Built Environment and Cardiovascular Diseases – Insights from a Global Review

Ali Aahil Noorali, Asma Altaf Hussain Merchant, Noreen Afzal, Rupshikha Sen, Vashma Junaid, Adeel Khoja, Sadeer Al-Kindi, Elizabeth M. Vaughan, Unab I. Khan, Nilofer F. Safdar, Salim S. Virani, Sana Sheikh

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: This narrative review aims to synthesize global literature on the relationship between cardiovascular diseases (CVD) and components of built environment (green spaces, walkability, food environment, accessibility and availability of recreational and healthcare facilities, and effects of air and noise pollution). Recent Findings: Increased green space and neighborhood walkability are associated with lower CVD mortality and morbidity; however, benefits have shown differential effects by socioeconomic status (SES). Air pollution is a leading environmental risk factor contributing to CVDs, and it disproportionately impacts low SES populations and women. Findings on relationships between food environment and CVDs are inconsistent and limited. Summary: This global review reports on the multifactorial and complex relationship between built environment and higher CVD risk and poor CVD outcomes. Future research can address an unmet need to understand this relationship with further depth and breadth, and to investigate resulting health disparities.

Original languageEnglish (US)
Article number36
JournalCurrent Atherosclerosis Reports
Volume27
Issue number1
DOIs
StatePublished - Dec 2025

Keywords

  • Air pollution
  • Built environment
  • Cardiovascular diseases
  • Food environment
  • Green space
  • Walkability

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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