This paper reviews empirical data from evaluations of the influence of residential energy efficiency retrofits on indoor environmental quality conditions and self-reported thermal comfort and health. Data were extracted from 36 studies described in 44 papers plus two reports. Nearly all reviewed studies were performed in Europe or United States. Most studies evaluated retrofits of homes with low-income occupants. Indoor radon and formaldehyde concentrations tended to increase after retrofits that did not add whole-house mechanical ventilation.

People spend most of their time inside buildings, and buildings are responsible for approximately one third of total direct and indirect energy-related worldwide carbon emissions. Likewise, buildings in the U.S. account for about 40% of total U.S. energy consumption. Future building development will be driven not only by emerging challenges such as vulnerability to a changing climate and resource scarcity, but also by disruptive innovations and societal changes.

The built environment accounts for approximately forty percent of the total energy consumption in developed countries. Because buildings have a long life, the greatest opportunity for energy reduction in the built environment will come from energy conservation in the existing building stock. An overview of the policy challenges presented by the built environment, with an emphasis on existing facilities, is accompanied by a discussion of specific technologies that may have the potential to reduce energy use.