Background
The built and natural environment and health are inextricably linked. However, there is considerable debate surrounding the strength and quality of the evidence base underpinning principles of good practice for built and natural environment design in promoting health. This umbrella review aimed to assess relationships between the built and natural environment and health, concentrating on five topic areas: neighbourhood design, housing, food environment, natural and sustainable environment, and transport.

Over half of the population of the world live in
urban areas. This means that efforts to meet human
development goals and sustain economic growth
must be concentrated in cities. However, the pursuit
of more prosperous, inclusive and sustainable urban
development is complicated by climate change, which
multiplies existing environmental risks, undermines the
effectiveness of existing infrastructure, and creates new
resource constraints.
In this paper, we conclusively demonstrate that there

Many recent major studies, including the IPCC’s Fourth Assessment Report, have attested that energy efficiency is humanity’s prime option to combat climate change in the short- to mid-term. The potential to avoid CO2 emissions cost-effectively has been reported to be significant through efficiency policies. However, the review of global research findings on the quantification of cost-effectiveness of opportunities through improved efficiency has highlighted that there is a major shortcoming in the vast majority of such calculations.