Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project

Background: Despite the large number of studies on beneficial effects of the natural outdoor environment (NOE) on health, the underlying mechanisms are not fully understood. Objective: This study explored the relations between amount, quality, use and experience of the NOE; and physical activity, so...

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Main Authors: Hanneke Kruize, Irene van Kamp, Magdalena van den Berg, Elise van Kempen, Wanda Wendel-Vos, Annemarie Ruijsbroek, Wim Swart, Jolanda Maas, Christopher Gidlow, Graham Smith, Naomi Ellis, Gemma Hurst, Daniel Masterson, Margarita Triguero-Mas, Marta Cirach, Regina Gražulevičienė, Peter van den Hazel, Mark Nieuwenhuijsen
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Environment International
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412018324966
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author Hanneke Kruize
Irene van Kamp
Magdalena van den Berg
Elise van Kempen
Wanda Wendel-Vos
Annemarie Ruijsbroek
Wim Swart
Jolanda Maas
Christopher Gidlow
Graham Smith
Naomi Ellis
Gemma Hurst
Daniel Masterson
Margarita Triguero-Mas
Marta Cirach
Regina Gražulevičienė
Peter van den Hazel
Mark Nieuwenhuijsen
author_facet Hanneke Kruize
Irene van Kamp
Magdalena van den Berg
Elise van Kempen
Wanda Wendel-Vos
Annemarie Ruijsbroek
Wim Swart
Jolanda Maas
Christopher Gidlow
Graham Smith
Naomi Ellis
Gemma Hurst
Daniel Masterson
Margarita Triguero-Mas
Marta Cirach
Regina Gražulevičienė
Peter van den Hazel
Mark Nieuwenhuijsen
author_sort Hanneke Kruize
collection DOAJ
description Background: Despite the large number of studies on beneficial effects of the natural outdoor environment (NOE) on health, the underlying mechanisms are not fully understood. Objective: This study explored the relations between amount, quality, use and experience of the NOE; and physical activity, social contacts and mental well-being. Methods: In this cross-sectional study, data on GIS-derived measures of residential surrounding greenness (NDVI), NOE within 300 m, and audit data on quality of the streetscape were combined with questionnaire data from 3947 adults in four European cities. These included time spent in NOE (use); and perceived greenness, and satisfaction with and importance given to the NOE (experience). Physical activity, social contacts and mental health were selected as key outcome indicators. Descriptive and multilevel analyses were conducted both on pooled data and for individual cities. Results: More minutes spent in the NOE were associated with more minutes of physical activity, a higher frequency of social contacts with neighbors, and better mental well-being. Perceived greenness, satisfaction with and importance of the NOE, were other strong predictors of the outcomes, while GIS measures of NOE and streetscape quality were not. We found clear differences between the four cities. Conclusions: Use and experience of the natural outdoor environment are important predictors for beneficial effects of the natural outdoor environment and health. Future research should focus more on these aspects to further increase our understanding of these mechanisms, and needs to take the local context into account. Keywords: Nature, Health, Mechanism, GIS, Use, Perception
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spelling doaj.art-01af95575f64439e95094d0b856d2bec2022-12-21T19:06:40ZengElsevierEnvironment International0160-41202020-01-01134Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE projectHanneke Kruize0Irene van Kamp1Magdalena van den Berg2Elise van Kempen3Wanda Wendel-Vos4Annemarie Ruijsbroek5Wim Swart6Jolanda Maas7Christopher Gidlow8Graham Smith9Naomi Ellis10Gemma Hurst11Daniel Masterson12Margarita Triguero-Mas13Marta Cirach14Regina Gražulevičienė15Peter van den Hazel16Mark Nieuwenhuijsen17Centre for Sustainability, Environment and Health, RIVM, Bilthoven, the Netherlands; Corresponding author at: Centre for Sustainability, Environment and Health, RIVM, P.O. Box 1, 3720 BA Bilthoven, the Netherlands.Centre for Sustainability, Environment and Health, RIVM, Bilthoven, the NetherlandsMunicipal Health Service Gelderland-Midden, Arnhem, the NetherlandsCentre for Sustainability, Environment and Health, RIVM, Bilthoven, the NetherlandsCentre for Prevention and Health Services, RIVM, Bilthoven, the NetherlandsCentre for Prevention and Health Services, RIVM, Bilthoven, the NetherlandsCentre for Sustainability, Environment and Health, RIVM, Bilthoven, the NetherlandsVU University, Faculty of Behavioural and Movement Sciences, Clinical Psychology, Amsterdam, the NetherlandsCentre for Health and Development (CHAD), Staffordshire University, Stoke-on-Trent, United KingdomCentre for Health and Development (CHAD), Staffordshire University, Stoke-on-Trent, United KingdomCentre for Health and Development (CHAD), Staffordshire University, Stoke-on-Trent, United KingdomCentre for Health and Development (CHAD), Staffordshire University, Stoke-on-Trent, United KingdomCentre for Health and Development (CHAD), Staffordshire University, Stoke-on-Trent, United KingdomISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, SpainISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, SpainVytauto Didziojo Universitetas, Kaunas, LithuaniaVGGM, Arnhem, the NetherlandsISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, SpainBackground: Despite the large number of studies on beneficial effects of the natural outdoor environment (NOE) on health, the underlying mechanisms are not fully understood. Objective: This study explored the relations between amount, quality, use and experience of the NOE; and physical activity, social contacts and mental well-being. Methods: In this cross-sectional study, data on GIS-derived measures of residential surrounding greenness (NDVI), NOE within 300 m, and audit data on quality of the streetscape were combined with questionnaire data from 3947 adults in four European cities. These included time spent in NOE (use); and perceived greenness, and satisfaction with and importance given to the NOE (experience). Physical activity, social contacts and mental health were selected as key outcome indicators. Descriptive and multilevel analyses were conducted both on pooled data and for individual cities. Results: More minutes spent in the NOE were associated with more minutes of physical activity, a higher frequency of social contacts with neighbors, and better mental well-being. Perceived greenness, satisfaction with and importance of the NOE, were other strong predictors of the outcomes, while GIS measures of NOE and streetscape quality were not. We found clear differences between the four cities. Conclusions: Use and experience of the natural outdoor environment are important predictors for beneficial effects of the natural outdoor environment and health. Future research should focus more on these aspects to further increase our understanding of these mechanisms, and needs to take the local context into account. Keywords: Nature, Health, Mechanism, GIS, Use, Perceptionhttp://www.sciencedirect.com/science/article/pii/S0160412018324966
spellingShingle Hanneke Kruize
Irene van Kamp
Magdalena van den Berg
Elise van Kempen
Wanda Wendel-Vos
Annemarie Ruijsbroek
Wim Swart
Jolanda Maas
Christopher Gidlow
Graham Smith
Naomi Ellis
Gemma Hurst
Daniel Masterson
Margarita Triguero-Mas
Marta Cirach
Regina Gražulevičienė
Peter van den Hazel
Mark Nieuwenhuijsen
Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
Environment International
title Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
title_full Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
title_fullStr Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
title_full_unstemmed Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
title_short Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being – Results from the PHENOTYPE project
title_sort exploring mechanisms underlying the relationship between the natural outdoor environment and health and well being results from the phenotype project
url http://www.sciencedirect.com/science/article/pii/S0160412018324966
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