ArticleHealth & place2021
Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study.
Article in Health & place, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Associations of Sociodemographic and Neighborhood Vulnerability With Cardiovascular Health in Midlife Women in the United States.Circulation. Population health and outcomes · 2026Article
- Neighborhood factors and the geography of type 2 diabetes in Malaysia: an ecological based geospatial modelling study.BMC public health · 2026Article
- Environmental Influences on Food Addiction and Cardiometabolic Profiles in Law Enforcement Officers.International journal of environmental research and public health · 2026Article
- Socioeconomic disparities and life's essential 8: a focused review and considerations for improving cardiovascular health in the United States.Frontiers in cardiovascular medicine · 2026Article
- Neighborhoods and Incident Cardiometabolic Disease in People With Disability.American journal of preventive medicine · 2025Article
- Blue spaces and incident dementia: Differences by geospatial and historical contexts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- County Incarceration Rate and Stroke Death: A Cross-Sectional Study of the Influence of Physical Environment, Health Care Access, and Community Mental Distress.Journal of the American Heart Association · 2025Article
- The role of environmental access to exercise opportunities in cardiovascular mortality: evidence from a nationwide study.BMC medicine · 2025Article
- Neighborhood physical activity facilities predict risk of incident mixed and vascular dementia: The Cardiovascular Health Cognition Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Development and validation of mortality prediction models based on the social determinants of health.Journal of epidemiology and community health · 2024Article
- Article
- Association of neighborhood physical activity facilities with incident cardiovascular disease.International journal of health geographics · 2023Article
- Mediation of an association between neighborhood socioeconomic environment and type 2 diabetes through the leisure-time physical activity environment in an analysis of three independent samples.BMJ open diabetes research & care · 2023Article
- Concepts, Characterizations, and Cautions: A Public Health Guide and Glossary for Planning Food Environment Measurement.The open public health journal · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
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.
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