|dc.contributor.author||Kengne, Andre P.||
|dc.contributor.author||De Villiers, Anniza||
|dc.contributor.author||Lambert, Estelle V.||
|dc.identifier.citation||Malambo, P. et al. (2016). Built environment, selected risk factors and major cardiovascular disease outcomes: a systematic review. PLoS ONE, 11(11): e0166846.||en_US
Built environment attributes have been linked to cardiovascular disease (CVD) risk. Therefore,
identifying built environment attributes that are associated with CVD risk is relevant for
facilitating effective public health interventions.
To conduct a systematic review of literature to examine the influence of built environmental
attributes on CVD risks.
Multiple database searches including Science direct, CINAHL, Masterfile Premier, EBSCO
and manual scan of reference lists were conducted.
Studies published in English between 2005 and April 2015 were included if they assessed
one or more of the neighborhood environmental attributes in relation with any major CVD
outcomes and selected risk factors among adults.
Author(s), country/city, sex, age, sample size, study design, tool used to measure neighborhood
environment, exposure and outcome assessments and associations were extracted
from eligible studies.
Eighteen studies met the inclusion criteria. Most studies used both cross-sectional design and
Geographic Information System (GIS) to assess the neighborhood environmental attributes.
Neighborhood environmental attributes were significantly associated with CVD risk and CVD
outcomes in the expected direction. Residential density, safety from traffic, recreation facilities,
street connectivity and high walkable environment were associated with physical activity. High
walkable environment, fast food restaurants, supermarket/grocery stores were associated with
blood pressure, body mass index, diabetes mellitus and metabolic syndrome. High density traffic,
road proximity and fast food restaurants were associated with CVDs outcomes.
This study confirms the relationship between neighborhood environment attributes and
CVDs and risk factors. Prevention programs should account for neighborhood environmental
attributes in the communities where people live.||en_US
|dc.publisher||Public Library of Science||en_US
|dc.rights||© 2016 Malambo et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the original
author and source are credited.||
|dc.subject||Built environment attributes||en_US
|dc.subject||Cardiovascular disease (CVD) risk||en_US
|dc.subject||Public health interventions||en_US
|dc.title||Built environment, selected risk factors and major cardiovascular disease outcomes: a systematic review||en_US