School of Kinesiology and Health Studies, Queen's University, KHS 307, 28 Division St, Kingston, ON, K7L3N6, Canada.
Department of Gender Studies, Queen's University, Kingston, ON, Canada.
Glob Health Res Policy. 2021 Apr 29;6(1):15. doi: 10.1186/s41256-021-00198-z.
The worsening climate change and alarming prevalence of communicable and non-communicable diseases continue to threat human life and existence. Accumulating evidence suggests that favorable patterns of 24-h movement behaviors, high physical activity, low sedentary behavior, and adequate sleep, may positively contribute to achieving dual benefits of climate change mitigation and disease prevention. The purposes of this mini umbrella review were to summarize the most up-to-date, high-level evidence exploring the relationships between climate change, 24-h movement behaviors, and health and elaborate on the mechanisms linking the three variables of interest.
A systematic search of electronic databases was performed in PubMed and Google Scholar during March-October 2020. Inclusion criteria were: (1) systematic review; (2) reviewed relationships between climate change and movement behaviors and/or health in any directions; (3) written in English; (4) published in 2010-2020. Narrative synthesis was conducted to highlight the main relationships observed and address the current state of knowledge and priorities for future research. In order to illustrate the potential mechanisms between climate change, movement behaviors, and health, the main results from included systematic reviews were summarized and a conceptual framework was developed for future research.
Based on the evidence from eight systematic reviews published in the past decade, multi-directional (i.e., uni-, bi-, or U-shaped) links were observed between climate change and varying human health outcomes. However, little is understood about the association between climate change and 24-h movement behaviors. Two reviews suggested the negative impact of climate change on sleep and bi-directional relationships between climate change and physical activity/sport. One review included two studies suggesting the unfavorable impact of climate change on sedentary behavior; however, the evidence was limited. Finally, no reviews examined the mechanisms by which climate change, movement behaviors, and health impact one another. Based on the findings of this mini umbrella review, a conceptual framework is proposed that could guide future work to unpack mechanisms between climate change, movement behaviors, and health.
This mini umbrella review highlights the importance of better understanding the mechanisms between climate change, movement behaviors, and health in developing effective mitigation and adaptation strategies to climate change, while paying close attention to vulnerable countries/communities/population groups.
气候变化不断恶化，传染病和非传染性疾病的发病率令人震惊，这继续威胁着人类的生命和生存。越来越多的证据表明，24 小时运动行为、身体活动水平高、久坐行为少和充足睡眠等有利模式可能对实现气候变化缓解和疾病预防的双重效益做出积极贡献。本次迷你伞式综述的目的是总结最新的高水平证据，探索气候变化、24 小时运动行为与健康之间的关系，并详细阐述将这三个感兴趣变量联系起来的机制。
2020 年 3 月至 10 月期间，在 PubMed 和 Google Scholar 中进行了系统的电子数据库搜索。纳入标准为：（1）系统评价；（2）审查气候变化与运动行为和/或健康之间的任何方向关系；（3）用英文书写；（4）发表于 2010 年至 2020 年。采用叙述性综合方法突出观察到的主要关系，并阐述当前的知识状况和未来研究的优先事项。为了说明气候变化、运动行为和健康之间的潜在机制，总结了纳入的系统评价的主要结果，并为未来研究制定了概念框架。
根据过去十年中发表的八项系统评价的证据，气候变化与各种人类健康结果之间存在多向（即单向、双向或 U 型）关联。然而，对于气候变化与 24 小时运动行为之间的关系，我们知之甚少。两项综述表明气候变化对睡眠有负面影响，气候变化与身体活动/运动之间存在双向关系。一项综述包括两项研究表明气候变化对久坐行为有不利影响；然而，证据有限。最后，没有综述探讨气候变化、运动行为和健康相互影响的机制。基于本次迷你伞式综述的结果，提出了一个概念框架，可指导未来的工作，以揭示气候变化、运动行为和健康之间的相互作用机制。
本次迷你伞式综述强调了更好地理解气候变化、运动行为和健康之间的机制的重要性，以便制定有效的缓解和适应气候变化的策略，同时密切关注脆弱的国家/社区/人群群体。
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