Cardiometabolic & kidney

Wireless Movement Activity and Cardiometabolic Disease Risk in Historical Redlined Areas

JACC AdvPublished census tract-level study using multivariable linear regression models

Authors' conclusion

Even among redlined census tracts, those that reported a higher WMI (indicative of more frequent and diverse mobility) were likely to have better population-level cardiometabolic health. WMI may serve as a scalable, dynamic proxy for environmental opportunity and structural inequity.

Study context

Population
Historically redlined U.S. census tracts graded A-D by the Homeowners Loan Corporation (HOLC)
Participants
16,352 census tracts
Comparison
The association between Wireless Movement Index (WMI) and disease prevalence across HOLC grades
  • HOLC grades A-Bn = 4,458
  • Grade Cn = 7,572
  • Grade Dn = 4,322
Outcome
Visits by grade D tract residents
Methodological detailsnationally representative cell-phone tracking data
  • Nationally representative cell-phone tracking data

Main finding

As reported in the abstract

Visits to other grade D census tracts

55%

Visits to grade A/B census tracts

9%

Further findings

OutcomeEstimate
Prevalent hypertension, obesity, and diabetes in grade D tracts, per unit increase in WMIEach unit increase in WMI · grade D tractsdecrease in prevalent hypertension −2.33 (95% CI −2.79 to −1.86)
Prevalent hypertension, obesity, and diabetes in grade D tracts, per unit increase in WMIEach unit increase in WMI · grade D tractsdecrease in prevalent obesity −2.93 (95% CI −3.42 to −2.45)
Prevalent hypertension, obesity, and diabetes in grade D tracts, per unit increase in WMIEach unit increase in WMI · grade D tractsdecrease in prevalent diabetes −0.99 (95% CI −1.30 to −0.68)

Cardiometabolic disease (CMD) prevalence

The WMI was negatively associated with CMD prevalence across all HOLC grades, but this protective association was most pronounced in redlined areas

Original publication

Wireless Movement Activity and Cardiometabolic Disease Risk in Historical Redlined Areas. JACC Adv. Published 22 January 2026. doi:10.1016/j.jacadv.2025.102528

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