The Lancet Planetary Health, June 2025

Building a Healthy Urban Design Index (HUDI): how to promote health and sustainability in European cities

As global urbanisation accelerates, alongside declining environmental quality and increasing climate challenges, it is increasingly vital for urban planners and policy makers to integrate health and wellbeing considerations into urban planning.

This study introduces the Healthy Urban Design Index (HUDI), a high-resolution spatial index developed for European cities. HUDI combines policy-relevant indicators related to urban design, sustainable transportation, environmental quality, and greenspace accessibility—key factors influencing human health and well-being. Unlike existing indices, which often focus on few or large metropolitan cities and lack spatial granularity, HUDI offers high resolution and extends its scope to small-sized and medium-sized cities, home to over 50% of Europe’s population.