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Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study
Journal article   Open access   Peer reviewed

Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study

Parveen K. Garg, Jonathan M. Platt, Jana A. Hirsch, Philip Hurvitz, Andrew Rundle, Mary Lou Biggs, Bruce M. Psaty, Kari Moore and Gina S. Lovasi
Health & place, v 70, 102596
Jul 2021
DOI: https://doi.org/10.1016/j.healthplace.2021.102596
PMID: 34091144
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.healthplace.2021.102596View
Accepted (AM)Maybe Open Access (Publisher Bronze),  Open

Abstract

Built environment Cardiovascular disease Geographic information systems Physical activity
We determined associations of cumulative exposures to neighborhood physical activity opportunities with risk of incident cardiovascular disease (CVD). We included 3595 participants from the Cardiovascular Health Study recruited between 1989 and 1993 (mean age = 73; 60% women; 11% black). Neighborhood environment measures were calculated using Geographic Information Systems (GIS) and annual information from the National Establishment Time Series database, including the density of (1) walking destinations and (2) physical activity/recreational facilities in a 1- and 5-km radius around the respondent's home. Incident CVD was defined as the development of myocardial infarction, stroke, or cardiovascular death and associations with time to incident CVD were estimated using Cox proportional hazards models. A total of 1986 incident CVD cases occurred over a median follow-up of 11.2 years. After adjusting for baseline and time-varying individual and neighborhood-level confounding, a one standard deviation increase in walking destinations and physical activity/recreational facilities within 5 km of home was associated with a respective 7% (95% confidence interval (CI) = 0.87–0.99) and 12% (95% CI = 0.73–1.0) decreased risk of incident CVD. No significant associations were noted within a 1-km radius. Efforts to improve the availability of physical activity resources in neighborhoods may be an important strategy for lowering CVD. •We examined the association of neighborhood physical activity opportunities and cardiovascular disease risk in older adults.•Neighborhood measures were calculated using Geographic Information Systems and National Establishment Time Series database.•Higher number of walking destinations within 5 km of home was associated with a reduced CVD risk.•Higher number of physical activity/recreational facilities within 5 km of home was also associated with a reduced CVD risk.

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16 citations in Web of Science
15 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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