Fan M, Lv J, Yu C, et al. - Using multivariable Cox regression, researchers evaluated the risk of incident cardiovascular disease in correlation with active commuting among urban commuters (n = 104,170) without major chronic diseases at baseline from China Kadoorie Biobank. Nonactive commuting, work at home or work near home, walking, and cycling, were reported by 47.2%, 13.4%, 20.1%, and 19.4% of the participants, respectively, as the commuting modes. Overall 5,374, 664, and 4,834 events of ischemic heart disease, hemorrhagic stroke, and ischemic stroke were reported, respectively, during a median follow-up of 10 years. Lower risk of ischemic heart disease was reported in correlation with walking and cycling vs nonactive commuting, following adjusting for gender, socioeconomic status, lifestyle factors, sedentary time, body mass index, comorbidities, household air pollution, passive smoking, and other domain physical activity. Overall, a lower risk of ischemic heart disease and ischemic stroke was observed in relation to cycling, in urban China. Lower risk of ischemic heart disease was reported in correlation with walking.