Study: Usable green areas can affect the health -related quality of life and the BMI of children

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This paper is part of the September 2016 Pediatric edition. Read the entire edition or download it. Relation Kim Jh, Lee C, son W. urban natural environments, obesity and health -related quality of life in Hispanic children who live in inner -city neighborhoods. Int j Envir res public health. 2016; 13 (1): 121-136. Design and participant This cross-sectional study collected data from children (n = 92, 9-11 years old) that attended the primary school in the East End district of Houston, Texas. This area was selected on the basis of racial/ethnic and socio -economic demography. All participants had a Hispanic background, could either speak and read English or Spanish and had no major medical problems. ...
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This paper is part of the special pediatric edition of September 2016. Read the entire edition or Down .

reference

Kim JH, Lee C, son W. urban natural environments, obesity and health -related quality of life among Hispanic children who live in inner -city neighborhoods. Int J Envir res public health . 2016; 13 (1): 121-136.

design and participant

This cross-sectional study collected data from children (n = 92, 9-11 years old) who attended the primary school in the East End district of Houston, Texas. This area was selected on the basis of racial/ethnic and socio -economic demography. All participants had a Hispanic background, could either speak and read English or Spanish and had no major medical problems. The quality of its natural environment was evaluated by landscape data generated by geographic information systems (GIS) and remote sensing.

target parameter

The participants were assessed based on the Pediatric Quality of Life Inventory (Pedsql), a validated and reliable QOL instrument for children, with regard to their health-related quality of life (HRQOL). This self -report is also filled out by the child and parent to assess the subjective inner states of the child (child) and his objective external behavior (parents). The collected control variables included the socio-demographic information of each child (i.e. income and levels of education of the parents), obesity status (BMI), the extent of physical activity (PAQ-C), the hours before the television and the environmental perception of their neighborhood (ie accessibility, security). , Comfort, attractiveness, satisfaction).
The positive associations between the level of activity and quality of life and the negative associations between television hours and quality of life show how important it is to promote movement and reduce the sitting behavior in children.
landscape GIS information was obtained from the Texas Natural Resources Information System and organized on the basis of 40 recognized spatial land use patterns. Comparisons of this information with the data of each participant were carried out for quarter mile air liner (QA) and semi-mile air liner (HA) buffer that surround the house of each participant.

important knowledge

The multivariate regression analysis discovered statistically significant associations between spatial landscape patterns and HRQOL, with the landscape of around 43 % of the variance of the HRQol in both QA- and HA radius buffer models.
After checking the socio-demographic, BMI, PAQ-C and ambient perception variables, specific sub-analyzes of the landscape patterns showed that the green space process of the buffer area ( p = 0.023/ P = 0.069), number of tree flicks ( p = 0.016/ p = 0.020) and medium distance between tree stains ( p = 0.001/ p = 0.004) were all significant predictors for HRQol using HA or QA models.
The data analysis also showed statistically significant predictive associations between the HRQol of children and the BMI ( p = 0.010/ p = 0.008), weekend PAQ-C ( p = 0,000/ p = 0.000) and television hours ( p = 0.015/ p = 0.005).

practice implications

This is one of the first studies in the growing amount of green space and health literature that children uses as a group of interests. 1,2 children are a critical population group that needs to be taken into account, and not only because of the epidemic of obesity in children who are currently having an impact on physical and mental health. Important that children come into contact with nature as early as possible to convey an ethics of environmental protection. Studies have shown that children who are not exposed to this exposure are less creative and less sensitive and, as adults, take care of the environment less. In this era of "Screen Time vs. Green Time", concern is growing that the next generation will not be able to provide sufficiently capable, environmentally conscious managers to solve the massive environmental problems that come to us.
This study is also one of the first to use a broad health measure instead of examining a certain biomarker or pathological state. 8 hrqol is an important metric in healthcare because it focuses on qualitatively. Misorial rates. It also evaluates the holistic, "multidimensional" aspects of life and takes into account how health affects all aspects of life. 9 It is useful to remember that "health" itself is a holistic state, as is defined by the World Health Organization (WHO). According to WHO, health is "a state of physical, mental and social well -being and not only the lack of illness or ailments ... [Health is] a resource for everyday life, not the goal of life ... [health is] a positive concept that emphasizes the social and personal resources." Pathovers' (disease -oriented) approach in health care is good to know that some interventions have a salutogenic (health -promoting) effect.
For the practitioner, this study emphasizes that environmental factors can act as amplifiers or obstacles to achieve health. There are many things in the life of a patient who can influence health beyond what can be prescribed or what can even appear during a clinical visit. If the condition of a patient seems to be resistant to treatment, we have to look beyond the condition and look at how the patient works in the context of his greater life.
These results also indicate the value of a proactive approach to bring children outside. The positive associations between the level of activity and quality of life and the negative associations between television hours and quality of life show how important it is to promote movement and to reduce the sitting behavior in children. More and more conventional doctors organize and create standardized “vitamin N” programs (for “nature”) for prescribing recipes. Under the roof program of the Parkrx in cooperation with the National Park Service, the National Recreation and Park Association and the Institute at the Golden Gate learn their role in promoting the use of "natural medicine" by children, which is a nearby park can offer.

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