENEnvironment International, Vol 158, Iss , Pp 106975- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Natural environment Reproductive health Parks Sexual health Greenness Green space Environmental sciences GE1-350
spellingShingle	Natural environment Reproductive health Parks Sexual health Greenness Green space Environmental sciences GE1-350 Kai Triebner Iana Markevych Randi J Bertelsen Bente Sved Skottvoll Steinar Hustad Bertil Forsberg Karl A Franklin Mathias Holm Eva Lindberg Joachim Heinrich Francisco Gómez Real Payam Dadvand Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
description	Background: The premenstrual syndrome (PMS) causes clinically relevant psychological and physical symptoms in up to 20% of women of reproductive age. To date, no studies have investigated the relationship between PMS and residential surrounding greenspace, although a green living environment has been reported to have beneficial associations with overall and reproductive health. Objective: To investigate whether lifelong exposure to residential surrounding greenspace is associated with PMS and whether such an association is mediated by BMI, air pollution or physical activity. Methods: This study used data collected in 2013–2015 from 1069 Scandinavian women aged 18–49 years, participating in RHINESSA, a European multi-centre and population-based cohort. Satellite-derived Normalised Difference Vegetation Index was used as a proxy of greenspace. Presence of eight common PMS symptoms and their sum (PMS symptom count) were used as outcomes. The associations were assessed by adjusted multilevel logistic and negative binomial regressions. Subsequently we carried out mediation analyses for physical activity, BMI and air pollution exposure. Results: Higher exposure to residential surrounding greenspace was associated with “Anxiety or tension” (Odds Ratio 0.82, 95% Confidence Interval (CI): 0.70 – 0.95), ”Depression or hopelessness” (0.84, 0.73 – 0.98), “Difficulty with sleeping” (0.82, 0.68 – 1.00) and “Breast tenderness and abdominal bloating” (0.84, 0.71 – 0.99) before or around the start of the menstrual period. There was also an association with a lower PMS symptom count (Risk Ratio: 0.94, 95% CI: 0.91 – 0.99). These associations were robust to sensitivity analyses and were not mediated by BMI, physical activity or air pollution. Conclusions: Living in greener areas may be beneficial against PMS symptoms. Further studies are needed to confirm these novel findings and to explore the underlying biological mechanisms.
format	article
author	Kai Triebner Iana Markevych Randi J Bertelsen Bente Sved Skottvoll Steinar Hustad Bertil Forsberg Karl A Franklin Mathias Holm Eva Lindberg Joachim Heinrich Francisco Gómez Real Payam Dadvand
author_facet	Kai Triebner Iana Markevych Randi J Bertelsen Bente Sved Skottvoll Steinar Hustad Bertil Forsberg Karl A Franklin Mathias Holm Eva Lindberg Joachim Heinrich Francisco Gómez Real Payam Dadvand
author_sort	Kai Triebner
title	Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
title_short	Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
title_full	Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
title_fullStr	Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
title_full_unstemmed	Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women
title_sort	lifelong exposure to residential greenspace and the premenstrual syndrome: a population-based study of northern european women
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/a4622d5c02ee48eba4280b24eadd511f
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Lifelong exposure to residential greenspace and the premenstrual syndrome: A population-based study of Northern European women

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