Leveraging Neighborhood-Level Interventions to Improve Cardiovascular Health: A Scoping Review
Authors' conclusion
Multicomponent interventions coupling neighborhood environmental modifications with either individual or community-level support show promise for improving cardiovascular health behaviors, particularly physical activity and diet in disadvantaged populations. Future work should prioritize long-term studies on interventions that integrate these elements to understand sustainability and measure cost-effectiveness to facilitate implementation of strategies and policy changes that sustain long-term health improvements.
Study context
- Population
- Studies published between 2015 and 2025 of neighborhood-level interventions designed to promote cardiovascular healthstudies included · randomized controlled trials 15 · quasi-experimental studies 5
- Participants
- 20 studies
- Outcome
- Cardiovascular outcomes across studies
Main finding
As reported in the abstract
Studies demonstrated beneficial cardiovascular outcomes
55%
Showed mixed effects
20%
Showed null effects
25%
Further findings
Benefit by outcome domain
- Dietary behavior outcomes showed the greatest benefit
- 73%
- Physical activity
- 63%
- Cardiometabolic risk factors showed limited improvement
Intervention effectiveness
- Interventions were particularly effective when they integrated environmental changes with support across multiple levels, including education, peer support, and community resources
Original publication
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