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      The Relationship between Perceived Health and Physical Activity Indoors, Outdoors in Built Environments, and Outdoors in Nature

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          Abstract

          Background:

          A body of evidence shows that both physical activity and exposure to nature are connected to improved general and mental health. Experimental studies have consistently found short term positive effects of physical activity in nature compared with built environments. This study explores whether these benefits are also evident in everyday life, perceived over repeated contact with nature. The topic is important from the perspectives of city planning, individual well-being, and public health.

          Methods:

          National survey data ( n = 2,070) from Finland was analysed using structural regression analyses. Perceived general health, emotional well-being, and sleep quality were regressed on the weekly frequency of physical activity indoors, outdoors in built environments, and in nature. Socioeconomic factors and other plausible confounders were controlled for.

          Results:

          Emotional well-being showed the most consistent positive connection to physical activity in nature, whereas general health was positively associated with physical activity in both built and natural outdoor settings. Better sleep quality was weakly connected to frequent physical activity in nature, but the connection was outweighed by other factors.

          Conclusion:

          The results indicate that nature provides an added value to the known benefits of physical activity. Repeated exercise in nature is, in particular, connected to better emotional well-being.

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          Most cited references103

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          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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            The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research

            Despite the prevalence of sleep complaints among psychiatric patients, few questionnaires have been specifically designed to measure sleep quality in clinical populations. The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. Nineteen individual items generate seven "component" scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The sum of scores for these seven components yields one global score. Clinical and clinimetric properties of the PSQI were assessed over an 18-month period with "good" sleepers (healthy subjects, n = 52) and "poor" sleepers (depressed patients, n = 54; sleep-disorder patients, n = 62). Acceptable measures of internal homogeneity, consistency (test-retest reliability), and validity were obtained. A global PSQI score greater than 5 yielded a diagnostic sensitivity of 89.6% and specificity of 86.5% (kappa = 0.75, p less than 0.001) in distinguishing good and poor sleepers. The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.
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              Using Mutivariate Statistics

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                Author and article information

                Journal
                Appl Psychol Health Well Being
                Appl Psychol Health Well Being
                aphw
                Applied Psychology. Health and Well-Being
                BlackWell Publishing Ltd (Oxford, UK )
                1758-0846
                1758-0854
                November 2014
                09 July 2014
                : 6
                : 3
                : 324-346
                Affiliations
                University of Tampere Finland
                Finnish Forest Research Institute Metla Finland
                Author notes
                * Address for correspondence: Tytti Pasanen, School of Social Sciences and Humanities, Kalevantie 5, 33014 University of Tampere, Tampere, Finland. Email: tytti.pasanen@ 123456uta.fi
                Article
                10.1111/aphw.12031
                4233975
                25044598
                c0004c40-0084-4538-a7b3-60cd6c511a88
                © 2014 The Authors. Applied Psychology: Health and Well-Being published by John Wiley & Sons Ltd on behalf of The International Association of Applied Psychology.

                This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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                Categories
                Original Article

                finland,mental health,natural environment,physical activity,sleep,well-being

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