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.).

Around the world, engineers, architects and policymakers have been exploring ways to deliver highly efficient buildings whose reduced energy demand is satisfied by clean, renewable energy. Building off of the broader concept of a green or sustainable building, the concept of the “net zero building” focuses on the energy dynamics and performance of the building. And as policymakers and leaders align toward the net zero concept, the focus on achieving deep energy efficiency has centered on integrated technologies as well as ways to connect buildings to the natural environment.