Today, buildings still account for almost half of the global energy consumption and carbon emission. This highlights the necessity to increase energy efficiency requirements worldwide in a common effort to reduce the construction sector's impacts on the environment. The current energy policies are driving toward a design that relies on airtight and highly insulated envelopes. As a consequence, energy efficient houses are found to have insufficient indoor air change rates, impacting on the indoor air quality and resulting in higher latent loads.

The existing residential building stock accounts for a substantial portion of worldwide energy consumption and greenhouse emissions. Improvements to the thermal performance of existing buildings is a vital activity to mitigate climate change, and often has additional benefits in the form of improved comfort, health and well-being for occupants. Despite the extensive body of literature in this area, it remains a difficult task to assess the performance of retrofit packages in occupied residential buildings.

There are indications that energy-retrofitted buildings can create risks for indoor environmental quality (IEQ) and therefore for health and comfort of occupants. A review was conducted to identify and verify those risks, within three themes: building envelope, heating, ventilating and air conditioning (HVAC)-systems, and occupants. Publications from the last five years in major peer-reviewed journals from different fields (energy, buildings, indoor air, social sciences) were found by using a variety of keywords (health effects, occupant behaviours, energy-efficient retrofitting, etc.).