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.).