ArticleEnvironmental health perspectives2016
Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study.
Article in Environmental health perspectives, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Associations of Urban Built Environment with Cardiovascular Risks and Mortality: a Systematic Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Pooled it
- Systematic literature review of built environment effects on physical activity and active transport - an update and new findings on health equity.The international journal of behavioral nutrition and physical activity · 2017Pooled it
- Energy Burden and Chronic Kidney Disease: A National Study in the United States.Environment & health (Washington, D.C.) · 2025Article
- What is the role of leisure-time physical activity in the association between neighborhood environmental characteristics and hypertension in older adults? The EpiFloripa Aging Cohort study.Preventive medicine reports · 2024Article
- Assessing the built environment through photographs and its association with obesity in 21 countries: the PURE Study.The Lancet. Global health · 2024Article
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Neighborhood Walkability Is Associated with Physical Activity and Prediabetes in a Behavioral Weight Loss Study: a Secondary Analysis.International journal of behavioral medicine · 2023Article
- The Weight of Place: Built Environment Correlates of Obesity and Diabetes.Endocrine reviews · 2022Review
- Associations of Urban Environment Features with Hypertension and Blood Pressure across 230 Latin American Cities.Environmental health perspectives · 2022Article
- 'Gentrification is not improving my health': a mixed-method investigation of chronic health conditions in rapidly changing urban neighborhoods in Austin, Texas.Journal of housing and the built environment : HBE · 2022Article
- Designing healthier neighbourhoods: a systematic review of the impact of the neighbourhood design on health and wellbeing.Cities & health · 2022Article
- Liveable residential space, residential density, and hypertension in Hong Kong: A population-based cohort study.PLoS medicine · 2021Article
- The relationship between walk score® and perceived walkability in ultrahigh density areas.Preventive medicine reports · 2021Article
- Neighborhood Walkability, Personal Active Travel, and Health in Asian Americans: Does English Proficiency Matter?Journal of transport & health · 2021Article
- Factors associated with hypertension among stroke-free indigenous Africans: Findings from the SIREN study.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
- Neighborhood Walkability as a Predictor of Incident Hypertension in a National Cohort Study.Frontiers in public health · 2021Article
- Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study.BMJ open · 2020Article
- Impact of Built Environments on Body Weight (the Moving to Health Study): Protocol for a Retrospective Longitudinal Observational Study.JMIR research protocols · 2020Article
- Is neighbourhood walkability related to body mass index among different age groups? A cross-sectional study of Canadian urban areas.BMJ open · 2019Article
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7 authors at 3 institutions in 1 country.
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Abstract
backgroundThe impact of moving to a neighborhood more conducive to utilitarian walking on the risk of incident hypertension is uncertain.
objectiveOur study aimed to examine the effect of moving to a highly walkable neighborhood on the risk of incident hypertension.
methodsA population-based propensity-score matched cohort study design was used based on the Ontario population from the Canadian Community Health Survey (2001-2010). Participants were adults ≥ 20 years of age who moved from a low-walkability neighborhood (defined as any neighborhood with a Walk Score < 90) to either a high- (Walk Score ≥ 90) or another low-walkability neighborhood. The incidence of hypertension was assessed by linking the cohort to administrative health databases using a validated algorithm. Propensity-score matched Cox proportional hazard models were used. Annual health examination was used as a control event.
resultsAmong the 1,057 propensity-score matched pairs there was a significantly lower risk of incident hypertension in the low to high vs. the low to low-walkability groups [hazard ratio = 0.46; 95% CI, 0.26, 0.81, p < 0.01]. The crude hypertension incidence rates were 18.0 per 1,000 person-years (95% CI: 11.6, 24.8) among the low- to low-walkability movers compared with 8.6 per 1,000 person-years (95% CI: 5.3, 12.7) among the low- to high-walkability movers (p < 0.001). There were no significant differences in the hazard of annual health examination between the two mover groups.
conclusionsMoving to a highly walkable neighborhood was associated with a significantly lower risk of incident hypertension. Future research should assess whether specific attributes of walkable neighborhoods (e.g., amenities, density, land-use mix) may be driving this relationship. CITATION: Chiu M, Rezai MR, Maclagan LC, Austin PC, Shah BR, Redelmeier DA, Tu JV. 2016. Moving to a highly walkable neighborhood and incidence of hypertension: a propensity-score matched cohort study. Environ Health Perspect 124:754-760; http://dx.doi.org/10.1289/ehp.1510425.
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