Journal of the American Heart Association

Greener areas linked to lower risk of high blood pressure

For one greenness measure, the relative risk of developing high blood pressure was lower in the greenest versus least green quarter of neighborhoods (hazard ratio 0.871).

Paper by Yan-Zhao He, Yan-Sen Zhang, Ai-Min Xu, +7 more authorsShu-Jun Fan · Southern Medical University
Graphical abstract from Journal of the American Heart Association
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Graphical abstract. He et al.

Our read

Populations
Studied:
Cohort study of 5,484,119 adults in northwestern China, against least green quarter of neighborhoods
What changed:
High blood pressure risk was lower in the greenest versus least green quarter of neighborhoods (hazard ratio 0.871)
The catch:
Other health-related advantages in greener neighborhoods may explain the lower hypertension risk
In the record:
One of 7 papers on greenspace exposure on record: 7 with results in people.

Editor of record: Boris Djordjevic · AgingResearch.News

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Among 5,484,119 adults in northwestern China, a prospective cohort study linked greener neighborhoods to fewer new cases of hypertension, or high blood pressure. Participants joined in 2017 and were followed through 2021.

During a median follow-up of 3.21 years, 1,290,003 new cases occurred. Researchers assessed neighborhood greenness using two vegetation measures within a 500-meter radius. After adjustment, the greenest quarter had hypertension hazard ratios of 0.871 and 0.896 compared with the least green quarter, depending on the measure. These ratios compared the rate at which new cases occurred during follow-up. Greener areas were also linked to lower blood pressure. Associations were stronger in younger adults, men, rural residents and less educated participants than in their counterparts.

Why it matters

High blood pressure is a health concern as people age. The authors suggested that neighborhood greenspace policies may help reduce its burden.

Caveats

People in greener neighborhoods may have had other health-related advantages that the adjustments did not fully capture. The findings concern adults in northwestern China.

Where the evidence stands

Greenspace exposure

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 7 independent labs in 4 countries
  • Funders: National Natural Science Foundation of China and others

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The paper

Greenspace Exposure Reduces the Risk of Hypertension: A Large Prospective Cohort Study in Northwestern China

Yan-Zhao He, Yan-Sen Zhang, Ai-Min Xu, +7 more authorsShu-Jun Fan

Southern Medical University

Journal of the American Heart Association, Nov 12, 2026

doi.org/10.1161/jaha.126.052313