Milan, Italy: Children with asthma who live in the city may have fewer days with symptoms the closer they live to parks and green spaces, according to research to be presented at the European Respiratory Society International Congress 2017 on Monday.
The study looked at inner-city children with persistent asthma and compared the number of days they suffered with symptoms over a period of two weeks with the distance from their homes to the nearest park.
The results suggest that living closer to a park can benefit children with asthma, especially older children who are more likely to go to the park on their own.
The study will be presented by Kelli DePriest a public health nurse who carried out the work as part of her PhD programme with primary investigator Dr Arlene Butz and colleagues at Johns Hopkins University School of Nursing and Medicine and the University of Maryland School of Medicine, Baltimore, USA.
She will tell the congress: "Living in a city environment increases the risk of childhood asthma, and factors associated with city-living - such as air pollution- are also known to contribute to high rates of poorly controlled asthma.
"However, previous research has suggested that children with asthma can benefit from exercise. The presence of green spaces promotes physical activity and helps to lower pollution."
The researchers wanted to see whether something as simple as living close to a park could help children suffering from poorly controlled asthma who live in the city of Baltimore, USA. Baltimore is a city of around 620,000 people, with levels of pollution similar to New York and Los Angeles, but slightly lower than those in London and Milan.
Researchers interviewed the parents of 196 children, aged between three and 12, all of whom had either visited accident and emergency at least twice or been hospitalised for their asthma over the past year.
DePriest explained: "This group of children are predominantly African American, Medicaid insured and their families are from a lower socioeconomic status, which means they represent a population at high risk for asthma-related mortality."
Researchers asked parents how many days each child had suffered with symptoms such as being short of breath, chest pain and wheezing. At the same time, they mapped the distances between the children's home addresses and the closest green space.
They found that the children were on average only 250 metres from their nearest park, but while some lived immediately next to a green space, others were more than a kilometre away.
The research revealed that children had one extra day when they suffered with asthma symptoms for every 305 metres between their home and the park. For example, a child who lives next to a park had an average of five symptomatic days and a child living 305 metres from the park had six symptomatic days. Among older children, those living next to the park had an average of five symptomatic days, whereas a child living only 152 metres from the park had six symptomatic days.
DePriest says: "The effect looks strongest for children aged six years and older. This might be because they have more freedom to choose where they want to go compared to younger children.
"These results are important because they provide further support for the benefits of city parks, and they suggest that the right building policies can improve children's health.
"They will also help healthcare providers to take a more holistic view of their patients by understanding how access to green space might affect health."
The results come as the European Respiratory Society and European Lung Foundation launch their annual Healthy Lungs for Life campaign with a series of events for the public and health professionals focusing on air pollution, occupational exposure and smoking cessation.
DePriest plans to expand on her research by analysing relationships among varying forms of greenspace, including parks but also backyards and gardens, and how this relates to children's asthma symptoms.
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Abstract no: PA2647, Access to greenspace and asthma symptoms in urban children with persistent asthma, Air Pollution, 12:50, Monday 11 September, Hall 4