ArticleJACC. Advances2026
Differential Association Between Surrounding Greenness and Mortality in Individuals With Coronary Heart Disease.
Article in JACC. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Greenness exposure across the cancer continuum: The role of coronary heart disease.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
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12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundResidential greenness has been linked to lower mortality; however, whether this association varies by cardiovascular disease status remains unclear.
objectivesThe objectives of the study were to examine the association between greenness and mortality among individuals with and without coronary heart disease (CHD), distinguishing between stable and acute patients, and to assess modification by individual- and neighborhood-level factors, including walkability.
methodsWe analyzed data from 4 Israeli cohorts: 2 CHD patient-based cohorts and 2 population-based cohorts (inception years 1992-2004; mortality follow-up through 2020). Long-term greenness exposure was estimated using satellite-based Normalized Difference Vegetation Index within an 800m buffer around participants' homes.
resultsWe included 17,431 participants (mean [SD] age 63.6 [15.3] years; 5,286/17,431 [30.3%] women), of whom 3,959/17,431 (22.7%) were CHD-free, 4,771/17,431 (27.3%) had stable CHD, and 8,701/17,431 (49.9%) had acute CHD at baseline. During a median (IQR) follow-up of 11.8 (7.6-15.7) years, 6,055 deaths occurred. Greenness was associated with lower mortality among stable CHD (HR: 0.90; 95% CI: 0.81 to 0.99, per IQR increase in normalized difference vegetation index) and acute CHD (HR: 0.88; 95% CI: 0.82-0.94), but not among CHD-free individuals (HR: 1.01; 95% CI: 0.88-1.16) (P
conclusionsResidential greenness is associated with better survival among individuals with CHD. Variation by walkability suggests that built environment characteristics may modify greenness-related health benefits.
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