“…As expected, and evidenced by this study, more walkable neighbourhoods typically encourage active modes of transport (e.g., walking for transport) (Cerin et al, 2017) and engagement in leisure-time physical activity (Van Cauwenberg et al, 2018), which are beneficial to cardiometabolic health (Bai et al, 2022;Ballard et al, 2021;Lee et al, 2021). However, they are also accompanied by higher levels of air pollution (James et al, 2015) and noise (Salter et al, 2015) that can be detrimental to health (Basner et al, 2014;Gaio et al, 2019;Liu et al, 2019;Salter et al, 2015;Wang et al, 2023). Although this study partially accounted for ambient air pollution, it did not account for urban noise, and this may explain the positive associations of neighbourhood walkability with MAP observed even after adjustment for antihypertensive medication.…”