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.

This paper provides a review of research that addresses the relationship between indoor temperatures and health outcomes, taking into consideration studies that focus heat or cold exposure within the household context. It aims to extend previous research by considering both indoor temperatures from existing housing, and empirical studies that focus on energy efficiency measures and subsequent health impacts. To achieve this aim, a literature review was undertaken, combining engineering and health databases.

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.