Skip to Content
Streetsblog USA home
Streetsblog USA home
Log In
Bicycling

More Walking and Biking, Better Health: New Evidence From American Cities

States with higher rates of walking and biking to work tend to have lower rates of diabetes. Click to enlarge. All graphics: Alliance for Biking and Walking

New data from the Alliance for Biking and Walking's 2014 Benchmarking report bears out the notion that people tend to be healthier in cities where walking and biking are more prevalent.

The Alliance compiled active commuting rates in the 50 largest American cities as measured by the U.S. Census. Then it compared that data with health information from the CDC. On health outcomes like diabetes, obesity, and high blood pressure, a pretty clear correlation emerges.

Not all of it can be explained by active commuting, of course. But notice how, in the top chart, as statewide active transportation rates increase, diabetes rates decline.

About 9 percent of Americans have diabetes, but the incidence varies greatly between different places. Diabetes tracks closely enough with walk and bike commute rates that the Alliance and other researchers have concluded there's a strong correlation.

Rates of elevated blood pressure display a similar pattern:

Click to enlarge

And the same holds for obesity:

Click to enlarge.

Clearly there are a lot of factors at work here, and there are limitations to the conclusions you can draw from these types of statistical correlations. But this geographical study from the Alliance helps confirm that across the U.S., active commuting is a good predictor of broad public health metrics.

"People are healthier in states where more people bike and walk," said Alliance spokesperson Mary Lauran Hall. "These states' governments are facing a great opportunity to encourage more folks to bike and walk in the interest of boosting public health."

Stay in touch

Sign up for our free newsletter

More from Streetsblog USA

Friday Video: Should We Stop Calling Them ‘Low-Traffic Neighborhoods’?

Is it time for London's game-changing urban design concept to get a rebrand?

January 30, 2026

Friday’s Headlines Yearn to Breathe Free

While EVs aren't the be-all end-all, especially when it comes to traffic safety, they do make the air cleaner. Most of the U.S. is falling behind on their adoption, though.

January 30, 2026

Talking Headways Podcast: One Year of Congestion Pricing

Danny Pearlstein of New York City's Riders Alliance breaks down how advocates made congestion pricing happen in the Big Apple.

January 29, 2026

Improving Road Safety Is A Win For The Climate, Too

Closing the notorious "fatality target" loophole wouldn't just save lives — it'd help save the human species from climate catastrophe, too.

January 29, 2026

Delivery Workers Are the Safest Cyclists On the Road, Study Finds

Deliveristas are less likely to engage in roadway behaviors that endanger pedestrians or themselves. So why are they so villainized?

January 29, 2026

The Cup Runneth Over With Thursday’s Headlines

Density lends itself to an abundance of transportation options and an abundance of money saved by not driving, writes David Zipper.

January 29, 2026
See all posts