Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study

Parveen K Garg; Jonathan M Platt; Jana A Hirsch; Philip Hurvitz; Andrew Rundle; Mary Lou Biggs; Bruce M Psaty; Kari Moore; Gina S Lovasi

doi:10.1016/j.healthplace.2021.102596

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Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study

Journal article

Open access

Peer reviewed

Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study

Parveen K Garg, Jonathan M Platt, Jana A Hirsch, Philip Hurvitz, Andrew Rundle, Mary Lou Biggs, Bruce M Psaty, Kari Moore and Gina S Lovasi

Health & place, Vol.70, pp.102596-102596

07/2021

DOI: 10.1016/j.healthplace.2021.102596

PMCID: PMC8328953

PMID: 34091144

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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. •We examined the association of neighborhood physical activity opportunities and cardiovascular disease risk in older adults.•Neighborhood measures were calculated using Geographic Information Systems and National Establishment Time Series database.•Higher number of walking destinations within 5 km of home was associated with a reduced CVD risk.•Higher number of physical activity/recreational facilities within 5 km of home was also associated with a reduced CVD risk.

Built environment

Cardiovascular disease

Geographic information systems

Physical activity

Details

Title: Subtitle: Association of neighborhood physical activity opportunities with incident cardiovascular disease in the Cardiovascular Health Study
Creators: Parveen K Garg - Division of Cardiology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA
Jonathan M Platt - Urban Health Collaborative and Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Jana A Hirsch - Urban Health Collaborative and Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Philip Hurvitz - Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA
Andrew Rundle - Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
Mary Lou Biggs - Department of Biostatistics, University of Washington, Seattle, WA, USA
Bruce M Psaty - Cardiovascular Health Research Unit, Departments of Medicine, Epidemiology and Health Services, University of Washington, Seattle, WA, USA
Kari Moore - Urban Health Collaborative and Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Gina S Lovasi - Urban Health Collaborative and Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Resource Type: Journal article
Publication Details: Health & place, Vol.70, pp.102596-102596
DOI: 10.1016/j.healthplace.2021.102596
PMID: 34091144
PMCID: PMC8328953
NLM abbreviation: Health Place
ISSN: 1353-8292
eISSN: 1873-2054
Publisher: Elsevier Ltd
Grant note: DOI: 10.13039/100000049, name: National Institute on Aging; DOI: 10.13039/100000050, name: NHLBI
Language: English
Date published: 07/2021
Academic Unit: Epidemiology; Injury Prevention Research Center
Record Identifier: 9984214676402771

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