Living in food deserts and adverse cardiovascular outcomes in patients with cardiovascular disease
Journal of the American Heart Association Feb 15, 2019
Kelli HM, et al. - Among 4,944 subjects (age 64±12, 64% male) undergoing cardiac catheterization from the Emory Cardiovascular Biobank, researchers assessed the link between living in food deserts (FDs, defined as low-income communities with limited access to healthy food) and incident cardiovascular events. They used the US Department of Agriculture definition of FD and assessed the link between area characteristics (FD, poor access, and low income) and the rates of adverse events after adjusting for traditional risk factors via Cox proportional hazard models for death/myocardial infarction, with follow-up for a median of 3.2 years. They noted overall 981 (20%) participants lived in FDs and they had a higher adjusted risk of MI vs those not living in FDs. In those with coronary artery disease, a higher risk of adverse cardiovascular events was observed in relation to living in an FD. Specifically, they observed a significant association of low area income of FDs, but not of poor access to food, with worse outcomes.
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