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Panagiotakos, D. Challenges and Opportunities in Preventing Cardiovascular Disease Within the Built Living Environment. Journal of Cardiovascular and Metabolic Disease Epidemiology. 2025. doi: Retrieved from https://w3.sciltp.com/journals/jcmde/article/view/504
Volume 1, Issue 1, 2025
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Mini Review

Challenges and Opportunities in Preventing Cardiovascular Disease Within the Built Living Environment

Demosthenes Panagiotakos

Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University,
17676 Athens, Greece; dbpanag@hua.gr

Received: 20 September 2024; Accepted: 24 March 2025; Published: 26 March 2025

Abstract: Cardiovascular health is shaped not only by biological factors but also by the environments in which people live. Specifically, the built living environment, comprising human-made surroundings that form the backdrop for daily activities, has been associated with inhabitants’ engagement in physical activities, dietary habits, social connections, as well as overall sense of safety and quality of life. This review explores the challenges and opportunities for preventing cardiovascular disease within the built living environment, from a public health perspective.

Keywords:

environment built environment cardiovascular disease metabolic disease public health

References

  1. Blaustein, J.R.; Quisel, M.J.; Hamburg, N.M.; et al. Environmental Impacts on Cardiovascular Health and Biology: An Overview. Circ. Res. 2024, 134, 1048–1060. https://doi.org/10.1161/CIRCRESAHA.123.323613.
  2. Abreu, T.C.; Beulens, J.W.; Heuvelman, F.; et al. Associations between dimensions of the social environment and cardiometabolic health outcomes: A systematic review and meta-analysis. BMJ Open 2024, 14, e079987. https://doi.org/10.1136/bmjopen-2023-079987.
  3. Houghtaling, B.; Serrano, E.L.; Kraak, V.I.; et al. A systematic review of factors that influence food store owner and manager decision making and ability or willingness to use choice architecture and marketing mix strategies to encourage healthy consumer purchases in the United States, 2005–2017. Int. J. Behav. Nutr. Phys. Act. 2019, 16, 5. https://doi.org/10.1186/s12966-019-0767-8.
  4. Tsiampalis, T.; Faka, A.; Psaltopoulou, T.; et al. The relationship of the built and food environments with the metabolic syndrome in the Athens metropolitan area: A sex-stratified spatial analysis in the context of the ATTICA epidemiological study. Hormones 2021, 20, 723–734. https://doi.org/10.1007/s42000-021-00293-3.
  5. Zaleskiewicz, H.; Kulis, E.; Siwa, M.; et al. Characteristics of built food environments associated with alternative protein food choices: A systematic review. Int. J. Behav. Nutr. Phys. Act. 2024, 21, 58. https://doi.org/10.1186/s12966-024-01606-6.
  6. Ver Ploeg, M. Access to Affordable, Nutritious Food Is Limited in “Food Deserts” 2010. Available online: https://www.ers.usda.gov/amber-waves/2010/march/access-to-affordable-nutritious-food-is-limitedin-food-deserts/ (accessed on 15 March, 2025).
  7. Thomas, T.W.; Cankurt, M. Influence of Food Environments on Dietary Habits: Insights from a Quasi-Experimental Research. Foods 2024, 13, 2013. https://doi.org/10.3390/foods13132013.
  8. Oh, J.I.; Lee, K.J.; Hipp, A. Food deserts exposure, density of fast-food restaurants, and park access: Exploring the association of food and recreation environments with obesity and diabetes using global and local regression models. PLoS ONE 2024, 19, e0301121. https://doi.org/10.1371/journal.pone.0301121.
  9. Høyer-Kruse, J.; Schmidt, E.B.; Hansen, A.F.; et al. The interplay between social environment and opportunities for physical activity within the built environment: A scoping review. BMC Public Health 2024, 24, 2361. https://doi.org/10.1186/s12889-024-19733-x.
  10. Müller, C.; Paulsen, L.; Bucksch, J.; et al. Built and natural environment correlates of physical activity of adults living in rural areas: A systematic review. Int. J. Behav. Nutr. Phys. Act. 2024, 21, 52. https://doi.org/10.1186/s12966-024-01598-3.
  11. Basith, S.; Manavalan, B.; Shin, T.H.; et al. The impact of fine particulate matter 2.5 on the cardiovascular system: A review of the invisible killer. Nanomaterials 2022, 12, 2656. https://doi.org/10.3390/nano12152656.
  12. Al-Kindi, S.G.; Brook, R.D.; Biswal, S.; et al. Environmental determinants of cardiovascular disease: Lessons learned from air pollution. Nat. Rev. Cardiol. 2020, 17, 656–672. https://doi.org/10.1038/s41569-020-0371-2.
  13. Bevan, G.H.; Al-Kindi, S.G.; Brook, R.D.; et al. Ambient air pollution and atherosclerosis: Insights into dose, time, and mechanisms. Arterioscler. Thromb. Vasc. Biol. 2021, 41, 628–637. https://doi.org/10.1161/ATVBAHA.120.315219.
  14. Khraishah, H.; Chen, Z.; Rajagopalan, S. Understanding the cardiovascular and metabolic health effects of air pollution in the context of cumulative exposomic impacts. Circ. Res. 2024, 134, 1083–1097. https://doi.org/10.1161/CIRCRESAHA.124.323673.
  15. Reddy, Y.U.; Ugwuja, F. Changing a Community: A Holistic View of the Fundamental Human Needs and Their Public Health Impacts. Cureus 2023, 15, e44023. https://doi.org/10.7759/cureus.44023.