Prevention & lipidsMeta-analysis
The built environment and cardiovascular disease: an umbrella review and meta-meta-analysis
- Umbrella review and meta-meta-analysis of systematic reviews
Authors' conclusion
Air pollutants, increased noise levels, temperature, and greenspace were associated with CVD outcomes.
Study context
- Population
- Adults; systematic reviews of long-term built environmental exposures (air pollution, food environment, physical activity environment, urbanization, light pollution, residential noise, ambient temperature)51 systematic reviews
- Comparison
- Objectively measured neighbourhood built environment exposures and cardiovascular disease (CVD) events
- Outcome
- CVD events
Pooled result
As reported in the abstract
CVD
- Strong evidence: increased air pollutants (especially PM2.5) associated with greater CVD risk
- Strong evidence: increased residential noise associated with greater CVD risk
- Highly suggestive evidence: increased ambient temperature associated with greater CVD risk
- Systematic reviews on physical activity environment, food environment, light pollution and urbanization scarce or lacking
- 179 pooled estimates across 5 domains
Original publication
The built environment and cardiovascular disease: an umbrella review and meta-meta-analysis. Eur J Prev Cardiol. Published 24 July 2023. doi:10.1093/eurjpc/zwad241
Summarised from the published abstract; every number is checked against it