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This study examines the link between food deserts and cardiovascular health in older adults in Santiago’s Metropolitan Region, Chile. As the population ages and chronic diseases rise, understanding the impact of food accessibility on health is essential. Using multiscale geographically weighted regression, we analyzed data from the Cardiovascular Health Program, socioeconomic indicators, and food desert maps, sourced from the Chilean Ministry of Health and other databases. Spatial analysis, including Voronoi diagrams, assessed the influence of food deserts on health outcomes. Findings show a significant correlation between limited access to healthy foods and higher cardiovascular disease rates, especially in economically disadvantaged areas. The regression model is significant to contribute to the explanation of disease prevalence, emphasizing the impact of food availability on health. This study highlights the importance of considering spatial factors in urban planning and public health policies. By showcasing the role of food environments in health disparities, it advocates for integrated health interventions. Targeted urban planning to address food deserts can enhance access to healthy foods, improving cardiovascular health and well-being among Santiago’s elderly. The findings provide insights for policymakers to create healthier urban environments and stress the need for sustainable food systems to support public health.

Considering the global scenario of population aging, which countries such as Chile are going through, the social problems that it means in terms of viability and quality of life for the elderly are increasing and are a cause for concern. For this reason, this study summarizes the results of investigating the accessibility of services and recreational spaces under the parameters of a “15-minute city” for the elderly people in the city of Santiago de Chile. The investigation employed a multivariate geostatistical analysis with a quantitative approach and was developed on a census block scale to test some of the principles of the 15-min city along with the principles on active aging of the elderly. The results are surprising, show a good territorial coverage for the study area and open the possibility of Santiago becoming a 15-min city for older adults. However, there are still several challenges in terms of public policies, from mental and physical health to the design of public spaces, which are fundamental to think about for cities of the future.