The association between food environments and cardiovascular disease outcomes: A systematic review

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-09-10 DOI:10.1016/j.hrtlng.2024.08.019

Yu Jia Liu , Xiao Qin Wang , Guiqin Zhang , Qiansheng Zhao , Yu Xin Cheng , Shuo Liu , Bing Xiang Yang , Dan Luo , Qian Liu , Huijing Zou

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引用次数: 0

Abstract

Background

Cardiovascular disease (CVD) is the leading cause of death worldwide, particularly affecting low- and middle-income countries. Food environments may be linked with the risk of CVD; however, current study findings regarding their relationship are inconsistent. A systematic review of their associations is needed to guide interventions to improve cardiovascular health.

Objective

This systematic review aimed to comprehensively assess the relationship between food environments and CVD outcomes, including incidence, hospitalization, mortality, and recurrence rates.

Method

According to PRISMA guidelines, a systematic search was conducted until 28th March 2024, using eight databases, including PubMed, Embase, Ovid, CINAHL, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang Data. The review quality was assessed according to the Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Scale (NOS). The included studies were categorized based on their exposure factors into unhealthy, healthy, and comprehensive food environments, encompassing facilities that offer healthy and unhealthy foods. The findings were narratively synthesized according to this classification.

Result

A total of 23 studies, encompassing 13 cross-sectional studies and 10 cohort-longitudinal studies, were included in this review. Among the 20 studies on unhealthy food environments, 13 found a positive association with CVD outcomes. Of the seven studies on healthy food environments, 3 found a negative association with CVD outcomes. Additionally, 4 out of 8 studies on comprehensive food environments found a significant but inconsistent association with CVD outcomes.

Conclusion

This study suggested that unhealthy food environments are probably associated with CVD outcomes. At the same time, there is currently no conclusive evidence to indicate a relationship between healthy food environments or comprehensive food environments and CVD outcomes.

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食物环境与心血管疾病结果之间的关系：系统回顾

背景心血管疾病（CVD）是导致全球死亡的主要原因，尤其影响中低收入国家。食物环境可能与心血管疾病的风险有关；然而，目前有关两者关系的研究结果并不一致。本系统综述旨在全面评估食物环境与心血管疾病结果（包括发病率、住院率、死亡率和复发率）之间的关系。方法根据PRISMA指南，使用PubMed、Embase、Ovid、CINAHL、Web of Science、Cochrane Library、中国国家知识基础设施（CNKI）和万方数据等8个数据库进行了系统检索，检索时间截至2024年3月28日。根据美国卫生保健研究与质量机构（AHRQ）和纽卡斯尔-渥太华量表（NOS）对综述质量进行评估。纳入的研究根据其暴露因素分为不健康、健康和综合食品环境，包括提供健康和不健康食品的设施。本综述共纳入 23 项研究，包括 13 项横断面研究和 10 项队列纵向研究。在 20 项关于不健康饮食环境的研究中，有 13 项发现与心血管疾病结果呈正相关。在 7 项关于健康饮食环境的研究中，有 3 项发现与心血管疾病结果呈负相关。此外，在 8 项关于综合食品环境的研究中，有 4 项发现与心血管疾病结果有显著关联，但关联性并不一致。同时，目前还没有确凿证据表明健康食品环境或综合食品环境与心血管疾病结果之间存在关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.