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      An ecosystem service perspective on urban nature, physical activity, and health

      research-article
      a , b , 1 , c , a , d , e , f , a , g , d , h , a , i , j , k , l , m , d , n , o , p , q , r , s , t , u , v , w , x , y , d , j , a , z
      Proceedings of the National Academy of Sciences of the United States of America
      National Academy of Sciences
      decision-support tools, equity in access, green space, public health, urban sustainability

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          Abstract

          Nature underpins human well-being in critical ways, especially in health. Nature provides pollination of nutritious crops, purification of drinking water, protection from floods, and climate security, among other well-studied health benefits. A crucial, yet challenging, research frontier is clarifying how nature promotes physical activity for its many mental and physical health benefits, particularly in densely populated cities with scarce and dwindling access to nature. Here we frame this frontier by conceptually developing a spatial decision-support tool that shows where, how, and for whom urban nature promotes physical activity, to inform urban greening efforts and broader health assessments. We synthesize what is known, present a model framework, and detail the model steps and data needs that can yield generalizable spatial models and an effective tool for assessing the urban nature–physical activity relationship. Current knowledge supports an initial model that can distinguish broad trends and enrich urban planning, spatial policy, and public health decisions. New, iterative research and application will reveal the importance of different types of urban nature, the different subpopulations who will benefit from it, and nature’s potential contribution to creating more equitable, green, livable cities with active inhabitants.

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          Most cited references106

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          The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.

          In this article, we attempt to distinguish between the properties of moderator and mediator variables at a number of levels. First, we seek to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating, both conceptually and strategically, the many ways in which moderators and mediators differ. We then go beyond this largely pedagogical function and delineate the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena, including control and stress, attitudes, and personality traits. We also provide a specific compendium of analytic procedures appropriate for making the most effective use of the moderator and mediator distinction, both separately and in terms of a broader causal system that includes both moderators and mediators.
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            Is Open Access

            Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants

            Insufficient physical activity is a leading risk factor for non-communicable diseases, and has a negative effect on mental health and quality of life. We describe levels of insufficient physical activity across countries, and estimate global and regional trends.
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              Health benefits of physical activity: the evidence.

              The primary purpose of this narrative review was to evaluate the current literature and to provide further insight into the role physical inactivity plays in the development of chronic disease and premature death. We confirm that there is irrefutable evidence of the effectiveness of regular physical activity in the primary and secondary prevention of several chronic diseases (e.g., cardiovascular disease, diabetes, cancer, hypertension, obesity, depression and osteoporosis) and premature death. We also reveal that the current Health Canada physical activity guidelines are sufficient to elicit health benefits, especially in previously sedentary people. There appears to be a linear relation between physical activity and health status, such that a further increase in physical activity and fitness will lead to additional improvements in health status.
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                Author and article information

                Journal
                Proc Natl Acad Sci U S A
                Proc Natl Acad Sci U S A
                pnas
                PNAS
                Proceedings of the National Academy of Sciences of the United States of America
                National Academy of Sciences
                0027-8424
                1091-6490
                01 June 2021
                14 May 2021
                14 May 2021
                : 118
                : 22
                : e2018472118
                Affiliations
                [1] aNatural Capital Project, Stanford University , Stanford, CA 94305;
                [2] bInstitute of Environmental Sciences, Leiden University , 2333 CC Leiden, The Netherlands;
                [3] cDepartment of Environmental and Occupational Health Sciences, University of Washington , Seattle, WA 98195;
                [4] dSchool of Environmental and Forest Sciences, University of Washington , Seattle, WA 98195;
                [5] eDepartment of Epidemiology & Population Health, Stanford University School of Medicine , Stanford, CA 94305;
                [6] fStanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine , Stanford, CA 94305;
                [7] gDepartment of Pediatrics, Stanford University School of Medicine , Stanford, CA 94305;
                [8] hHealthy Liveable Cities Group, Centre for Urban Research, Royal Melbourne Institute of Technology University , 3000 Melbourne, Australia;
                [9] iAsian School of the Environment, Nanyang Technological University , 639798 Singapore;
                [10] jState Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences , 100875 Beijing, China;
                [11] kDepartment of Bioengineering, Stanford University , Stanford, CA 94305;
                [12] lDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, MA 02215;
                [13] mDepartment of Environmental Health, Harvard T. H. Chan School of Public Health , Boston, MA 02215;
                [14] nBeijer Institute of Ecological Economics, Royal Swedish Academy of Sciences , 104 05 Stockholm, Sweden;
                [15] oStockholm Resilience Centre, Stockholm University , 106 91 Stockholm, Sweden;
                [16] pKey Laboratory of Vegetation Restoration and Management of Degraded Ecosystems, South China Botanical Garden, Chinese Academy of Sciences , 510650 Guangzhou, China;
                [17] qDepartment of Architecture and Civil Engineering, City University of Hong Kong , Kowloon Tong, Hong Kong;
                [18] rMaastricht Sustainability Institute, Maastricht University , 6200 MD Maastricht, The Netherlands;
                [19] sSean N. Parker Center for Allergy & Asthma Research, Stanford University School of Medicine , Stanford, CA 94305;
                [20] tHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego , La Jolla, CA 92093-0631;
                [21] uMary MacKillop Institute for Health Research, Australian Catholic University , Melbourne, VIC 3000, Australia;
                [22] vDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark , DK-5230 Odense M, Denmark;
                [23] wDepartment of Computer Science, Stanford University , Stanford, CA 94305;
                [24] xCultural Geography/Wageningen Environmental Research, Wageningen University & Research , 6700 AA Wageningen, The Netherlands;
                [25] yEuropean Centre for Environment & Human Health, University of Exeter Medical School , Knowledge Spa, Royal Cornwall Hospital, TR1 3HD Truro, United Kingdom;
                [26] zDepartment of Biological Sciences, Woods Institute for the Environment, Stanford University , Stanford, CA 94305
                Author notes
                1To whom correspondence may be addressed. Email: r.p.remme@ 123456cml.leidenuniv.nl .

                Edited by Timon McPhearson, New School, New York, NY, and accepted by Editorial Board Member Carl Folke March 25, 2021 (received for review November 9, 2020)

                Author contributions: R.P.R., A.D.G., and G.C.D. designed research; and R.P.R., H.F., A.D.G., A.C.K., L.M., C.S., G.N.B., B.G.-C., P.H., B.H., J.L.H., P.J., J.J.L., T.L., H.L., Y.L., B.O., B.P., J.F.S., J.S., R.S., S.d.V., B.W.W., S.A.W., T.W., and G.C.D. wrote the paper.

                Author information
                http://orcid.org/0000-0002-0799-2319
                http://orcid.org/0000-0001-7079-3534
                http://orcid.org/0000-0001-9417-8042
                http://orcid.org/0000-0002-7949-8811
                http://orcid.org/0000-0002-1420-8529
                http://orcid.org/0000-0001-5982-4686
                http://orcid.org/0000-0002-3083-8205
                http://orcid.org/0000-0002-2516-9334
                http://orcid.org/0000-0002-2858-1973
                http://orcid.org/0000-0002-8306-3175
                http://orcid.org/0000-0003-4089-1509
                http://orcid.org/0000-0001-7614-6661
                http://orcid.org/0000-0002-3866-342X
                http://orcid.org/0000-0003-2555-9452
                http://orcid.org/0000-0002-6558-7610
                http://orcid.org/0000-0003-0723-9172
                http://orcid.org/0000-0002-0525-6967
                http://orcid.org/0000-0001-9404-5936
                http://orcid.org/0000-0002-5794-2619
                http://orcid.org/0000-0002-5467-2094
                http://orcid.org/0000-0003-1443-1111
                Article
                202018472
                10.1073/pnas.2018472118
                8179134
                33990458
                510fc137-f21a-46a3-adc5-5716cfeaa22e
                Copyright © 2021 the Author(s). Published by PNAS.

                This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND).

                History
                Page count
                Pages: 10
                Funding
                Funded by: Marianne and Markus Wallenberg Foundation
                Award ID: 149527
                Award Recipient : Roy P Remme Award Recipient : Howard Frumkin Award Recipient : Anne D Guerry Award Recipient : Abby King Award Recipient : Lisa Mandle Award Recipient : Chethan Sarabu Award Recipient : Gregory N Bratman Award Recipient : Billie Giles-Corti Award Recipient : Perrine Hamel Award Recipient : Baolong Han Award Recipient : Jennifer Hicks Award Recipient : Peter James Award Recipient : Joshua J Lawler Award Recipient : Therese Lindahl Award Recipient : Hongxiao Liu Award Recipient : Yi Lu Award Recipient : Bram Oosterbroek Award Recipient : Bibek Paudel Award Recipient : James F. Sallis Award Recipient : Jasper Schipperijn Award Recipient : Rok Sosic Award Recipient : Sjerp De Vries Award Recipient : Ben Wheeler Award Recipient : Spencer A Wood Award Recipient : Tong Wu Award Recipient : Gretchen C. Daily
                Funded by: Department of Health | National Health and Medical Research Council (NHMRC) 501100000925
                Award ID: 1107672
                Award Recipient : Billie Giles-Corti
                Funded by: HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) 100000050
                Award ID: R01 HL150119
                Award Recipient : Peter James
                Funded by: HHS | NIH | National Cancer Institute (NCI) 100000054
                Award ID: R00 CA201542
                Award Recipient : Peter James
                Categories
                417
                447
                Perspective
                Biological Sciences
                Environmental Sciences

                decision-support tools,equity in access,green space,public health,urban sustainability

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