Associations between Neighborhood Walkability and Incident and Ongoing Asthma in Children

Simons, Elinor; Dell, Sharon D.; Moineddin, Rahim; To, Teresa

doi:10.1513/annalsats.201708-693oc

Cited by 20 publications

(10 citation statements)

References 43 publications

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“…We also considered covariables that had previously established association with incident asthma [1–3, 14, 15]; all potential covariables that were available in the administrative databases were included in the study. Data from the RPDB were used to determine sex, and data from the OHIP, NACRS, and CIHI databases were used to determine history of preterm birth, any diagnostic coding for obesity (weight or body mass index >95 th percentile), and atopic conditions other than asthma, including allergic rhinitis, eczema, and food allergy.…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Material Deprivation Is Associated with Childhood Asthma Development: Analysis of Prospective Administrative Data

Simons

Dell

Moineddin

et al. 2019

Canadian Respiratory Journal

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Rationale. Material deprivation has been proposed as a more comprehensive measure of socioeconomic status than parental income. Stronger associations between childhood emergency department visits for asthma and air pollution have been demonstrated among children living in neighborhoods with high levels of deprivation, but the associations with asthma development and ongoing asthma are not known. Objectives. We determined the associations between neighborhood material deprivation and the development of new and ongoing childhood asthma. Methods. Prospectively collected administrative data housed at the Institute for Clinical Evaluative Sciences were examined for Toronto children born from 1997 to 2003. Neighborhood material deprivation, comprising no high school graduation, lone parent families, government transfers, unemployment, low income, and homes needing major repairs, was reported in the Ontario Marginalization Index. Incident asthma was defined by the time of entry into the Ontario Asthma Surveillance Information System (OASIS) database. We measured the risk of incident asthma using Cox proportional hazards models and the associations between ongoing asthma visits and deprivation by year of life with generalized linear mixed models. Results. OASIS asthma criteria were met for 21% of the 326,383 children. After adjustment for characteristics strongly associated with asthma, including male sex, prematurity, obesity, and atopic conditions other than asthma, children with high birth neighborhood deprivation were at increased risk of incident asthma (HR 1.11; 95% CI, 1.09–1.13). High deprivation in a given year of life was associated with increased odds of ongoing asthma during that year of life (OR 1.03; 95% CI, 1.02–1.05). Conclusions. Children living in high-deprivation neighborhoods are at increased risk of incident and ongoing asthma. This study suggests that neighborhood material deprivation may represent a helpful tool for evaluating the effects of disparities in health and social advantages on the likelihood of developing and continuing to need healthcare visits for ongoing childhood asthma.

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Section: Methodsmentioning

confidence: 99%

Neighborhood Material Deprivation Is Associated with Childhood Asthma Development: Analysis of Prospective Administrative Data

Simons

Dell

Moineddin

et al. 2019

Canadian Respiratory Journal

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“…Additional barriers to PA include an unsafe environment and lack of parental encouragement (16). Furthermore, neighborhood walkability factors including street connectivity and population density can affect risk of incident or ongoing asthma (17).…”

Section: Physical Activity and Sedentary Time In Asthmamentioning

confidence: 99%

Exercise and lifestyle changes in pediatric asthma

Forno

2020

Current Opinion in Pulmonary Medicine

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Purpose of Review:The purpose of this review is to discuss the most recent studies on lifestyle interventions in pediatric asthma. We include studies on physical activity and exercise, sedentary time, nutrition, behavioral therapy and the role of schools. Recent Findings:Several small studies in children with asthma suggest that exercise interventions can improve aerobic fitness, asthma symptoms or control, and quality of life. Existing evidence supports recommending higher intake of fruits and vegetables for asthma risk and control. In contrast, the "Western diet" -high in refined grains, highly processed foods, red meats, and fried foods with low intake of fruits and vegetables-has a pro-inflammatory effect and may alter microbiota composition leading to worse asthma outcomes. Lastly, there are opportunities to utilize schools to promote physical activity, though standardization of asthma management in the schools is needed.Summary: Assessing physical activity/fitness levels, sedentary time, and nutritional status is important in the management of children with asthma, as they are modifiable factors. Larger rigorous studies evaluating lifestyle interventions are needed to better inform current asthma guidelines as well as to understand the underlying mechanism(s) related to physical activity and diet in asthma.

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“…Researchers have found significant correlations between the built environment and a variety of health outcomes using traditional statistical methods. Previous research looking at physical health measures has identified neighborhood walkability, street connectivity, and green spaces as correlated with asthma, 11 high blood pressure, 12 obesity, 4 and type 2 diabetes. 13 Research on mental health has also found significant correlations with the built environment.…”

Section: Urban Planning and Healthmentioning

confidence: 99%

Identifying correlations between depression and urban morphology through generative deep learning

Newton

2022

International Journal of Architectural Computing

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Mental health disorders, such as depression, have been estimated to account for the largest proportion of global disease burden. Existing research has established significant correlations between the built environment and mental health. This research, however, has relied on traditional statistical methods that are not amenable to working with large remote sensing image-based datasets. This research addresses this challenge and contributes new knowledge and a novel method for using generative deep learning for urban analysis and synthesis tasks involving mental health. The research specifically investigates three mental state measures: depression, anxiety, and the perception of safety. The experimental results demonstrate the efficacy of the process—providing a new method to find correlational signals, while providing insights on the correlation between specific urban design features and the incidence of depression.

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Associations between Neighborhood Walkability and Incident and Ongoing Asthma in Children

Abstract: Children living in neighborhoods with low walkability were at increased risk of incident and ongoing asthma. Neighborhood walkability improvement, such as by adding pedestrian paths to improve street connectivity, offers potential strategies to contribute to primary asthma prevention.

Cited by 20 publications

References 43 publications

Neighborhood Material Deprivation Is Associated with Childhood Asthma Development: Analysis of Prospective Administrative Data

Neighborhood Material Deprivation Is Associated with Childhood Asthma Development: Analysis of Prospective Administrative Data

Exercise and lifestyle changes in pediatric asthma

Identifying correlations between depression and urban morphology through generative deep learning

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