Departments of Environmental Health Sciences (K.Z.), University at Albany, State University of New York, Rensselaer and Albany, NY.
Division of Cardiovascular Diseases, Department of Internal Medicine, Wayne State University, Detroit, MI (R.D.B.).
Circ Res. 2023 Jun 9;132(12):1707-1724. doi: 10.1161/CIRCRESAHA.123.322002. Epub 2023 Jun 8.
As the world's population becomes increasingly urbanized, there is growing concern about the impact of urban environments on cardiovascular health. Urban residents are exposed to a variety of adverse environmental exposures throughout their lives, including air pollution, built environment, and lack of green space, which may contribute to the development of early cardiovascular disease and related risk factors. While epidemiological studies have examined the role of a few environmental factors with early cardiovascular disease, the relationship with the broader environment remains poorly defined. In this article, we provide a brief overview of studies that have examined the impact of the environment including the built physical environment, discuss current challenges in the field, and suggest potential directions for future research. Additionally, we highlight the clinical implications of these findings and propose multilevel interventions to promote cardiovascular health among children and young adults.
随着世界人口日益城市化，人们越来越关注城市环境对心血管健康的影响。城市居民在其一生中会接触到各种不良的环境暴露，包括空气污染、建筑环境和缺乏绿色空间，这些因素可能导致早期心血管疾病和相关风险因素的发展。尽管流行病学研究已经研究了一些环境因素与早期心血管疾病的关系，但与更广泛的环境之间的关系仍未得到明确界定。在本文中，我们简要概述了研究环境对心血管健康的影响，包括建筑物理环境，讨论了该领域当前的挑战，并提出了未来研究的潜在方向。此外，我们还强调了这些发现的临床意义，并提出了多层次的干预措施，以促进儿童和年轻人的心血管健康。
