Mixed
Higher neighborhood-level socioeconomic disadvantage is associated with weaker statistical interactions (correlations) among the stages of adiposity, dysglycemia, and hypertension, suggesting that in disadvantaged populations, these cardiometabolic drivers develop more independently of one another.
If you live in a high-disadvantage neighborhood, standard assumptions about how weight affects blood sugar and blood pressure may not apply to you. The link between carrying extra weight and developing high blood sugar or high blood pressure is weaker in these settings. This suggests that factors like chronic stress, limited access to healthy food, and environmental stressors play a larger, independent role in your cardiometabolic health. Screening and prevention strategies should account for these social determinants rather than focusing solely on weight management.
Interactions among the various stages of abnormal adiposity, dysglycemia, and hypertension with each other are weaker with increasing neighborhood disadvantage.
Why this rating
Large cross-sectional observational study (n=963) with robust statistical methods (polychoric correlations, bootstrapping) and clear stratification by Area Deprivation Index.
Source
Higher neighborhood disadvantage is associated with weaker interactions among cardiometabolic drivers
Joel Hernandez Sevillano et al. · International Journal of Cardiology Cardiovascular Risk and Prevention · 2024
DOI 10.1016/j.ijcrp.2024.200322
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