Evidence map›Paper›PMID 30741595›Full record

ArticleJournal of the American Heart Association2019

Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease.

Heval M Kelli, Jeong Hwan Kim, Ayman Samman Tahhan, Chang Liu, Yi-An Ko, Muhammad Hammadah, Samaah Sullivan, Pratik Sandesara, Ayman A Alkhoder, Fahad K Choudhary and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Mental stress as a trigger of cardiovascular events: A narrative review.European journal of clinical investigation · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Psychosocial stress and cardiovascular disease.American journal of preventive cardiology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Heval M Kelli1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Jeong Hwan Kim1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Ayman Samman Tahhan1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Chang Liu1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Yi-An Ko2 Department of Biostatistics and Bioinformatics Rollins School of Public Health Emory University Atlanta GA.
Muhammad Hammadah1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Samaah Sullivan3 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Pratik Sandesara1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Ayman A Alkhoder1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Fahad K Choudhary1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
M Mazen Gafeer1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Keyur Patel1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Saqib Qadir1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Tené T Lewis3 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Viola Vaccarino1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Laurence S Sperling1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Arshed A Quyyumi1 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.

Funding

Serious Hazards of Transfusion & Cellular Therapies: Mechanisms and InterventionP01HL086773 · NHLBI · EMORY UNIVERSITY · PI ZIMRING, JAMES C. · 2008 to 2019
$17.9M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Vascular Responses During Mental StressP01HL101398 · NHLBI · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 2010 to 2015
$11.0M
Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Cell therapy for diabetic peripheral neurovascular complicationsDP3DK094346 · NIDDK · EMORY UNIVERSITY · PI CHENG, XIAODONG, YOON, YOUNG-SUP · 2011 to 2011
$6.1M
The role of the renin-angiotensin-endothelial pathway in ADRF1AG051633 · NIA · EMORY UNIVERSITY · PI HAJJAR, IHAB M, QUYYUMI, ARSHED A · 2015 to 2017
$6.0M
Adverse effects of RBC transfusions: A unifying hypothesisR01HL095479 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D · 2009 to 2017
$5.2M
Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Metabolomics of subclinical and clinical cardiovascular diseaseP20HL113451 · NHLBI · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2012 to 2016
$4.3M
Heart Failure Clinical Trials NetworkU10HL110302 · NHLBI · EMORY UNIVERSITY · PI SMITH, ANDREW · 2012 to 2018
$2.5M
Genome-wide association study of MI in CaucasiansR01HL089650 · NHLBI · DECODE GENETICS, INC. · PI GULCHER, JEFFREY R · 2007 to 2010
$2.3M
Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
NHLBI NIH HHS P01 HL086773NHLBI NIH HHS P01 HL101398NHLBI NIH HHS P20 HL113451NHLBI NIH HHS R01 HL089650NHLBI NIH HHS R01 HL095479NHLBI NIH HHS R56 HL126558NHLBI NIH HHS T32 HL130025NHLBI NIH HHS U10 HL110302NIAID NIH HHS R38 AI140299NIA NIH HHS RF1 AG051633NIA NIH HHS U54 AG062334NICHD NIH HHS K12 HD085850NIDDK NIH HHS DP3 DK094346NINDS NIH HHS R01 NS064162
6 · The paper itself

Abstract

Background Food deserts ( FDs ), defined as low-income communities with limited access to healthy food, are a growing public health concern. We evaluated the impact of living in FDs on incident cardiovascular events. Methods and Results We recruited 4944 subjects (age 64±12, 64% male) undergoing cardiac catheterization into the Emory Cardiovascular Biobank. Using the US Department of Agriculture definition of FD , we determined whether their residential addresses had (1) poor access to healthy food, (2) low income, or (3) both (= FD ). Subjects were prospectively followed for a median of 3.2 years for myocardial infarction (MI) and death. Fine and Gray's subdistribution hazard models for MI and Cox proportional hazard models for death/ MI were used to examine the association between area characteristics ( FD , poor access, and low income) and the rates of adverse events after adjusting for traditional risk factors. A total of 981 (20%) lived in FDs and had a higher adjusted risk of MI (subdistribution hazard ratio, 1.44 [95% CI, 1.06-1.95]) than those living in non- FDs . In a multivariate analysis including both food access and area income, only living in a low-income area was associated with a higher adjusted risk of MI (subdistribution hazard ratio, 1.40 [1.06-1.85]) and death/ MI (hazard ratio, 1.18 [1.02-1.35]) while living in a poor-access area was not significantly associated with either (subdistribution hazard ratio, 1.05 [0.80-1.38] and hazard ratio, 0.99 [0.87-1.14], respectively). Conclusions Living in an FD is associated with a higher risk of adverse cardiovascular events in those with coronary artery disease. Specifically, low area income of FDs , not poor access to food, was significantly associated with worse outcomes.

Indexed as

Food PreferencesHungerPublic HealthCardiovascular DiseasesFemaleFollow-Up StudiesHumansMaleMiddle AgedPovertyPrevalenceProspective StudiesRisk AssessmentRisk FactorsUnited Statescardiovascular diseasedeathenvironmentfood desertmyocardial infarctionsocioeconomic position

Identifiers

PMID30741595
PMCPMC6405658

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.