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DOI10.1161/CIRCOUTCOMES.116.003532
Association Between Living in Food Deserts and Cardiovascular Risk
Kelli, Heval M.1; Hammadah, Muhammad1; Ahmed, Hina1; Ko, Yi-An2; Topel, Matthew1; Samman-Tahhan, Ayman1; Awad, Mossab1; Patel, Keyur1; Mohammed, Kareem1; Sperling, Laurence S.1; Pemu, Priscilla4; Vaccarino, Viola1,2; Lewis, Tene2; Taylor, Herman4; Martin, Greg3; Gibbons, Gary H.5; Quyyumi, Arshed A.1
通讯作者Quyyumi, Arshed A.
来源期刊CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
ISSN1941-7705
EISSN1941-7713
出版年2017
卷号10期号:9
英文摘要

Background-Food deserts (FD), neighborhoods defined as low-income areas with low access to healthy food, are a public health concern. We evaluated the impact of living in FD on cardiovascular risk factors and subclinical cardiovascular disease (CVD) with the hypothesis that people living in FD will have an unfavorable CVD risk profile. We further assessed whether the impact of FD on these measures is driven by area income, individual household income, or area access to healthy food.


Methods and Results-We studied 1421 subjects residing in the Atlanta metropolitan area who participated in the METAHealth study (Morehouse and Emory Team up to Eliminate Health Disparities; n=712) and the Predictive Health study (n=709). Participants’ zip codes were entered into the United States Food Access Research Atlas for FD status. Demographic data, metabolic profiles, hs-CRP (high-sensitivity C-reactive protein) levels, oxidative stress markers (glutathione and cystine), and arterial stiffness were evaluated. Mean age was 49.4 years, 38.5% male and 36.6% black. Compared with those not living in FD, subjects living in FD (n=187, 13.2%) had a higher prevalence of hypertension and smoking, higher body mass index, fasting glucose, and 10-year risk for CVD. They also had higher hs-CRP (P=0.014), higher central augmentation index (P=0.015), and lower glutathione level (P=0.003), indicative of increased oxidative stress. Area income and individual income, rather than food access, were associated with CVD risk measures. In a multivariate analysis that included food access, area income and individual income, both low-income area and low individual household income, were independent predictors of a higher 10-year risk for CVD. Only low individual income was an independent predictor of higher hs-CRP and augmentation index.


Conclusions-Although living in FD is associated with a higher burden of cardiovascular risk factors and preclinical indices of CVD, these associations are mainly driven by area income and individual income rather than access to healthy food.


英文关键词coronary disease epidemiology hypertension prevalence risk factors
类型Article
语种英语
国家USA
收录类别SCI-E ; SSCI
WOS记录号WOS:000411069000005
WOS关键词C-REACTIVE PROTEIN ; JOINT-NATIONAL-COMMITTEE ; HIGH BLOOD-PRESSURE ; ARTERIAL STIFFNESS ; SOCIOECONOMIC-STATUS ; DISEASE MORTALITY ; UNITED-STATES ; HEART-DISEASE ; VASCULAR DYSFUNCTION ; OXIDATIVE STRESS
WOS类目Cardiac & Cardiovascular Systems
WOS研究方向Cardiovascular System & Cardiology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/198118
作者单位1.Emory Univ, Emory Clin Cardiovasc Res Inst, Atlanta, GA 30322 USA;
2.Emory Univ, Sch Med, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA;
3.Emory Univ, Predict Hlth Inst, Atlanta, GA 30322 USA;
4.Morehouse Sch Med, Cardiovasc Res Inst, Atlanta, GA USA;
5.NHLBI, Bldg 10, Bethesda, MD 20892 USA
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GB/T 7714
Kelli, Heval M.,Hammadah, Muhammad,Ahmed, Hina,et al. Association Between Living in Food Deserts and Cardiovascular Risk[J],2017,10(9).
APA Kelli, Heval M..,Hammadah, Muhammad.,Ahmed, Hina.,Ko, Yi-An.,Topel, Matthew.,...&Quyyumi, Arshed A..(2017).Association Between Living in Food Deserts and Cardiovascular Risk.CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES,10(9).
MLA Kelli, Heval M.,et al."Association Between Living in Food Deserts and Cardiovascular Risk".CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES 10.9(2017).
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