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Neighbourhood built environment and cardiovascular disease: knowledge and future directions

Awareness of the effect of the neighbourhood built environment on cardiovascular diseases is growing. In this Comment, we identify major conceptual, methodological and policy-relevant issues in research related to the built environment and describe potential future directions to improve the scientific rigour of research in this field.

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Fig. 1: Simplified relationships between the neighbourhood built environment and CVD.

References

  1. 1.

    Chokshi, D. A. & Farley, T. A. Changing behaviors to prevent noncommunicable diseases. Science 345, 1243–1244 (2014).

    CAS  Article  Google Scholar 

  2. 2.

    Nieuwenhuijsen, M. J. Influence of urban and transport planning and the city environment on cardiovascular disease. Nat. Rev. Cardiol. 15, 432–438 (2018).

    Article  Google Scholar 

  3. 3.

    Chandrabose, M. et al. Built environment and cardio-metabolic health: systematic review and meta-analysis of longitudinal studies. Obes. Rev. 20, 41–54 (2019).

    CAS  Article  Google Scholar 

  4. 4.

    Gascon, M. et al. Residential green spaces and mortality: a systematic review. Environ. Int. 86, 60–67 (2016).

    Article  Google Scholar 

  5. 5.

    Kärmeniemi, M. et al. The built environment as a determinant of physical activity: a systematic review of longitudinal studies and natural experiments. Ann. Behav. Med. 52, 239–251 (2018).

    Article  Google Scholar 

  6. 6.

    Rajagopalan, S., Al-Kindi, S. G. & Brook, R. D. Air pollution and cardiovascular disease: JACC state-of-the-art review. J. Am. Coll. Cardiol. 72, 2054–2070 (2018).

    CAS  Article  Google Scholar 

  7. 7.

    Cohen, B. E., Edmondson, D. & Kronish, I. M. State of the art review: depression, stress, anxiety, and cardiovascular disease. Am. J. Hypertens. 28, 1295–1302 (2015).

    CAS  Article  Google Scholar 

  8. 8.

    Kwan, M.-P. The neighborhood effect averaging problem (NEAP): an elusive confounder of the neighborhood effect. Int. J. Environ. Res. Public Health 15, 1841 (2018).

    Article  Google Scholar 

  9. 9.

    Chaix, B. How daily environments and situations shape behaviors and health: momentary studies of mobile sensing and smartphone survey data. Health Place https://doi.org/10.1016/j.healthplace.2019.102241 (2019).

    Article  PubMed  Google Scholar 

  10. 10.

    Garg, P. K., Jorgensen, N., Moore, K., Soliman, E. Z. & Heckbert, S. R. Neighborhood environments and risk of incident atrial fibrillation: the Multi-Ethnic Study of Atherosclerosis. Eur. J. Prev. Cardiol. https://doi.org/10.1177/2047487319885196 (2019).

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

G.R.M. is supported by a Canadian Institutes of Health Research Foundations Scheme Grant (FDN-154331). K.O. is supported by the MEXT-Supported Program for the Strategic Research Foundation at Private Universities, 2015–2019, from the Japan Ministry of Education, Culture, Sports, Science and Technology (S1511017).

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Correspondence to Mohammad Javad Koohsari.

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The authors declare no competing interests. In particular, none of the authors has a financial interest in Walk Score.

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Koohsari, M.J., McCormack, G.R., Nakaya, T. et al. Neighbourhood built environment and cardiovascular disease: knowledge and future directions. Nat Rev Cardiol 17, 261–263 (2020). https://doi.org/10.1038/s41569-020-0343-6

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