Lu Melissa, Murphy Mischion, Kim Andrew, Lingwall Mary, Barr Emily Anne
Cizik School of Nursing, University of Texas Health Science Center, Houston, TX, USA.
Department of Research, Rice University, Houston, TX, USA.
Int J Environ Health Res. 2025 Jul;35(7):1772-1792. doi: 10.1080/09603123.2024.2406306. Epub 2024 Oct 13.
More than 100 million children and 13% of the adult population suffer from obesity globally. People with obesity experience higher risks of chronic illness, poor mental health outcomes, and premature death. Exposure to natural environments, including green spaces, encourages regular physical activity and cardiovascular exercise to combat obesity. This systematic review, based on the health lifestyle theory, explores previous research on the relationship between natural environments and obesity. We reviewed studies ( = 11) published between 2018 and 2023 examining the relationship between participants ( = 1,225,680) across seven countries. Two overarching areas of impact emerged: environmental health factors (air pollution) and social factors (socioeconomic status and food availability). Although many studies suggested that exposure to green spaces correlated with a lower incidence of obesity, few studies identified possible external factors to explain the relationship between green space and obesity. Implications for future policy legislation, clinical interventions, and research are presented.
全球有超过1亿儿童和13%的成年人口患有肥胖症。肥胖者患慢性病、心理健康状况不佳和过早死亡的风险更高。接触包括绿地在内的自然环境，有助于鼓励人们定期进行体育活动和心血管锻炼，以对抗肥胖。这项基于健康生活方式理论的系统综述，探讨了以往关于自然环境与肥胖之间关系的研究。我们回顾了2018年至2023年期间发表的11项研究，这些研究考察了七个国家1225680名参与者之间的关系。出现了两个总体影响领域：环境健康因素（空气污染）和社会因素（社会经济地位和食物供应）。尽管许多研究表明接触绿地与较低的肥胖发病率相关，但很少有研究确定可能的外部因素来解释绿地与肥胖之间的关系。本文还提出了对未来政策立法、临床干预和研究的启示。
