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Positive health effects of the natural outdoor environment
  in typical populations of different regions in Europe




                   www.phenotype.eu
                     www.phenotype.eu
FP7 Theme ENV.2011.1.2.3-2; Positive effects of natural environment
for human health and well-being. Grant Agreement 282996

1st January 2012 – 31st December 2015

EC contribution: € 3.499.403

Beneficiaries:
    – Fundació Centre de Recerca en Epidemiologia Ambiental – Spain (C)
    – Rijksinstituut voor Volksgezondheid en Milieu – Netherlands
    – Staffordshire University – United Kingdom
    – Vytauto Didziojo Universitetas – Lithuania
    – Université de Geneve – Switzerland
    – Vereniging voor Christelijk Hoger Onderwijs, Wetenschappelijk
      Onderzoek en Patientenzorg – Netherlands
    – Veiligheids- en Gezondheidsregio Gelderland Midden – Netherlands
    – University of California, Berkeley Campus – United States


                               www.phenotype.eu
Objective:

To investigate the interconnections between exposure to natural
outdoor environments, in both rural and urban settings, and better
human health and well-being and particularly:

•   Identify the underlying mechanisms at work;
•   Examine the effects for different population groups;
•   Examine the effects of different characteristics of the natural outdoor
    environment;
•   Cover both preventive as well as therapeutic effects of contact with
    the natural environment;
•   Address the implications for land-use planning and green space
    management, specifically focusing on the integration of human
    health needs, and translating the research outcomes into
    recommendations for policy makers and guidelines for professional
    practitioners.

                              www.phenotype.eu
Project Structure
                                                 Land use planning
                                               and natural environment
                                                 Management (WP5)


                                              Natural environment:
                             Quantitative and quality characteristics (amount, type)
                                        Different levels of urbanity (WP2)

               Epidemiological studies             Mechanism assessment
                       (WP3)                                                        Therapeutic studies
                                                           (WP2)
                                                                                          (WP4)
                General health/well being              Stress reduction/
            Mental health/neural development                                            Mental health
                                                      Restorative function
             Cardiovascular, respiratory and                                             High stress
                                                        Physical activity
              cancer morbidity and mortality           Social interaction             Cardiovascular
                     Birth outcomes                 Environmental pollutants
                         Obesity

                  Inclusive subgroups                 Inclusive subgroups

                     Large studies                                                Small studies (n=4*20-40)
                                                 Medium size studies (n=4*1000)




                 Implications, including health impact assessment and application(WP5)
                  Policy involvement and Dissemination, including stakeholders (WP 6)




                                                 www.phenotype.eu
WP1 – Management - Technical and financial management of the project

WP 2 - Mechanisms
• To examine underlying mechanisms of positive health impact through the quantitive
  relation of factors including stress, physical activity, social interaction and pollution,
  with the natural environment.
• 1000 subjects to be recruited in all participating countries.
• Case-study of 100 subjects working with Calfit.

WP3 - Epidemiological Studies
• To evaluate the relationship between natural environment indicators and various
  health outcomes in different regions of Europe. Analysis of large routine databases
  containing health outcome data, cohort study data and natural environment
  indicators.
• 17 Studies, n>24M
• Outcomes covered: respitory health, BMI, neural development, birth weigth/gestation,
  all cause and specific mortality, asthma, serum cholesterol, (health) quality of life,
  psychological factors, cancer, general health.




                                      www.phenotype.eu
WP4 - Therapeutic Studies
• To measure stress reduction and restorative function of different
  environments, as well as behaviour and social interaction to further explore
  mechanisms implicated in the health-natural environment relations.
• 20-40 subjects to be recruited in Netherlands, Lithuania, UK and Spain

WP5 - Implications, Health Impact Assessment and Planning
• To integrate human health needs into land use planning and green space
  management in rural and urban areas.
• Considering: Qualitative characteristics of natural environements; Facilities,
  maintenance and services; Accessibility Guidelines to natural environments.

WP6 - Policy involvement and dissemination
• To establish a framework for dissemination, engagement and stakeholder
  dialogue. In particular focussed on natural environment and related DG-
  Environment programmes.




                                www.phenotype.eu
Geographical Expertise

                North Western                                               Eastern
                    Europe
                                 INPUT FROM DIFFERENT                       Europe
               -United kingdom   EUROPEAN REGIONS                          -Lithuania
                 -Netherlands                                           Natural outdoor
              *Natural outdoor                                            Environment
                                    Standardized and comparable          *Mechanisms
                  Environment
                                          European data base           *Health outcomes
                 *Mechanisms
                                      Natural outdoor Environment        *Stakeholders
              *Health outcomes
                                              -green and blue
                 *stakeholders
                                          -Quantity and Quality
                                                Mechanisms
                                            -Stress reduction/
                                           Restorative function
                                             -Physical activity
                                            -Social interaction
                                        -Environmental pollutants
                                             Health outcomes
                                       -General health/well being
                                   -Mental health/neural development
                                    -Cardiovascular, respiratory and
                                     cancer morbidity and mortality
                  Southern                    -Birth outcomes
                   Europe                         -Obesity
                                            Susceptible group           Central Europe
                    -Spain
                                                Pregnancy                 -Switserland
               Natural outdoor
                                                     Age                  -Policy and
                 Environment
                                         Socio-economic status             guidelines
                *Mechanisms
                                             Ethnic minorities           -Stakeholders
              *Health outcomes
                *Stakeholders




                                    www.phenotype.eu
Use of novel application for measurements of spatial, physical a.o. factors




                Figure 3. Calfit Phone Showing (a) Basic Interface, (b) Calorie Counts by 30
                second Epoch, and (c) Google Maps Display of Activity Levels in Different
                Locations




                                        www.phenotype.eu
www.phenotype.eu
Mark Nieuwenhuijsen               mnieuwenhuijsen@creal.cat
Coordinator

Diana van Gent                    dvangent@creal.cat
Project Manager and contact

       CREAL - Centre de Recerca en Epidemiologia Ambiental
       Parc Recerca Biomèdica de Barcelona
       Doctor Aiguader, 88
       08003 Barcelona
       Tel     +34 932 14 7354
       Fax     +34 932 14 7301




                              www.phenotype.eu
www.phenotype.eu

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Presentación introductoria Phenotype

  • 1. Positive health effects of the natural outdoor environment in typical populations of different regions in Europe www.phenotype.eu www.phenotype.eu
  • 2. FP7 Theme ENV.2011.1.2.3-2; Positive effects of natural environment for human health and well-being. Grant Agreement 282996 1st January 2012 – 31st December 2015 EC contribution: € 3.499.403 Beneficiaries: – Fundació Centre de Recerca en Epidemiologia Ambiental – Spain (C) – Rijksinstituut voor Volksgezondheid en Milieu – Netherlands – Staffordshire University – United Kingdom – Vytauto Didziojo Universitetas – Lithuania – Université de Geneve – Switzerland – Vereniging voor Christelijk Hoger Onderwijs, Wetenschappelijk Onderzoek en Patientenzorg – Netherlands – Veiligheids- en Gezondheidsregio Gelderland Midden – Netherlands – University of California, Berkeley Campus – United States www.phenotype.eu
  • 3. Objective: To investigate the interconnections between exposure to natural outdoor environments, in both rural and urban settings, and better human health and well-being and particularly: • Identify the underlying mechanisms at work; • Examine the effects for different population groups; • Examine the effects of different characteristics of the natural outdoor environment; • Cover both preventive as well as therapeutic effects of contact with the natural environment; • Address the implications for land-use planning and green space management, specifically focusing on the integration of human health needs, and translating the research outcomes into recommendations for policy makers and guidelines for professional practitioners. www.phenotype.eu
  • 4. Project Structure Land use planning and natural environment Management (WP5) Natural environment: Quantitative and quality characteristics (amount, type) Different levels of urbanity (WP2) Epidemiological studies Mechanism assessment (WP3) Therapeutic studies (WP2) (WP4) General health/well being Stress reduction/ Mental health/neural development Mental health Restorative function Cardiovascular, respiratory and High stress Physical activity cancer morbidity and mortality Social interaction Cardiovascular Birth outcomes Environmental pollutants Obesity Inclusive subgroups Inclusive subgroups Large studies Small studies (n=4*20-40) Medium size studies (n=4*1000) Implications, including health impact assessment and application(WP5) Policy involvement and Dissemination, including stakeholders (WP 6) www.phenotype.eu
  • 5. WP1 – Management - Technical and financial management of the project WP 2 - Mechanisms • To examine underlying mechanisms of positive health impact through the quantitive relation of factors including stress, physical activity, social interaction and pollution, with the natural environment. • 1000 subjects to be recruited in all participating countries. • Case-study of 100 subjects working with Calfit. WP3 - Epidemiological Studies • To evaluate the relationship between natural environment indicators and various health outcomes in different regions of Europe. Analysis of large routine databases containing health outcome data, cohort study data and natural environment indicators. • 17 Studies, n>24M • Outcomes covered: respitory health, BMI, neural development, birth weigth/gestation, all cause and specific mortality, asthma, serum cholesterol, (health) quality of life, psychological factors, cancer, general health. www.phenotype.eu
  • 6. WP4 - Therapeutic Studies • To measure stress reduction and restorative function of different environments, as well as behaviour and social interaction to further explore mechanisms implicated in the health-natural environment relations. • 20-40 subjects to be recruited in Netherlands, Lithuania, UK and Spain WP5 - Implications, Health Impact Assessment and Planning • To integrate human health needs into land use planning and green space management in rural and urban areas. • Considering: Qualitative characteristics of natural environements; Facilities, maintenance and services; Accessibility Guidelines to natural environments. WP6 - Policy involvement and dissemination • To establish a framework for dissemination, engagement and stakeholder dialogue. In particular focussed on natural environment and related DG- Environment programmes. www.phenotype.eu
  • 7. Geographical Expertise North Western Eastern Europe INPUT FROM DIFFERENT Europe -United kingdom EUROPEAN REGIONS -Lithuania -Netherlands Natural outdoor *Natural outdoor Environment Standardized and comparable *Mechanisms Environment European data base *Health outcomes *Mechanisms Natural outdoor Environment *Stakeholders *Health outcomes -green and blue *stakeholders -Quantity and Quality Mechanisms -Stress reduction/ Restorative function -Physical activity -Social interaction -Environmental pollutants Health outcomes -General health/well being -Mental health/neural development -Cardiovascular, respiratory and cancer morbidity and mortality Southern -Birth outcomes Europe -Obesity Susceptible group Central Europe -Spain Pregnancy -Switserland Natural outdoor Age -Policy and Environment Socio-economic status guidelines *Mechanisms Ethnic minorities -Stakeholders *Health outcomes *Stakeholders www.phenotype.eu
  • 8. Use of novel application for measurements of spatial, physical a.o. factors Figure 3. Calfit Phone Showing (a) Basic Interface, (b) Calorie Counts by 30 second Epoch, and (c) Google Maps Display of Activity Levels in Different Locations www.phenotype.eu
  • 9. www.phenotype.eu Mark Nieuwenhuijsen mnieuwenhuijsen@creal.cat Coordinator Diana van Gent dvangent@creal.cat Project Manager and contact CREAL - Centre de Recerca en Epidemiologia Ambiental Parc Recerca Biomèdica de Barcelona Doctor Aiguader, 88 08003 Barcelona Tel +34 932 14 7354 Fax +34 932 14 7301 www.phenotype.eu