Key result
Walkable, greener neighborhoods link to lower cardiometabolic disease prevalence, whereas solid fuel burning increases risk.
Why the study?
Does the physical urban environment affect the prevalence of cardiometabolic diseases in Bulgarian cities?
Observational
Yes
Does the physical urban environment affect the prevalence of cardiometabolic diseases in Bulgarian cities?
Favorable urban design, including walkability, greenspace, and bluespace, is associated with lower cardiometabolic disease prevalence, whereas solid fuel burning increases cardiovascular risk.
was counterintuitive. We detected some nonlinear associations. In conclusion, people living in urban neighborhoods that were more walkable, closer to bluespace, and greener had lower prevalence of cardiometabolic diseases, while solid fuel burning was associated with higher odds of cardiovascular diseases. Unexpected associations with some exposures may be due to unaccounted for urban fabric characteristics. This study is among the first assessing an understudied region in Southeastern Europe. Its findings have the potential to inform public discourse and provide evidence to support the implementation of urban design conducive to cardiometabolic health.
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Dzhambov et al. (2024) conducted an observational in Cardiometabolic diseases. Physical urban environment (walkability, bluespace, greenness, solid fuel burning) was evaluated on Prevalence of cardiometabolic diseases and cardiovascular diseases. Living in more walkable, greener neighborhoods closer to bluespace was associated with lower prevalence of cardiometabolic diseases, while solid fuel burning was associated with higher odds of CVD.
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