Blood pressure in young adulthood and residential greenness in the early-life environment of twins

Background: Previous research shows that, besides risk factors in adult life, the early-life environment can influence blood pressure and hypertension in adults. However, the effects of residential traffic exposure and residential greenness in the early-life on blood pressure in young adulthood are currently unknown. Methods: Ambulatory (24-h) blood pressures of 278 twins (132 pairs) of the East Flanders Prospective Twins Study were obtained at the age of 18 to 25 years. Prenatal and adulthood residential addresses were geocoded and used to assign prenatal and postnatal traffic and greenness indicators. Mixed modelling was performed to investigate blood pressure in association with greenness while adjusting for potential confounding factors. Results: Night-time systolic blood pressure was inversely associated with greenness at the residential address in twins living at the same address their entire life (non-movers, n = 97, 34.9%). An interquartile increase in residential greenness exposure (1000 m radius) was associated with a 3.59 mmHg (95% CI: -6.0 to -1.23; p = 0.005) lower adult night systolic blood pressure. Among twins who were living at a different address than their birth address at time of the measurement (n = 181, 65.1%), night-time blood pressure was inversely associated with residential surrounding greenness at adult age as well as with residential greenness in early-life. However after additional adjustment for residential greenness exposure in adulthood, only residential greenness exposure in early-life was significantly associated with night systolic blood pressure. While no significant effect of adult residential greenness with adult blood pressure was observed, while accounting for the early-life greenness exposure. Conclusions: Lower residential greenness in the early-life environment was independently associated with a higher adult blood pressure. This indicates that residential greenness has persistent effects on blood pressure

Telomere tracking from birth to adulthood and residential traffic exposure

Background: Telomere attrition is extremely rapid during the first years of life, while lifestyle during adulthood exerts a minor impact. This suggests that early life is an important period in the determination of telomere length. We investigated the importance of the early-life environment on both telomere tracking and adult telomere length. Methods: Among 184 twins of the East Flanders Prospective Twin Survey, telomere length in placental tissue and in buccal cells in young adulthood was measured. Residential addresses at birth and in young adulthood were geocoded and residential traffic and greenness exposure was determined. Results: We investigated individual telomere tracking from birth over a 20 year period (mean age (SD), 22.6 (3.1) years) in association with residential exposure to traffic and greenness. Telomere length in placental tissue and in buccal cells in young adulthood correlated positively (r = 0.31, P < 0.0001). Persons with higher placental telomere length at birth were more likely to have a stronger downward shift in telomere ranking over life (P < 0.0001). Maternal residential traffic exposure correlated inversely with telomere length at birth. Independent of birth placental telomere length, telomere ranking between birth and young adulthood was negatively and significantly associated with residential traffic exposure at the birth address, while traffic exposure at the residential address at adult age was not associated with telomere length. Conclusions: Longitudinal evidence of telomere length tracking from birth to adulthood shows inverse associations of residential traffic exposure in association with telomere length at birth as well as accelerated telomere shortening in the first two decades of life

Small for gestational age and exposure to particulate air pollution in the early-life environment of twins

Several studies in singletons have shown that maternal exposure to ambient air pollutants is associated with restricted fetal growth. About half of twins have low birth weight compared with six percent in singletons. So far, no studies have investigated maternal air pollution exposure in association with birth weight and small for gestational age in twins. We examined 4760 twins of the East Flanders Prospective Twins Survey (2002-2013), to study the association between in utero exposure to air pollution with birth weight and small for gestational age. Maternal particulate air pollution (PM10) and nitric dioxide (NO2) exposure was estimated using a spatial temporal interpolation method over various time windows during pregnancy. In the total group of twins, we observed that higher PM10 and NO2 exposure during the third trimester was significantly associated with a lower birth weight and higher risk of small for gestational age. However, the association was driven by moderate to late preterm twins (32-36 weeks of gestation). In these twins born between 32 and 36 weeks of gestation, birth weight decreased by 40.2 g (95% CI: -69.0 to -11.3; p=0.006) and by 27.3 g (95% CI: -52.9 to -1.7; p=0.04) in association for each 10 mu g/m(3) increment in PM10 and NO2 concentration during the third trimester. The corresponding odds ratio for small for gestational age were 1.68 (95% CI: 1.27-2.33; p=0.0003) and 1.51 (95% CI: 1.18-1.95; p=0.001) for PM10 or NO2, respectively. No associations between air pollution and birth weight or small for gestational age were observed among term born twins. Finally, in all twins, we found that for each 10 mu g/m(3) increase in PM10 during the last month of pregnancy the within-pair birth weight difference increased by 19.6 g (95% CI: 3.7-35.4; p=0.02). Assuming causality, an achievement of a 10 mu g/m(3) decrease of particulate air pollution may account for a reduction by 40% in small for gestational age, in twins born moderate to late preterm

Residential landscape as a predictor of psychosocial stress in the life course from childhood to adolescence

Background: The effects of residential landscape, i.e., land use and traffic, on psychosocial stress in children are unknown, even though childhood stress might negatively affect normal development. In a longitudinal study, we investigate whether the residential landscape predicts childhood psychosocial stress and whether associations are independent of noise and air pollution. Methods: Belgian children aged 6.7-12.2 (N = 172, 50.9% boys) were followed for three years (2012-2015). Information on stress was obtained using standardized behavioral and emotional questionnaires and by a measure of hair cortisol. Residential landscape, including natural, agricultural, industrial, residential areas, and traffic, in a 100-m to 5-km radius around each child's home was characterized. Cross-sectional and longitudinal associations between psychosocial stress and the residential landscape were studied using linear regression and mixed models, while adjusting for age, sex, and parental socioeconomic status. Results: Natural landscapes were positively associated with better emotional status (increased happiness and lower sadness, anxiousness, and total negative emotions, beta = 0.14-0.17, 95% CI = 0.01-0.30). Similarly, we observed an inverse association between residential and traffic density with hyperactivity problems (beta = 0.13-0.18, 95% CI = 0.01-0.34). In longitudinal analyses, industrial area was a predictor of increases in negative emotions, while a natural landscape was for increases in happiness. Only the effect of natural landscape was partly explained by residential noise. Conclusion: Residential greenness in proximity to a child's residence might result in a better childhood emotional status, whereas poorer emotional status and behavioral problems (hyperactivity problems) were seen with residential and industrial areas and increased traffic density in proximity to a child's home

Early life exposure to residential green space impacts cognitive functioning in children aged 4 to 6 years

INTRODUCTION: During early childhood, neuronal networks are highly susceptible to environmental factors. Previous research suggests that green space exposure is beneficial for cognitive functioning. Here, we investigate the associations between residential green space exposure and behavioral problems and cognitive development in children aged four to six years. METHOD: We included children participating in the ENVIRONAGE birth cohort. Residential green spaces were calculated based on high-resolution land cover data within several buffers (50–1,000 m) around the residence. The children’s behavior was assessed with the Strengths and Difficulties Questionnaire (SDQ) among 411 children. In addition, to evaluate cognitive function, 456 children completed four tasks of the Cambridge Neuropsychological Test Automated Battery (CANTAB). We used multivariate logistic and linear regression models while accounting for potential confounders and covariables. RESULTS: An interquartile (IQR) increase of residential green space within 50 m was associated with a 38% (95% CI: 56;14) lower odds of a child having hyperactivity problems. Additionally, we found a beneficial influence of residential green space in close proximity (50–100 m) on the attention and psychomotor speed, represented by the Motor Screening Task. For example, we found a decrease of 0.45 (95% CI: −0.82;-0.09) pixel units from target center with an IQR increase of residential green space in a 50 m buffer. In addition, we observed an improved visual recognition/working memory, represented by the Delayed Matching to Sample Task within all included buffers (50–1000 m). For example, we observed a decrease of 4.91% (95 %CI: −7.46;-2.36) probability of an error occurring if the previous trial was correct and a 2.02% (95 %CI: 0.08; 3.97) increase of correct trials with an IQR increase of green space within a 100 m buffer. CONCLUSION: This study provides additional indications for a beneficial influence of green space exposure on the development of behavioral problems and cognitive function as young as four years of age