Heart failure & cardiomyopathies

Ready-to-Eat Food Environments and Risk of Incident Heart Failure: A Prospective Cohort Study

Circ Heart FailPublished Prospective cohort study

Main finding · Incident HFResult — go to the resultHigher risk of HF 16% CI 8%–25%

Authors' conclusion

Exposure to ready-to-eat food environments is associated with a higher risk of incident HF

Study context

Population
Large prospective cohort; ready-to-eat food environments (pubs or bars, restaurants or cafeterias, fast-food outlets) measured individually
Exposure
Ready-to-eat food environment exposure vs no exposure
Outcome
Incident HF
Methodological detailsCox proportional analyses of single-type and composite food environments
  • Cox proportional analyses of single-type and composite food environments

Main finding

As reported in the abstract

Higher risk of heart failure (HF)

16%

CI 8%–25%

P < 0.0001

Highest density scorevs No exposure
higher risk of HF 16% (CI 8%–25%); P < 0.0001
Closer proximity to and greater density of ready-to-eat food environments, particularly pubs and bars and fast-food outlets, associated with elevated risk of incident HF
P < 0.05

Observational data: associations, not effects.

Further findings

Incident HF, effect modification by education, urbanicity and density of physical activity facilities

Stronger association among poorly educated, urban residents and those without physical activity facilities
all Pinteraction<0.05
  • Interaction P<0.05

Original publication

Ready-to-Eat Food Environments and Risk of Incident Heart Failure: A Prospective Cohort Study. Circ Heart Fail. Published 27 February 2024. doi:10.1161/circheartfailure.123.010830

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