| Title: | Ready-to-Eat Food Environments and Risk of Incident Heart Failure: A Prospective Cohort Study |
| Journal: | Circulation Heart Failure |
| Published: | 27 Feb 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/38410999/ |
| DOI: | https://doi.org/10.1161/circheartfailure.123.010830 |
| URL: | https://www.ahajournals.org/doi/pdf/10.1161/CIRCHEARTFAILURE.123.010830 |
Publication 10161
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Abstract
BACKGROUND: Food environments have been linked to cardiovascular diseases; however, few studies have assessed the relationship between food environments and the risk of heart failure (HF). We aimed to evaluate the association between ready-to-eat food environments and incident HF at an individual level in a large prospective cohort.</p>
METHODS: Exposure to ready-to-eat food environments, comprising pubs or bars, restaurants or cafeterias, and fast-food outlets, were individually measured as both proximity and density metrics. We also developed a composite ready-to-eat food environment density score by summing the densities of 3 types of food environments. Cox proportional analyses were applied to assess the associations of each single type and the composite food environments with HF risk.</p>
RESULTS: Closer proximity to and greater density of ready-to-eat food environments, particularly for pubs and bars and fast-food outlets (P<0.05 for both proximity and density metric) were associated with an elevated risk of incident HF. Compared with those with no exposure to composite ready-to-eat food environments, participants in the highest density score category had a 16% (8%-25%; P<0.0001) higher risk of HF. In addition, we found significant interactions of food environments with education, urbanicity, and density of physical activity facilities on HF risk (all Pinteraction<0.05); the ready-to-eat food environments-associated risk of HF was stronger among participants who were poorly educated, living in urban areas, and without physical activity facilities.</p>
CONCLUSIONS: Exposure to ready-to-eat food environments is associated with a higher risk of incident HF, suggesting the potential importance of minimizing unfavorable food environments in the prevention of HF.</p>
6 Authors
- Qiaochu Xue
- Xiang Li
- Hao Ma
- Xuan Wang
- Yoriko Heianza
- Lu Qi
1 Application
| Application ID | Title |
|---|---|
| 29256 | Study of gene-environment interaction and Mendelian randomization of obesity and cardiometabolic risk |
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