Green Exercise Interventions in Heat-Vulnerable Communities: Evaluating Interactions between Urban Greening, Physical Activity, and Heat-Related Mortality
DOI:
https://doi.org/10.70062/greenhealth.v1i2.262Keywords:
Green Exercise, Heat Related Mortality, Heat Vulnerability, Physical Activity, Urban GreeningAbstract
Heatwaves are becoming more frequent and severe, posing significant health risks, especially for vulnerable populations in urban areas. In response to this, green-exercise interventions, which combine physical activity with exposure to green spaces, offer a promising strategy for mitigating heat-related health risks. This study evaluates the effectiveness of green-exercise interventions in reducing heat-related mortality risks in heat-vulnerable communities. The research follows a longitudinal design, collecting data on physical activity, vegetation indices (NDVI), and heat-related mortality rates in urban areas prone to heatwaves. The findings reveal that green-exercise interventions resulted in up to an 18% reduction in heat-related mortality risks, demonstrating the significant impact of physical activity in natural environments. Moreover, positive correlations were found between increased green space and reduced health risks during heatwaves, emphasizing the importance of urban greening in mitigating the effects of extreme heat. Participants who engaged in outdoor physical activity in green spaces showed greater resilience to heat stress compared to those who opted for indoor exercises, underscoring the added benefits of natural environments for physical and mental health. However, the effectiveness of these interventions varied depending on environmental and behavioral factors, including the quality of green spaces and individual motivation to engage in outdoor activities. This study highlights the need for further research into the long-term effects of green-exercise interventions and the combined impact of socio-economic and environmental factors on health outcomes. The findings suggest that urban greening and physical activity in green spaces should be integrated into public health strategies, particularly in heat-vulnerable areas.
References
Beltran, G. W. (2015). Heat-related illness. In Emergency Medical Services: Clinical Practice and Systems Oversight: Second Edition (Vol. 1). https://doi.org/10.1002/9781118990810.ch49
Brennan, M., O'Shea, P. M., & Mulkerrin, E. C. (2020). Preventative strategies and interventions to improve outcomes during heatwaves. Age and Ageing, 49(5), 729 - 732. https://doi.org/10.1093/ageing/afaa125
Brymer, E., Davids, K., & Mallabon, L. (2014). Understanding the psychological health and well-being benefits of physical activity in nature: An ecological dynamics analysis. Ecopsychology, 6(3), 189 - 197. https://doi.org/10.1089/eco.2013.0110
Chen, M., Liu, Y., & Tan, W. (2024). Spatial pattern and influencing factors of heat vulnerability: The case of Guangzhou City. Progress in Geography, 43(9), 1798 - 1810. https://doi.org/10.18306/dlkxjz.2024.09.009
Chun, B., & Guldmann, J.-M. (2018). Impact of greening on the urban heat island: Seasonal variations and mitigation strategies. Computers, Environment and Urban Systems, 71, 165 - 176. https://doi.org/10.1016/j.compenvurbsys.2018.05.006
Cimini, A., De Fioravante, P., Marinosci, I., Congedo, L., Cipriano, P., Dazzi, L., Marchetti, M., Scarascia Mugnozza, G., & Munafò, M. (2024). Green urban public spaces accessibility: A spatial analysis for the urban area of the 14 Italian metropolitan cities based on SDG methodology. Land, 13(12). https://doi.org/10.3390/land13122174
Csomós, G., Farkas, J. Z., & Kovács, Z. (2020). Access to urban green spaces and environmental inequality in post-socialist cities. Hungarian Geographical Bulletin, 69(2), 191 - 207. https://doi.org/10.15201/hungeobull.69.2.7
Dufty, N. (2022). Using heat refuges in heatwave emergencies. Australian Journal of Emergency Management, 36(2), 38 - 44. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85129957205&partnerID=40&md5=c434f9c8980dac5015ec56ee4aef636d
Ebi, K. L., Capon, A., Berry, P., Broderick, C., de Dear, R., Havenith, G., Honda, Y., Kovats, R. S., Ma, W., Malik, A., Morris, N. B., Nybo, L., Seneviratne, S. I., Vanos, J., & Jay, O. (2021). Hot weather and heat extremes: Health risks. The Lancet, 398(10301), 698 - 708. https://doi.org/10.1016/S0140-6736(21)01208-3
Erens, B., Williams, L., Exley, J., Ettelt, S., Manacorda, T., Hajat, S., & Mays, N. (2021). Public attitudes to, and behaviours taken during, hot weather by vulnerable groups: Results from a national survey in England. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11668-x
Flowers, E. P., Freeman, P., & Gladwell, V. F. (2017). The development of three questionnaires to assess beliefs about green exercise. International Journal of Environmental Research and Public Health, 14(10). https://doi.org/10.3390/ijerph14101172
Geneletti, D., Cortinovis, C., & Zardo, L. (2022). Simulating crowding of urban green areas to manage access during lockdowns. Landscape and Urban Planning, 219. https://doi.org/10.1016/j.landurbplan.2021.104319
Gherri, B. (2024). Urban green spaces and their role in responding to the heat island effect in historical urban context. Smart Innovation, Systems and Technologies, 378, 457 - 470. https://doi.org/10.1007/978-981-99-8501-2_40
Gopal, D., & Nagendra, H. (2015). Vegetation in Bangalore's slums: Boosting livelihoods, well-being, and social capital. In Urban Ecology: Strategies for Green Infrastructure and Land Use. https://doi.org/10.1201/b18713-13
Hepcan, Ç. C., Cangüzel, A., Yüksel, A. T., Iojă, I. C., Hepcan, Ş., & Breuste, J. (2024). Heat exposure of older people in İzmir. Present Environment and Sustainable Development, 18(2), 151 - 162. https://doi.org/10.47743/pesd2024182009
Hu, L., & Li, Q. (2020). Greenspace, bluespace, and their interactive influence on urban thermal environments. Environmental Research Letters, 15(3). https://doi.org/10.1088/1748-9326/ab6c30
Kabisch, N., van den Bosch, M., & Lafortezza, R. (2017). The health benefits of nature-based solutions to urbanization challenges for children and the elderly - A systematic review. Environmental Research, 159, 362 - 373. https://doi.org/10.1016/j.envres.2017.08.004
Kang, Y., Park, J., & Jang, D.-H. (2024). Compound impact of heatwaves on vulnerable groups considering age, income, and disability. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-75224-4
Kazmierczak, A. (2016). Climate injustice in a post-industrial city: The case of Greater Manchester, UK. Climate Change Management, 43 - 61. https://doi.org/10.1007/978-3-319-25814-0_4
Khalil, H. A. E. E., Ibrahim, A., Elgendy, N., & Makhlouf, N. (2022). Enhancing livability in informal areas: A participatory approach to improve urban microclimate in outdoor spaces. Sustainability (Switzerland), 14(11). https://doi.org/10.3390/su14116395
Li, H., Zhang, X., Bi, S., Cao, Y., & Zhang, G. (2022). Psychological benefits of green exercise in wild or urban greenspaces: A meta-analysis of controlled trials. Urban Forestry and Urban Greening, 68. https://doi.org/10.1016/j.ufug.2022.127458
Long, X., Chen, Y., Zhang, Y., & Zhou, Q. (2022). Visualizing green space accessibility for more than 4,000 cities across the globe. Environment and Planning B: Urban Analytics and City Science, 49(5), 1578 - 1581. https://doi.org/10.1177/23998083221097110
Lopez-Haro, J., Gómez-Chávez, L. F. J., Pelayo-Zavalza, A. R., & Gómez-Varela, J. F. (2024). Association between active use of urban green spaces and well-being in adults aged 18-65 years: A systematic review. Journal of Health and Pollution, 12(1-4). https://doi.org/10.1289/JHP1040
Marini, S., Mauro, M., Grigoletto, A., Toselli, S., & Maietta Latessa, P. (2022). The effect of physical activity interventions carried out in outdoor natural blue and green spaces on health outcomes: A systematic review. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912482
McKenzie, L. (2022). REMAKING PUBLIC SPACE FOR COOLER, GREENER OUTCOMES: A case study from Western Sydney. In The Routledge Handbook of Sustainable Cities and Landscapes in the Pacific Rim. https://doi.org/10.4324/9781003033530-51
Nazish, A., Abbas, K., & Sattar, E. (2024). Health impact of urban green spaces: A systematic review of heat-related morbidity and mortality. BMJ Open, 14(9). https://doi.org/10.1136/bmjopen-2023-081632
Pascal, M., Laaidi, K., & Beaudeau, P. (2018). Relevance of green, shaded environments in the prevention of adverse effects on health from heat and air pollution in urban areas (Abstract); [Intérêt des espaces verts et ombragés dans la prévention des impacts sanitaires de la chaleur et de la pollution de l'air en zones urbaines]. Revue Forestiere Francaise, 70(2-4), 353 - 364. https://doi.org/10.4267/2042/70007
Perini, K., & Pérez, G. (2021). Ventilative cooling and urban vegetation. PoliTO Springer Series, 213 - 234. https://doi.org/10.1007/978-3-030-72385-9_10
Rahman, M. M., & Hasan, J. (2024). Evaluating the impact of green spaces on urban heat reduction in Rajshahi, Bangladesh using the InVEST model. Land, 13(8). https://doi.org/10.3390/land13081284
Revich, B. A. (2023). The significance of green spaces for protecting health of urban population. Health Risk Analysis, 2023(2), 168 - 185. https://doi.org/10.21668/health.risk/2023.2.17.eng
Rosli, S., Ling, O. H. L., Marzukhi, M. A., Mohd Yusoff, Z., Kwong, Q. J., & Yinxue, W. (2023). Urban environment and physical activity of Petaling Jaya residents. International Journal of Sustainable Construction Engineering and Technology, 14(5), 131 - 144. https://doi.org/10.30880/ijscet.2023.14.05.010
Ryu, J. H., & Min, M. K. (2021). Diagnosis and treatment of patients with heat-related illnesses. Journal of the Korean Medical Association, 64(4), 296 - 302. https://doi.org/10.5124/JKMA.2021.64.4.296
Santiago, J. L., Martilli, A., & Martin, F. (2014). Estimating the impact of street vegetation on air quality: A simple case with different types and positions of vegetation. HARMO 2014 - 16th International Conference on Harmonisation within Atmospheric Dispersion Modelling for Regulatory Purposes, Proceedings, 361 - 365.
Stewart, N. (2020). Urban green space, social equity and human wellbeing. In Urban Ecology: Emerging Patterns and Social-Ecological Systems. https://doi.org/10.1016/B978-0-12-820730-7.00007-0
Tanaka, Y., Kawashima, S., Hama, T., & Nakamura, K. (2017). Thermal mitigation of hydroponic green roof based on heat balance. Urban Forestry and Urban Greening, 24, 92 - 100. https://doi.org/10.1016/j.ufug.2017.03.022
Vich, G., Delclòs-Alió, X., Maciejewska, M., Marquet, O., Schipperijn, J., & Miralles-Guasch, C. (2021). Contribution of park visits to daily physical activity levels among older adults: Evidence using GPS and accelerometery data. Urban Forestry and Urban Greening, 63. https://doi.org/10.1016/j.ufug.2021.127225
Yli-Pelkonen, V., Scott, A. A., Viippola, V., & Setälä, H. (2017). Trees in urban parks and forests reduce O3, but not NO2 concentrations in Baltimore, MD, USA. Atmospheric Environment, 167, 73 - 80. https://doi.org/10.1016/j.atmosenv.2017.08.020
Zha, F., Lu, L., Wang, R., Zhang, S., Cao, S., Baqa, M. F., Li, Q., & Chen, F. (2024). Understanding fine-scale heat health risks and the role of green infrastructure based on remote sensing and socioeconomic data in the megacity of Beijing, China. Ecological Indicators, 160. https://doi.org/10.1016/j.ecolind.2024.111847
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Green Health International Journal of Health Sciences Nursing and Nutrition

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

