Interplay Between Residential Nature Exposure and Walkability and Their Association with Cardiovascular Health
Authors' conclusion
These findings suggest that while green spaces benefit health, their accessibility through walkable environments is crucial for cardiovascular disease protection.
Study context
- Population
- Adult outpatients, Houston Methodist Learning Health System Outpatient Registry, 2016–2022median NatureScore 69.4
- Participants
- 1.07 million outpatients
- Exposure
- Highest vs lowest NatureScore neighbourhoods
- Outcome
- Prevalence of cardiovascular (CV) risk factors (hypertension, DM, dyslipidaemia, obesity) and atherosclerotic cardiovascular diseases (ASCVD)
Main finding
As reported in the abstract
Highest NatureScore vs Lowest NatureScoreOdds ratio (95% CI)
CV risk factors
0.91(0.90–0.93)
ASCVD
0.96(0.93–0.98)
Observational data: associations, not effects.
Further findings
High NatureScore (≥60) and high walkability (≥40) areas
| Estimate | P value | ||
|---|---|---|---|
| High NatureScore, high walkabilityCV risk factors | OR 0.93 (95% CI 0.90–0.97) | P < 0.001 | |
| High NatureScore, high walkabilityOptimal CV risk profile | relative risk ratio 1.09 (95% CI 1.04–1.14) | P = 0.001 | |
| 0.512Ratio (log scale) |
- High NatureScore (≥60) and high walkability (≥40) areas: interaction NatureScore × walkability P < 0.001
Original publication
Interplay Between Residential Nature Exposure and Walkability and Their Association with Cardiovascular Health. JACC Adv. Published 17 December 2024. doi:10.
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