Evidence map›Paper›PMID 40106665›Full record

SynthesisEuropean journal of preventive cardiology2025

Impact of neighbourhood and environmental factors on the risk of incident cardiovascular disease: a systematic review and meta-analysis.

Jack R G Brown, Paris J Baptiste, Hajar Hajmohammadi, Ramesh Nadarajah, Chris P Gale, Jianhua Wu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of preventive cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Area deprivation, social vulnerability, and post-pregnancy blood pressure.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jack R G BrownCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, E1 2AT, UK.ORCID 0000-0003-1334-8658
Paris J BaptisteCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, E1 2AT, UK.ORCID 0000-0002-2565-8525
Hajar HajmohammadiCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, E1 2AT, UK.ORCID 0000-0002-7298-2256
Ramesh NadarajahLeeds Institute of Data Analytics, University of Leeds, Leeds, LS2 9NL, UK.ORCID 0000-0001-9895-9356
Chris P GaleLeeds Institute of Data Analytics, University of Leeds, Leeds, LS2 9NL, UK.ORCID 0000-0003-4732-382X
Jianhua WuCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, E1 2AT, UK.ORCID 0000-0001-6093-599X

Funding

Barts Charity MGU0504Wellcome Trust
6 · The paper itself

Abstract

aimsWe aimed to study the association of five key neighbourhood exposures in large cohort studies and risk of incident cardiovascular disease (CVD). METHODS AND

resultsWe conducted a systematic search of MEDLINE, The Cochrane Library, Web of Science, and Embase from database inception to 20th October 2024. Included studies reported both incident (first-time) CVD diagnosis and neighbourhood exposures across five domains: retail environment, health services, physical environment, pollution, and neighbourhood deprivation. A random-effects meta-analysis was performed to estimate pooled risk of CVD across domains. Of 39 studies included in the systematic review, 28 qualified for meta-analysis representing over 41 million people. The most frequently examined exposures were air pollution (n = 17), followed by noise pollution (n = 9), socioeconomic (n = 6), green and blue spaces (n = 3), and health and retail environments (n = 4). Higher concentrations of particulate matter 2.5 {PM2.5; hazard ratio (HR): 1.16 [95% confidence interval (95% CI): 1.09-1.24] per 10 µg/m³ increase}, higher nitrogen dioxide [NO2; HR: 1.05 (95% CI: 1.02-1.07) per 10 ppb increase], road traffic noise [risk ratio (RR): 1.03 (95% CI: 1.02-1.05) per 10 dB increase], and high neighbourhood-level deprivation [RR: 1.24 (95% CI: 1.17-1.31) vs. low] were each associated with increased risk of incident CVD development.

conclusionOur findings indicate a modest yet significant increase in CVD risk associated with elevated levels of air pollution, road noise, and neighbourhood deprivation, emphasizing these exposures as consequential targets for policy intervention.

Indexed as

Air PollutionCardiovascular DiseasesEnvironmental ExposureNeighborhood CharacteristicsResidence CharacteristicsHumansIncidenceRisk AssessmentRisk FactorsAir pollutionCardiovascular diseaseEnvironmental exposuresMeta-analysisNeighbourhood factorsSocioeconomic deprivationSystematic review

Identifiers

PMID40106665
PMCPMC12721861

What OpenQuestion holds

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Registered trials

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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.