| Autor: |
Omar M. Makram, MD, MPH, Nwabunie Nwana, PhD, MPH, Alan Pan, MS, Juan C. Nicolas, BS, Rakesh Gullapelli, BS, MS, Budhaditya Bose, MS, Ashutosh Sabharwal, PhD, Jenny Chang, MD, Zulqarnain Javed, PhD, MBBS, MPH, Bita Kash, PhD, Jay E. Maddock, PhD, Khurram Nasir, MD, MPH, MSc, Sadeer Al-Kindi, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2025 |
| Předmět: |
|
| Zdroj: |
JACC: Advances, Vol 4, Iss 1, Pp 101457- (2025) |
| Druh dokumentu: |
article |
| ISSN: |
2772-963X |
| DOI: |
10.1016/j.jacadv.2024.101457 |
| Popis: |
Background: Green space has been linked with cardiovascular (CV) health. Nature access and quality may have significant impact on CV risk factors and health. Objectives: The authors aimed to investigate the relationship between NatureScore, a composite score for natural environment exposure and quality of green spaces, with CV risk factors and atherosclerotic cardiovascular diseases (ASCVD). Methods: A cross-sectional study including one million adult patients from the Houston Methodist Learning Health System Outpatient Registry (2016-2022). NatureScore is a composite measure of natural environment exposure and quality (0-100) calculated for each patient based on residential address. NatureScores was divided into 4 categories: nature deficient/light (0-39), nature adequate (40-59), nature rich (60-79), and nature utopia (80-100). CV risk factors included hypertension, diabetes, dyslipidemia, and obesity. Results: Among 1.07 million included patients (mean age 52 years, female 59%, Hispanic 16%, Non-Hispanic Black 14%), median NatureScore was 69.4. After adjusting for neighborhood walkability, patients living in highest NatureScore neighborhoods had lower prevalence of CV risk factors (OR: 0.91, 95% CI: 0.90-0.93) and ASCVD (OR: 0.96, 95% CI: 0.93-0.98) than those in lowest NatureScore neighborhoods. A significant interaction existed between NatureScore and Walkability (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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