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- W4380795477 abstract "Walkability may be associated with increased physical activity and thus may confer protection against cardiovascular disease and associated risk factors. We sought to characterize the association between neighborhood-level cardiovascular diseases and risk factors with neighborhood walkability across most US census tracts. Methods: The Centers for Disease Control and Prevention (CDC) PLACES dataset provided census-tract level prevalence of coronary artery disease (CAD) and cardiovascular risk factors (hypertension, high cholesterol, obesity, and diabetes). These data were matched with census tract population-weighted walkability index from the CDC’s smart location database. We calculated the mean prevalence of each cardiovascular health indicator by quartile of walkability score. We also fit a multivariable linear regression model to estimate the association between walkability index and the prevalence of CAD adjusting for age, sex, race, and the CDC'S social vulnerability index, a validated metric of socioeconomic status. Results: 70,123 census tracts were analyzed nationwide. Across walkability quartiles Q1 (least walkable) through Q4 (most walkable), we found a statistically significant decrease in the prevalence of CAD (7.0% to 5.4%). Similarly, there was a decrease in the prevalence of CVD risk factors including hypertension (35.5% to 29.7%), high cholesterol (34.5% to 29.7%), obesity (35.0% to 30.2%), and diabetes (11.6% to 10.6%) across walkability quartiles ( Figure ). After multivariable adjustment, continuous walkability index was negatively and significantly associated with the prevalence of CAD (β = -0.09, p < 0.0001). Conclusions: This nationwide analysis demonstrates that neighborhood walkability is associated with a lower prevalence of cardiovascular risk factors and CAD. Figure: Mean prevalence of cardiovascular health indicators according to walkability index quartile. BP = blood pressure, CAD = coronary artery disease." @default.
- W4380795477 created "2023-06-16" @default.
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- W4380795477 date "2022-11-08" @default.
- W4380795477 modified "2023-10-06" @default.
- W4380795477 title "Abstract 14187: Neighborhood Walkability and Cardiovascular Risk in the United States" @default.
- W4380795477 doi "https://doi.org/10.1161/circ.146.suppl_1.14187" @default.
- W4380795477 hasPublicationYear "2022" @default.
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