{"id":"https://openalex.org/W4380795477","doi":"https://doi.org/10.1161/circ.146.suppl_1.14187","title":"Abstract 14187: Neighborhood Walkability and Cardiovascular Risk in the United States","display_name":"Abstract 14187: Neighborhood Walkability and Cardiovascular Risk in the United States","publication_year":2022,"publication_date":"2022-11-08","ids":{"openalex":"https://openalex.org/W4380795477","doi":"https://doi.org/10.1161/circ.146.suppl_1.14187"},"language":"en","primary_location":{"id":"doi:10.1161/circ.146.suppl_1.14187","doi":"https://doi.org/10.1161/circ.146.suppl_1.14187","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.146.suppl_1.14187","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076974425","display_name":"Issam Kamel Motairek","orcid":"https://orcid.org/0000-0003-3294-8659","observed_orcids":["https://orcid.org/0000-0003-3294-8659"]},"institutions":[{"id":"https://openalex.org/I2799343972","display_name":"University Hospitals of Cleveland","ror":"https://ror.org/0130jk839","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Issam Motairek","raw_affiliation_strings":["Cardiology, Univ Hosps Cleveland, Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Univ Hosps Cleveland, Cleveland, OH","institution_ids":["https://openalex.org/I2799343972"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083085573","display_name":"Mohamed H. E. Makhlouf","orcid":"https://orcid.org/0000-0002-3592-2844","observed_orcids":["https://orcid.org/0000-0002-3592-2844"]},"institutions":[{"id":"https://openalex.org/I2799343972","display_name":"University Hospitals of Cleveland","ror":"https://ror.org/0130jk839","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohamed H.E. Makhlouf","raw_affiliation_strings":["Cardiology, Univ Hosps Cleveland, Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Univ Hosps Cleveland, Cleveland, OH","institution_ids":["https://openalex.org/I2799343972"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072663918","display_name":"Khurram Nasir","orcid":"https://orcid.org/0000-0001-5376-2269","observed_orcids":["https://orcid.org/0000-0001-5376-2269","https://orcid.org/0000-0002-2632-1318"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Khurram Nasir","raw_affiliation_strings":["Houston Methodist, Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Methodist, Houston, TX","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058114715","display_name":"Salil Vasudeo Deo","orcid":"https://orcid.org/0000-0002-4729-1461","observed_orcids":["https://orcid.org/0000-0002-4729-1461"]},"institutions":[{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Salil V Deo","raw_affiliation_strings":["Case Western Reserve Univ, Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Case Western Reserve Univ, Cleveland, OH","institution_ids":["https://openalex.org/I58956616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022334933","display_name":"Sanjay Rajagopalan","orcid":"https://orcid.org/0000-0001-6669-8163","observed_orcids":["https://orcid.org/0000-0001-6669-8163"]},"institutions":[{"id":"https://openalex.org/I2799343972","display_name":"University Hospitals of Cleveland","ror":"https://ror.org/0130jk839","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972"]},{"id":"https://openalex.org/I4210108791","display_name":"University Hospitals Cleveland Medical Center","ror":"https://ror.org/01gc0wp38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210108791"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"sanjay Rajagopalan","raw_affiliation_strings":["Univ Hosps Cleveland, Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Hosps Cleveland, Cleveland, OH","institution_ids":["https://openalex.org/I2799343972","https://openalex.org/I4210108791"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041444092","display_name":"Sadeer G Al-Kindi","orcid":"https://orcid.org/0000-0002-1122-7695","observed_orcids":["https://orcid.org/0000-0002-1122-7695","https://orcid.org/0009-0008-7492-8748"]},"institutions":[{"id":"https://openalex.org/I2799343972","display_name":"University Hospitals of Cleveland","ror":"https://ror.org/0130jk839","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972"]},{"id":"https://openalex.org/I4210108791","display_name":"University Hospitals Cleveland Medical Center","ror":"https://ror.org/01gc0wp38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210108791"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sadeer Al-Kindi","raw_affiliation_strings":["Univ Hosps Cleveland, Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Hosps Cleveland, Cleveland, OH","institution_ids":["https://openalex.org/I2799343972","https://openalex.org/I4210108791"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"146","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10298","display_name":"Urban Transport and Accessibility","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/3313","display_name":"Transportation"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10298","display_name":"Urban Transport and Accessibility","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/3313","display_name":"Transportation"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10692","display_name":"Urban Green Space and Health","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T13522","display_name":"Cardiovascular Health and Risk Factors","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neighborhood-walkability","display_name":"neighborhood walkability","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.7580000162124634},{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.9940000176429749},{"id":"https://openalex.org/keywords/cardiovascular-risk-factors","display_name":"cardiovascular risk factors","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.9810000061988831},{"id":"https://openalex.org/keywords/hypercholesterolemia","display_name":"hypercholesterolemia","score":0.765999972820282},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.9990000128746033},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9959999918937683},{"id":"https://openalex.org/keywords/social-vulnerability-index","display_name":"Social Vulnerability Index","score":0.8109999895095825},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.9409999847412109},{"id":"https://openalex.org/keywords/census-tracts","display_name":"census tracts","score":0.7789999842643738},{"id":"https://openalex.org/keywords/built-environment","display_name":"built environment","score":0.6230000257492065},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.8820000290870667}],"concepts":[{"id":"https://openalex.org/C2780814631","wikidata":"https://www.wikidata.org/wiki/Q2822691","display_name":"Walkability","level":3,"score":0.9666916131973267},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7977923154830933},{"id":"https://openalex.org/C68443243","wikidata":"https://www.wikidata.org/wiki/Q2786686","display_name":"Quartile","level":3,"score":0.743483304977417},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4988584518432617},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4420740306377411},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.4353697597980499},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4069347083568573},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.19462329149246216},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.09837165474891663},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.09535622596740723},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.08688336610794067},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.146.suppl_1.14187","doi":"https://doi.org/10.1161/circ.146.suppl_1.14187","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.146.suppl_1.14187","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/11","score":0.761900007724762,"display_name":"Sustainable cities and communities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4310733025","https://openalex.org/W2921684111","https://openalex.org/W4414991232","https://openalex.org/W4320080023","https://openalex.org/W2982403460","https://openalex.org/W4408284678","https://openalex.org/W3127577729","https://openalex.org/W4380714994","https://openalex.org/W3183725556","https://openalex.org/W4410499318"],"abstract_inverted_index":{"Walkability":[0],"may":[1,10],"be":[2],"associated":[3,17,217,238],"with":[4,33,75,218,239],"increased":[5],"physical":[6],"activity":[7],"and":[8,16,30,47,61,69,117,127,196,215,247],"thus":[9],"confer":[11],"protection":[12],"against":[13],"cardiovascular":[14,28,62,94,244,253],"disease":[15,59],"risk":[18,31,63,180,245],"factors.":[19],"We":[20,87,102],"sought":[21],"to":[22,110,168,185,190,194,199,257],"characterize":[23],"the":[24,82,89,112,118,128,163,176,219],"association":[25,113],"between":[26,114],"neighborhood-level":[27],"diseases":[29],"factors":[32,64,181,246],"neighborhood":[34,235],"walkability":[35,79,100,115,147,202,211,236,258],"across":[36,201],"most":[37],"US":[38],"census":[39,76,141],"tracts.":[40],"Methods:":[41],"The":[42],"Centers":[43],"for":[44,123],"Disease":[45],"Control":[46],"Prevention":[48],"(CDC)":[49],"PLACES":[50],"dataset":[51],"provided":[52],"census-tract":[53],"level":[54],"prevalence":[55,91,119,164,177,220,242,251],"of":[56,92,99,120,136,165,178,221,243,252],"coronary":[57,267],"artery":[58,268],"(CAD)":[60],"(hypertension,":[65],"high":[66,187],"cholesterol,":[67],"obesity,":[68],"diabetes).":[70],"These":[71],"data":[72],"were":[73,143],"matched":[74],"tract":[77],"population-weighted":[78],"index":[80,116,212,259],"from":[81],"CDC\u2019s":[83],"smart":[84],"location":[85],"database.":[86],"calculated":[88],"mean":[90],"each":[93],"health":[95,254],"indicator":[96],"by":[97],"quartile":[98],"score.":[101],"also":[103],"fit":[104],"a":[105,133,158,173,240],"multivariable":[106,208],"linear":[107],"regression":[108],"model":[109],"estimate":[111],"CAD":[121,166,222,265],"adjusting":[122],"age,":[124],"sex,":[125],"race,":[126],"CDC'S":[129],"social":[130],"vulnerability":[131],"index,":[132],"validated":[134],"metric":[135],"socioeconomic":[137],"status.":[138],"Results:":[139],"70,123":[140],"tracts":[142],"analyzed":[144],"nationwide.":[145],"Across":[146],"quartiles":[148,203],"Q1":[149],"(least":[150],"walkable)":[151],"through":[152],"Q4":[153],"(most":[154],"walkable),":[155],"we":[156],"found":[157],"statistically":[159],"significant":[160],"decrease":[161,174],"in":[162,175],"(7.0%":[167],"5.4%).":[169],"Similarly,":[170],"there":[171],"was":[172,213],"CVD":[179],"including":[182],"hypertension":[183],"(35.5%":[184],"29.7%),":[186,191],"cholesterol":[188],"(34.5%":[189],"obesity":[192],"(35.0%":[193],"30.2%),":[195],"diabetes":[197],"(11.6%":[198],"10.6%)":[200],"(":[204],"Figure":[205],").":[206],"After":[207],"adjustment,":[209],"continuous":[210],"negatively":[214],"significantly":[216],"(\u03b2":[223],"=":[224,262,266],"-0.09,":[225],"p":[226],"<":[227],"0.0001).":[228],"Conclusions:":[229],"This":[230],"nationwide":[231],"analysis":[232],"demonstrates":[233],"that":[234],"is":[237],"lower":[241],"CAD.":[248],"Figure:":[249],"Mean":[250],"indicators":[255],"according":[256],"quartile.":[260],"BP":[261],"blood":[263],"pressure,":[264],"disease.":[269]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-21T09:56:26.102985","created_date":"2023-06-16T00:00:00"}