Abstract

Individuals’ risk for cardiovascular disease is shaped by lifestyle factors such as participation in physical activity. Some studies have suggested that rates of physical activity may be higher in walkable neighborhoods that are more supportive of engaging in physical activity in daily life. However, walkable neighborhoods may also contain increased levels of traffic-related air pollution (TRAP). Traffic-related air pollution, often measured through a surrogate marker (e.g. NO2), has been associated cardiovascular disease risk and risk factors [1–4]. The higher levels of TRAP in walkable neighborhoods may in turn increase the likelihood of developing conditions like hypertension and diabetes. Our recent work assessed how walkability and TRAP jointly affect the odds of diabetes and hypertension in a sample of community-dwelling adults from Southern Ontario, Canada [5]. This article contains additional data on the probability and odds of hypertension and diabetes according to their walkability and TRAP exposures. Data on cardiovascular risk factors were collected using health administrative databases and environmental exposures were assessed using national land use regression models predicting ground level concentrations of NO2 and validated walkability indices. The included data were generated using logistic regression accounting for exposures, covariates, and neighborhood clustering. These data may be used as primary data in future health risk assessments and systematic reviews, or to aid in the design of studies examining interactions between built environment and TRAP exposures (e.g. sample size calculations).

Highlights

  • Individuals’ risk for cardiovascular disease is shaped by lifestyle factors such as participation in physical activity

  • Some studies have suggested that rates of physical activity may be higher in walkable neighborhoods that are more supportive of engaging in physical activity in daily life

  • Value of the data Previous work examining relationships between the built environment, traffic-related air pollution, and cardiovascular risk factors has generally treated these variables in isolation. These results demonstrate how antagonistic interactions between walkability or traffic-related air pollution and cardiovascular risk factors may occur Researchers investigating healthy community design, public health practitioners, and individuals engaged in urban policy may benefit from these data The results reported here may be used to develop health risk assessments which take into account interactions between environmental variables, in systematic reviews of environmental correlates of cardiovascular disease risk factors, and in planning future studies examining interactions between built environment and air pollution variables Previous analyses (e.g. Refs. [7,8]) have used literature-derived estimates of associations between physical activity, air pollution, and cardiovascular health to assess whether the protective value of physical activity declines in polluted environments

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Summary

Data accessibility

Public Health and Health Policy Environmental Epidemiology Table Administrative health care data of residents receiving coverage under the Ontario Health Insurance Plan, offered to all permanent residents in Ontario, Canada. These results demonstrate how antagonistic interactions between walkability or traffic-related air pollution and cardiovascular risk factors may occur Researchers investigating healthy community design, public health practitioners, and individuals engaged in urban policy may benefit from these data The results reported here may be used to develop health risk assessments which take into account interactions between environmental variables, in systematic reviews of environmental correlates of cardiovascular disease risk factors, and in planning future studies examining interactions between built environment and air pollution variables Previous analyses These models were fit among individuals free from cardiovascular disease at baseline

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