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The largest-ever study of the link between city walkability and high blood pressure has been held up as evidence of the “invisible value of urban design” in improving long-term health outcomes, say researchers.

The study of around 430,000 people aged between 38 and 73 and living in 22 UK cities found significant associations between the increased walkability of a neighborhood, lower blood pressure and reduced risk of high blood pressure among its residents.

The outcomes remained consistent even after adjustments for socio-demographic (社会人口统计学), lifestyle and changing physical environment factors, though the protective effects were particularly pronounced among participants aged between 50 and 60, women, and those residing in higher density and poor neighborhoods.

The paper was published in the International Journal of Hygiene and Environmental Health this week. With high blood pressure a major risk factor for chronic (慢性的) and particularly heart diseases, researchers at the University of Hong Kong and Oxford University said the findings demonstrated the need to take notice of the health-influencing factor in urban design.

“With the increasing pace of urbanization and demographic shifts towards an ageing population, we become more likely to suffer from chronic diseases,” said Dr. Chinmoy Sarkar, an assistant professor at the Healthy High Density Cities Lab of the University of Hong Kong and lead author of the study. “The action taken to improve public health must consider the invisible value of urban planning and design.

“We are spending billions of pounds in preventing and curing heart diseases — if we are able to invest in creating healthy cities through small changes in the design of our neighborhoods to make them more activity-friendly and walkable, then probably, we will have significant savings in future healthcare expenses.”

To measure a neighborhood’s activity-promoting potential, researchers developed a set of index of walkability containing relevant urban elements, including residential and retail (零售) density, public transport, street-level movement, and distance to attractive destinations.

Poorly designed spaces generally reduced walking and physical activity, promoting the lifestyles of long time sitting down and not moving; and were harmful to social interactions, and as such associated with poorer mental and physical health.

Because walkability was “based on the underlying design of the city”, said Sarkar, cities could be modified or designed to encourage it. “Such investments in healthy design are likely to bring in long-term gains as they are enduring and common.”

1.By considering “invisible value of urban design”, people can _______.

A.reduce the ageing population

B.slow down the pace of urbanization

C.promote activity-friendly and walkable cities

D.invest in preventing and curing heart diseases

2.What can be inferred from the passage?

A.A set of index is essential to ensure that urban design promotes walkability.

B.Walkable cities can lower blood pressure and the risk of high blood pressure.

C.Chronic diseases are becoming common due to people’s neglect of their health.

D.Middle-aged women living in poor areas are less likely to benefit from increased walkability.

3.All of the following are the undesirable consequences of poorly-designed neighborhoods EXCEPT _______.

A.failing health B.unhealthy lifestyle

C.fewer social interactions D.fewer neighborhoods

4.According to Dr. Chinmoy Sarkar, _______.

A.cities should encourage the residents to engage in social interactions

B.the design of our neighborhoods should meet people’s needs for retail density

C.money invested in creating healthy cities is money saved in future healthcare expenses

D.chronic diseases will be common because of our lifestyle and the physical environment

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