School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
Department of Gender Studies, Queen's University, Kingston, ON, Canada.
J Phys Act Health. 2024 Aug 26;21(12):1227-1245. doi: 10.1123/jpah.2023-0637. Print 2024 Dec 1.
Given the emergence of climate change and health risks, this review examined potential relationships between varying indicators of climate change, movement behaviors (ie, physical activity [PA], sedentary behavior, and sleep), and health.
Seven databases were searched in March 2020, April 2023, and April 2024. To be included, studies must have examined indicators of climate change and at least one of the movement behaviors as either an exposure or a third variable (ie, mediator/moderator), and a measure of health as outcome. Evidence was summarized by the role (mediator/moderator) that either climate change or movement behavior(s) has with health measures. Relationships and directionality of each association, as well as the strength and certainty of evidence were synthesized.
A total of 79 studies were eligible, representing 6,671,791 participants and 3137 counties from 25 countries (40% low- and middle-income countries). Of 98 observations from 17 studies that examined PA as a mediator, 34.7% indicated that PA mediated the relationship between climate change and health measure such that indicators of adverse climate change were associated with lower PA, and worse health outcome. Of 274 observations made from 46 studies, 28% showed that PA favorably modified the negative association between climate change and health outcome. Evidence was largely lacking and inconclusive for sedentary behavior and sleep, as well as climate change indicators as an intermediatory variable.
PA may mitigate the adverse impact of climate change on health. Further evidence is needed to integrate PA into climate change mitigation, adaptation, and resilience strategies.
鉴于气候变化和健康风险的出现，本综述探讨了气候变化的不同指标、运动行为（即体力活动[PA]、久坐行为和睡眠）与健康之间的潜在关系。
于 2020 年 3 月、2023 年 4 月和 2024 年 4 月在 7 个数据库中进行检索。纳入研究必须检查气候变化指标和至少一种运动行为（作为暴露或第三变量（即，中介/调节剂）），以及健康指标作为结果。通过气候变化或运动行为（多个）作为健康措施的作用（中介/调节剂）总结证据。综合了每个关联的关系和方向，以及关联的强度和证据的确定性。
共有 79 项研究符合条件，代表来自 25 个国家的 6671791 名参与者和 3137 个县（40%为中低收入国家）。在 17 项研究中，有 98 个观察值检查了 PA 作为中介，其中 34.7%表明 PA 调节了气候变化与健康指标之间的关系，即不利的气候变化指标与较低的 PA 和更差的健康结果相关。在 46 项研究的 274 个观察值中，28%表明 PA 有利地改变了气候变化与健康结果之间的负相关。关于久坐行为和睡眠以及气候变化指标作为中介变量的证据基本上缺乏且不确定。
PA 可能减轻气候变化对健康的不利影响。需要进一步的证据将 PA 纳入气候变化缓解、适应和恢复力战略中。
