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.

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.

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.