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

Why Is the Governor of New York Trying to Make It Easier to Deny Traffic Violence Victims Insurance Payouts?

The governor is still fighting to make it cheaper to drive with a reform that would reduce compensation to some crash victims.

February 23, 2026

Study: Most Of America’s Paint-Only Bike Paths Are On Our Deadliest Roads

Even worse, most Americans see these terrible lanes and think, "I'd be crazy to ride a bike" — and the cycle continues.

February 23, 2026

Monday’s Headlines Take a Walk on the Not-So-Wild Side

Research increasingly shows that walkability, active streets and greenspace in cities contribute to mental well-being.

February 23, 2026

Friday’s Headlines Are Over ICE

Traffic safety and transportation funding continue to get tangled up in immigration enforcement under Trump.

February 20, 2026

Talking Headways Podcast: Women Changing Cities

Chris and Melissa Bruntlett on their new book and the mobility of care work and the unpaid labor that undergirds the economy.

February 19, 2026
See all posts