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Background: Natural environments may have beneficial impacts on pregnancy outcomes. However, longitudinal evidence is limited and the associations with variance in surrounding greenness is unknown. Our objective was to evaluate these associations among 73 221 live births in Tel Aviv, Israel.Methods: Longitudinal exposure to mean of greenness during pregnancy and trimesters were calculated using satellite-based Moderate Resolution Imaging Spectroradiometer (MODIS) Normalised Difference Vegetation Index (NDVI) data. In addition, exposure to mean and variation of NDVI from high-resolution satellite and percentage of tree cover [Vegetation Continuous Fields (VCF)] at 300-m buffer were evaluated in a cross-sectional approach. Generalized linear models were used to estimate the crude and adjusted associations. We explore the possible mediating role of ambient exposures and distance to 'outdoor gyms' located in parks.Results: Crude beneficial associations between exposure to higher mean NDVI during pregnancy and pregnancy outcomes were observed [for birthweight, 3rd/1st tertile exposure increased the mean by 25.5 g, 95% confidence intervals (CIs): 15.4, 35.5] and decreased the odds of low birthweight, small for gestational age, preterm deliveries (PTD) and very PTD. Adjustment for individual and neighbourhood-level markers of socio-economic status (SES) attenuated all the associations. Strongest associations were observed during the first and second trimesters. Cross-sectional associations for mean greenness were similar with narrower CIs, and associations with NDVI were stronger than with tree cover and stronger for mean compared with variance of greenness. Associations were consistent for term births, different buffer sizes and for further adjustment to maternal education. Stronger associations were observed for lowest SES. Distance to 'outdoor gyms' and variance of greenness had the largest estimates of mediation.Conclusion: This study adds to the limited information on when exposure to greenness is most beneficial, on the association with variance of greenness and the possible pathways. These observations require confirmation in other populations. [ABSTRACT FROM AUTHOR]

In Mediterranean regions, the combination of disturbances, life histories, plant regeneration traits, and microhabitat variability form highly heterogeneous vegetation mosaics which shift in space and time. Consequently, structure-based forest management is emerging as a superior alternative to management of vegetation formations in such areas. Delineation of management units in these areas is often based on manual interpretation of aerial imagery coupled with field surveys. Here, we propose an alternative approach that is based on segmentation of remotely sensed height and cover maps derived from light detection and ranging (LiDAR) imagery. A large suite of alternative segmentation maps was generated using multiresolution segmentation (MS) with different parameters, and an area-fit approach used to select the map that most successfully captured a reference set of structural units delineated manually. We assessed the feasibility of this approach in a nature reserve in northern Israel, compared the resulting map with a traditional vegetation formations map, and explored the performance of the segmentation algorithm under various parameter combinations. Pronounced differences between the structure and formation maps highlight the suitability of this approach as an alternative to the existing methods of delineating vegetation units in Mediterranean systems, and possibly in other systems as well. [ABSTRACT FROM PUBLISHER]