Living with peripheral artery disease (PAD) can be challenging enough, but for people experiencing food insecurity, the risks of heart disease and other cardiovascular conditions can be significantly higher. According to a recent study presented at the American Heart Association’s Epidemiology, Prevention, Lifestyle & Cardiometabolic Health Conference, food insecurity is linked to an increased risk of heart disease for people with PAD. During the AHA (American Heart Association) 2022 Scientific Sessions, preliminary research was released that found that PAD (Peripheral Artery Disease) patients living in a community considered to be a “food desert” were at a higher risk of cardiac events, including heart attack, stroke and death. “Food deserts” are communities with low levels of access to healthy and affordable foods. The USDA tracks these areas with their Food Access Research Atlas. The research presented to the AHA found that those in food deserts were 17% more likely to experience a major cardiac event. The analysis was performed on a cohort of 11,907 adults, 15.4% who lived in a food desert. Researchers also found that those in a food desert were more likely to be Black or Hispanic, not have a car, have high blood pressure, Type-2 diabetes, and chronic kidney disease.
These findings are concerning and highlight the importance of addressing health disparities and social determinants of health in healthcare. People experiencing food insecurity may face a range of challenges that can impact their cardiovascular health, including limited access to nutritious foods, financial stress, and mental health challenges. Addressing these challenges requires a comprehensive approach that goes beyond traditional medical care. It’s important to consider the social determinants of health that can impact a person’s health outcomes, including access to food, stable housing, and economic security. Healthcare providers can play an important role in addressing food insecurity and improving cardiovascular health for people with PAD. This may include screening for food insecurity and connecting patients with community resources such as food banks, meal delivery programs, and financial assistance programs. It may also involve promoting public health campaigns that raise awareness of the link between food insecurity, social determinants of health, and cardiovascular health. In conclusion, this study provides important insights into the link between food insecurity and increased heart risks for people with PAD. By addressing health disparities and social determinants of health, we can work towards improving cardiovascular health for all communities and reducing the burden of chronic disease.
Food Desert

“While guideline-directed care for PAD reduces complications, the influence of social determinants of health like living in a food desert on receiving optimal care has not been previously explored.” - Rayan S. El-Zein, D.O.