Residential Greenness, Lifestyle, and Vitamin D: A Longitudinal Cohort of South Asian Origin and Caucasian Ethnicity Women Living in the South of the UK
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Location
2.2. Recruitments’ Method
2.3. Index of Multiple Deprivation (IMD)
2.4. Evaluation of 25(OH)D and PTH Concentration
2.5. Vitamin D Intake
2.6. UVR Dosimetry
2.7. Normalized Difference Vegetation Index—NDVI
2.8. Data Analysis
3. Results
3.1. Nonparametric Results
3.2. Multi-Level Logistic Regression Model
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Region 1 | Region 2 | p-Value | ||
---|---|---|---|---|
Ethnicity | Asian | 15 (16%) | 79 (84%) | 0.01 |
Caucasian | 162 (60%) | 109 (40%) | ||
Age | 55 (35–61) | 49 (36.8–59.2) | 0.29 | |
IMD | 14.1 (11.3–15.3) | 18.8 (5.8–30.8) | <0.001 | |
Residential greenness | 0.28 (0.24–0.3) | 0.24 (0.21–0.28) | <0.001 |
Region 1 + 2 | |||
25(OH) D | <25 | <50 | <75 |
Summer | |||
Caucasian | 0.4 | 22.1 | 68 |
Asian | 48.8 | <91.7 | <98.8 |
Fall | |||
Caucasian | 1.9 | 41.4 | 80 |
Asian | 77.2 | <96.5 | 100 |
Winter | |||
Caucasian | 8.5 | 68.1 | <94.7 |
Asian | 71.7 | 95 | 98.3 |
Spring | |||
Caucasian | 7.1 | <61.7 | <91.8 |
Asian | 70.2 | 93 | 100 |
Season | Region | Caucasian | Asian | p-Value | |
---|---|---|---|---|---|
Serum 25(OH)D (nmol/L) | Summer | 1 | 66 (52.4–82.1) | 35.4 (22.6–52.8) | <0.001 |
2 | 64.5 (50.8–77.6) | 25 (20.6–30.4) | <0.001 | ||
1 + 2 | 65.1 (51.7–79.5) | 25 (20.4–32.1) | <0.001 | ||
Fall | 1 | 54.2 (44–73.8) | 22.7 (15.2–46.2) | 0.002 | |
2 | 54 (41–67) | 19.1 (15.3–22.9) | <0.001 | ||
1 + 2 | 53.9 (43.5–58.3) | 18.7 (14.9–24.5) | <0.001 | ||
Winter | 1 | 43.7 ± 16.5 | 27.4 ± 14 | <0.001 | |
2 | 41 (30.7–54.1) | 16.2 (13.7–23.7) | <0.001 | ||
1 + 2 | 40.7 (30.3–53.3) | 16.7 (13.8–25.3) | <0.001 | ||
Spring 2007 | 1 | 49.6 ± 23.1 | 28.8 ± 15.4 | <0.001 | |
2 | 46.8 ± 17 | 23.5 ± 13.3 | <0.001 | ||
1 + 2 | 44.3 (34.3–57.7) | 19 (14.7–30.6) | <0.001 | ||
Spring 2008 | 1 | 48.3 ± 16.2 | 36.1 ± 15.5 | 0.02 | |
2 | 49 ± 21.2 | 25.9 ± 11.7 | <0.001 | ||
1 + 2 | 45.9 (35.9–63.6) | 23 (18.3–32.5) | <0.001 | ||
Average UVR exposure (SED) | Summer | 1 | 3.6 (1.8–6.04) | 0.7 (0.4–1.7) | <0.001 |
2 | 2.6 (1.5–5.1) | 0.8 (0.1–1.4) | <0.001 | ||
1 + 2 | 3.2 (1.6–5.9) | 0.7 (0.2–1.5) | <0.001 | ||
Fall | 1 | 0.11 (0.01–0.6) | 0.12 (0.01–0.3) | 0.16 | |
2 | 0.2 (0.03–0.7) | 0.06 (0.02–0.2) | <0.001 | ||
1 + 2 | 0.2 (0.03–0.7) | 0.1 (0.01–0.2) | 0.003 | ||
Winter | 1 | 0.1 (0.05–0.3) | 0.1 (0.07–0.2) | 0.35 | |
2 | 0.1 (0.1–0.2) | 0.1 (0.04–0.3) | 0.71 | ||
1 + 2 | 0.1 (0.06–0.3) | 0.1 (0.06–0.3) | 0.48 | ||
Spring | 1 | 2.4 (1.2–3.4) | 1.6 (1.1–2.6) | 0.23 | |
2 | 1.4 (0.6–2.6) | 1 (0.3–2.4) | 0.13 | ||
1 + 2 | 1.9 (0.8–3.2) | 1 (0.4–2.4) | 0.007 | ||
PTH (pmol/L) | Summer | 1 | 2.8 (2.1–3.5) | 3.45 (2.85–3.95) | 0.02 |
2 | 2.6 ± 1.1 | 3.5 ± 1.6 | <0.001 | ||
1 + 2 | 2.6 (2–3.4) | 3.4 (2.7–4.3) | <0.001 | ||
Fall | 1 | 2.9 ± 1.2 | 3.4 ± 1.2 | 0.1 | |
2 | 2.6 ± 1.1 | 3.9 ± 1.5 | <0.001 | ||
1 + 2 | 2.8 ± 1.1 | 3.8 ± 1.5 | <0.001 | ||
Winter | 1 | 2.9 ± 1.2 | 3.2 ± 1.2 | 0.24 | |
2 | 2.7 ± 1.1 | 4.2 ± 1.8 | <0.001 | ||
1 + 2 | 2.8 ± 1.2 | 4.1 ± 1.7 | <0.001 | ||
Spring | 1 | 2.9 ± 1.2 | 3.5 ± 1.6 | 0.1 | |
2 | 2.5 ± 1 | 3.9 ± 2 | <0.001 | ||
1 + 2 | 2.7 ± 1.1 | 3.8 ± 1.9 | <0.001 | ||
Residential greenness | Spring | 1 | 0.28 (0.24–0.3) | 0.29 (0.28–0.31) | 0.03 |
2 | 0.23 (0.21–0.28) | 0.23 (0.21–0.28) | 0.21 | ||
1 + 2 | 0.27 (0.21–0.29) | 0.24 (0.22–0.27) | 0.03 |
Activity | Season | Region | Caucasian | Asian | p-Value |
---|---|---|---|---|---|
Total time walking per day (in minutes) | Summer | 1 | 60 (28–120) | 42.5 (11–60) | 0.12 |
2 | 60 (30–120) | 60 (20–90) | 0.02 | ||
1 + 2 | 60 (30–120) | 55 (20–90) | 0.02 | ||
Fall | 1 | 60 (30–120) | 40 (12–60) | 0.06 | |
2 | 60 (30–120) | 30 (0–90) | <0.001 | ||
1 + 2 | 60 (30–120) | 30 (0–82.5) | <0.001 | ||
Winter | 1 | 60 (20–120) | 60 (15–90) | 0.65 | |
2 | 60 (30–120) | 30 (5–75) | 0.01 | ||
1 + 2 | 60 (30–120) | 40 (15–90) | 0.08 | ||
Spring | 1 | 60 (30–120) | 15 (0–30) | 0.02 | |
2 | 60 (30–120) | 45 (20–81) | 0.04 | ||
1 + 2 | 60 (30–120) | 45 (15–70) | 0.005 |
Activity | Season | Region | Caucasian | Asian | p-Value |
---|---|---|---|---|---|
Hours per day in housework | Summer | 1 | 2 (1–2) | 3 (2–3.8) | 0.005 |
2 | 1 (1–2) | 3 (2–4) | <0.001 | ||
1 + 2 | 1.5 (1–2) | 3 (2–4) | <0.001 | ||
Fall | 1 | 1 (1–2) | 3 (1.1–4) | 0.06 | |
2 | 1 (1–2) | 3 (2–4) | <0.001 | ||
1 + 2 | 1 (1–2) | 3 (1.6–4) | <0.001 | ||
Winter | 1 | 1 (1–2) | 3 (1.5–4) | 0.04 | |
2 | 1 (1–2) | 3 (1–4) | <0.001 | ||
1 + 2 | 1 (1–2) | 2.5 (1–4) | <0.001 | ||
Spring | 1 | 1 (1–2) | 2 (1–4) | 0.03 | |
2 | 1 (1–2) | 2.5 (1.3–4) | <0.001 | ||
1 + 2 | 1 (1–2) | 2 (1–4) | <0.001 | ||
Hours per day in paid work | Summer | 1 | 5 (0–8) | 0 (0–7.9) | 0.13 |
2 | 6 (0–8) | 0 (0–5.3) | <0.001 | ||
1 + 2 | 5 (0–8) | 0 (0–5.3) | <0.001 | ||
Fall | 1 | 5 (0–7.8) | 0 (0–7.5) | 0.13 | |
2 | 6 (0–8) | 0 (0–7.5) | <0.001 | ||
1 + 2 | 5 (0–8) | 0 (0–7.5) | <0.001 | ||
Winter | 1 | 4.5 (0–7.5) | 0 (0–0) | 0.04 | |
2 | 6 (0–8) | 2 (0–6) | 0.002 | ||
1 + 2 | 5 (0–8) | 0 (0–5.3) | <0.001 | ||
Spring | 1 | 5 (0–7.8) | 0 (0–7.5) | 0.13 | |
2 | 6 (0–8) | 0 (0–7.5) | <0.001 | ||
1 + 2 | 5 (0–8) | 0 (0–7.5) | <0.001 | ||
Days per week in housework | Summer | 1 | 4 (2–7) | 7 (5.5–7) | <0.001 |
2 | 4 (2–7) | 7 (5–7) | <0.001 | ||
1 + 2 | 4 (2–7) | 7 (5–7) | <0.001 | ||
Fall | 1 | 4 (2–6.5) | 6 (2–7) | 0.31 | |
2 | 4 (2–7) | 7 (5–7) | <0.001 | ||
1 + 2 | 4 (2–7) | 7 (5–7) | <0.001 | ||
Winter | 1 | 4 (2–7) | 7 (2–7) | 0.25 | |
2 | 5 (3–7) | 7 (5–7) | 0.002 | ||
1 + 2 | 5 (2.8–7) | 7 (4.8–7) | 0.001 | ||
Spring | 1 | 5 (3–7) | 7 (7–7) | 0.01 | |
2 | 5 (3–6) | 7 (5–7) | <0.001 | ||
1 + 2 | 5 (3–7) | 7 (6–7) | <0.001 | ||
Days per week in paid work | Summer | 1 | 3 (0–5) | 0 (0–4.3) | 0.045 |
2 | 3 (0–5) | 0 (0–5) | 0.009 | ||
1 + 2 | 3 (0–5) | 0 (0–5) | <0.001 | ||
Fall | 1 | 3 (0–5) | 0 (0–5) | 0.009 | |
2 | 3 (0–5) | 0 (0–5) | 0.01 | ||
1 + 2 | 3 (0–5) | 0 (0–5) | 0.004 | ||
Winter | 1 | 3 (0–5) | 0 (0–0) | 0.03 | |
2 | 3 (0–5) | 1 (0–5) | 0.048 | ||
1 + 2 | 3 (0–5) | 0 (0–5) | 0.01 | ||
Spring | 1 | 3 (0–5) | 0 (0–5) | 0.1 | |
2 | 3 (0–5) | 0 (0–5) | 0.03 | ||
1 + 2 | 3 (0–5) | 0 (0–5) | 0.01 |
Parameter | Estimate (Beta) | LCL (0.025) | UCL (0.975) | p Value |
---|---|---|---|---|
Intercept | −1.92 | −2.54 | −1.30 | <0.0001 |
NDVI 1000 | 0.29 | −0.34 | 0.92 | 0.37 |
UVR | 0.52 | −0.15 | 1.19 | 0.13 |
Vitamin D intake | 0.46 | −0.17 | 1.09 | 0.15 |
Ethnic Asian | 2.38 | 1.37 | 3.38 | <0.001 |
PTH | 1.28 | 0.44 | 2.11 | 0.003 |
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Santana, K.V.d.S.d.; Ribeiro, H.; Darling, A.; Rios, I.H.R.; Lanham-New, S. Residential Greenness, Lifestyle, and Vitamin D: A Longitudinal Cohort of South Asian Origin and Caucasian Ethnicity Women Living in the South of the UK. Nutrients 2024, 16, 1214. https://doi.org/10.3390/nu16081214
Santana KVdSd, Ribeiro H, Darling A, Rios IHR, Lanham-New S. Residential Greenness, Lifestyle, and Vitamin D: A Longitudinal Cohort of South Asian Origin and Caucasian Ethnicity Women Living in the South of the UK. Nutrients. 2024; 16(8):1214. https://doi.org/10.3390/nu16081214
Chicago/Turabian StyleSantana, Keila Valente de Souza de, Helena Ribeiro, Andrea Darling, Israel Henrique Ribeiro Rios, and Susan Lanham-New. 2024. "Residential Greenness, Lifestyle, and Vitamin D: A Longitudinal Cohort of South Asian Origin and Caucasian Ethnicity Women Living in the South of the UK" Nutrients 16, no. 8: 1214. https://doi.org/10.3390/nu16081214
APA StyleSantana, K. V. d. S. d., Ribeiro, H., Darling, A., Rios, I. H. R., & Lanham-New, S. (2024). Residential Greenness, Lifestyle, and Vitamin D: A Longitudinal Cohort of South Asian Origin and Caucasian Ethnicity Women Living in the South of the UK. Nutrients, 16(8), 1214. https://doi.org/10.3390/nu16081214