Search Results (21)

Forested areas are defined as wooded regions characterized by dense vegetation, largely preserved natural ecosystem features, and availability for recreational use. These areas play a critical role in maintaining ecological balance and are increasingly utilized as preferred sites for various outdoor activities. However, the growing intensity of recreational activities in such sensitive ecosystems contributes to increased waste generation and poses significant threats to environmental sustainability. The objective of this study is to calculate the carbon footprint resulting from waste produced during recreational activities in forested areas of Lithuania, Turkey, and Morocco, and to identify innovative waste management strategies aimed at achieving clean and safe forest ecosystems. This study includes a comparison of Turkey, Lithuania, and Morocco. Quantitative data and carbon footprint calculations were conducted, while quantitative methods were also employed through semi-structured interviews with experts. Firstly, carbon footprint calculations were carried out based on the types and amounts of waste generated by participants. Subsequently, semi-structured interviews were conducted with experts and participants from all three countries to identify issues related to waste management and innovative waste management strategies. The carbon footprint resulting from waste generation was estimated to be 1517.26 kg in Turkey, 613.25 kg in Lithuania, and 735.68 kg in Morocco. Experts from Turkey, Lithuania, and Morocco have proposed innovative solutions for improving waste management systems in their respective countries. In Turkey, the predominant view emphasizes the need for increased use of digital tools, stricter enforcement measures, a rise in the number of personnel and waste bins, as well as the expansion of volunteer-based initiatives. In Lithuania, priority is given to educational and awareness-raising activities, updates to legal regulations, the placement of recycling bins, the development of infrastructure, and the promotion of environmentally friendly projects. In Morocco, it is highlighted that there is a need for stronger enforcement mechanisms, updated legal frameworks, increased staffing, more frequent waste collection, and the implementation of educational programs. Full article

Accurate information on trail difficulty is essential for ensuring safety and enhancing the effectiveness of forest-based health and recreational activities. This study examined the physiological responses of middle-aged adults to varying trail difficulty levels across both controlled indoor and natural outdoor walking environments. A total of ten healthy individuals aged 40–50 years participated in walking tasks across three designated trail difficulty levels: Moderate, Difficult, and Very Difficult. Physiological indicators assessed included step speed (SS), step count (SC), rate of perceived exertion (RPE), heart rate (HR), oxygen saturation (OS), energy expenditure (EE), metabolic equivalents (MET), and oxygen consumption (VO₂). As trail difficulty increased, HR, RPE, VO₂, EE, and MET consistently showed upward trends, whereas SS and SC demonstrated significant decreases. Additionally, the outdoor setting imposed generally greater physiological demands compared to the indoor condition, suggesting that terrain complexity and elevation changes amplify physical exertion during real-world trail use. The findings contribute valuable empirical evidence for the design of individualized exercise programs, improved trail difficulty classifications, and the advancement of forest-based health promotion policies. Full article

Outdoor recreational activities offer critical benefits to youth development, yet their impacts have been insufficiently synthesized. This systematic review and meta-analysis evaluated the effects of outdoor recreation on children and adolescents aged 6 to 18 years. Significant improvements were observed in psychological well-being, social connectivity, and environmental awareness, emphasizing the multidimensional benefits of such activities. Challenges such as urbanization and reduced access to green spaces highlighted the need for prioritizing outdoor engagement to counteract the growing detachment from nature. This study followed PRISMA guidelines and included 21 studies published between 2014 and 2024. A random-effects meta-analysis revealed positive effects on mood, anxiety reduction, interpersonal relationships, and environmental responsibility. However, significant heterogeneity reflected variability in study designs and contexts. The GRADE framework assessed evidence certainty, rating psychological benefits as moderate, social connectivity as high, and environmental awareness as low. Limitations included reliance on self-reported data and exclusion of pandemic-era studies. These findings emphasized the role of outdoor activities in addressing modern challenges such as urbanization and climate change by fostering holistic youth development. Policymakers and educators should be encouraged to integrate outdoor programs into curricula and community initiatives to promote mental health, social cohesion, and environmental stewardship. Full article

Interventions taking place on the land are culturally well aligned for Native peoples, as they are often developed by the community and incorporate traditional knowledge, values, and practices. However, research on the effectiveness and characteristics of such programs is lacking. This scoping review examined outdoor and land-based prevention interventions for Indigenous adolescents ages 10–25 in the United States and Canada to identify program characteristics such as origination, aims, activities, duration, evaluation methods, and outcomes. Over three-fourths (77%) of the 153 programs identified were community-derived. The programs were principally strength-based and promoted protective factors for general wellbeing. The most common delivery format was short camps. Nearly all programs (97%) included an element of culture. The activities most often seen were recreation (84%), subsistence living (65%), and Elder knowledge sharing (63%). Thirty-three studies measured outcomes and included quantitative, qualitative, and mixed method study designs. Studies found positive impacts on participants’ self-esteem and mental health; connections to culture, cultural pride, and identity; and connections to community including peers and Elders. The literature on outdoor and land-based prevention interventions for Indigenous youth is growing rapidly. Understanding program components is a first step to identifying the elements critical to effective programs for Indigenous youth. Full article

Background: There exists a scarcity of comprehensive studies on educational campuses, which integrate the effects of built environment satisfaction, university life experiences, and personal characteristics on QoL. The study’s main research problem is to investigate the extent, direction, and sequence of the influence of university life satisfaction (encompassing academic, social, and administrative perception)—as well as the university’s built environment of university (including both indoor and outdoor attributes of educational, social, recreational, and residential settings), in conjunction with student characteristics—on students’ QoL and the interactions among these factors. Aim: The main objective is to comprehensively analyze the impact and dominance of the built environment and various dimensions of university life, in addition to personal variables on student QoL, and explore the interaction between them. The sub-aims are to determine the dimensions that have the greatest effect on QoL and to make comparisons between them. Methodology: In line with the aim, a specific index for measuring student QoL on a university campus was developed, and a survey was conducted using a questionnaire developed based on the index. The case study is made in Bursa Uludag University, one of the oldest universities in Bursa, Turkey, which is known for being included in the UNESCO World Heritage List. Data were recorded and analyzed by utilizing statistical analyses via SPSS (statistical package for social sciences) for Windows 22 and IBM AMOS 24.0 programs. Results: The data collected from the evaluation of questionnaires administered to 685 participants reveal that the sub-dimensions with the most-to-least impact on students’ QoL are satisfaction with campus life, education spaces, academic development, socio-physical amenities, social perception, administrative management, accessibility, transportation, and accommodation. Conclusions: QoL is a multidimensional judgment through which university students’ QOL perceptions are affected through the interaction between the university’s built environment, university life, individual characteristics, as well as administrative management. Full article

The importance of the outdoors for supporting well-being is recognized, but less is known about the role of the outdoors in supporting people living with dementia. The aim of this study was to examine three stakeholder groups’ understandings about outdoor-based support and care for people living with dementia to help understand what might be done to maximize the outdoors as a source of support for people living with dementia. Data were collected in Southern Ontario, Canada, between January and June 2023 via 1-1 interviews (n = 12); four focus groups (n = 17) with staff from organizations providing outdoor recreation or social programming; six in-person focus groups (n = 37); and 2 outdoor-based walking focus groups (n = 17) conducted with people living with dementia, care partners, and older adults. All interviews and focus groups, other than the walking focus groups where the field notes were used, were audio recorded and fully transcribed verbatim. Within and across data sets, thematic analysis was conducted. We report findings relating to the challenges of achieving full participation in outdoor-based activities; perceived physical, social, and mental health benefits of outdoor activities; stigma; and overcoming perceived risks. The importance of the outdoors for people living with dementia and their care partners is evident. There are implications for care policy and practice relating to the promotion of (social) health and well-being for people living with dementia. Full article

The wild boar (Sus scrofa) is a widespread ungulate, the populations of which have recently increased throughout most of its range. This increase has caused negative impacts on ecosystems, biodiversity, and society. Nowadays, the wild boar is considered both a valuable game and a pest. Wildlife managers need to know the habits and motivations of wild boar hunters, a key stakeholder group, for effectively managing this controversial mammal. We carried out face-to-face interviews with 134 wild boar hunters in the Evros Prefecture, in the Region of Eastern Macedonia and Thrace, northern Greece to determine their hunting habits and their motivation for hunting. Most hunters owned a hunting dog (84.3%), hunted in groups of eight to nine people for 48 days, traveled 60 km, stayed outdoors for 4 nights, and spent weekly EUR 61 on average in each hunting season. Two motivations for wild boar hunting were prominent among the hunters (assessed on a 5-point scale; 1 = strongly disagree to 5 = strongly agree): a strong recreation motivation (hunting as a recreational activity; mean score 4.159 ± 1.144 SD) and a considerable utility motivation (hunting for its use values; 3.404 ± 1.11). Both recreation and utility motivations were positively associated with the preference for further increases in wild boar populations. Sociodemographic characteristics and hunting habits variously affected motivations and preferred future population trends. The findings revealed specific habits and strong motivations among hunters. Such findings will be useful for designing and implementing education and outreach programs for informing hunters about the negative impacts of wild boars and the need for their control. The participation of hunters in the management process will be critical for its success. Full article

Background: Surf and hike therapies have demonstrated effectiveness as adjunct interventions for service members with major depressive disorder (MDD). This study explores gender differences in intervention outcomes following a pragmatic, randomized controlled trial of Surf and Hike Therapy for service members with MDD (N = 96; men, n = 46; women, n = 50). Methods: Clinician-administered and self-report measures (depression, anxiety, positive affect, negative affect, resilience, and pain) were completed at preprogram, postprogram, and 3-month follow-up; brief measures (depression/anxiety and positive affect) were completed before and after each session. Results: Multilevel modeling results showed that anxiety decreased from pre- to postprogram and significantly differed by gender (B = −2.26, p = 0.029), with women reporting greater reductions. The remaining outcomes from pre- to postprogram demonstrated significant improvements that did not differ by gender (ps = 0.218–0.733). There were no gender differences through follow-up (ps = 0.119–0.780). However, within sessions, women reported greater improvements in depression/anxiety (B = −0.93, p = 0.005) and positive affect (B = 3.73, p = 0.001). The change in positive affect scores within sessions was greater for women in Hike Therapy compared to men (p = 0.016). Conclusions: Overall, results demonstrate that both genders benefit from adjunctive Surf and Hike Therapies, but women exhibit a better response in terms of longer-term anxiety and immediate psychological outcomes. Full article

Background: Telerehabilitation to guide self-management has been shown to be a feasible care strategy for knee osteoarthritis (KOA). The aim of this study was to explore the effectiveness of a blended web-based rehabilitation program enhanced with outdoor physical activity (BWR-OPA) and consultation versus an OPA (usual care) program in KOA patients. Methods: Forty-four KOA participants were prescribed to follow the programs five times/week for 6 weeks. The primary outcome was self-reported physical function, measured by the Knee Injury and Osteoarthritis Outcome Score (KOOS). The secondary outcomes were pain, PA, function (timed up-and-go (TUG) test, 30 s chair rise test (30 s CRT)), psychological functioning and QoL. Results: There was a significant difference between the groups’ KOOSs for pain and symptom subscales at the 6- and 12-week post-intervention assessments compared to baseline (p < 0.005) favoring the BWR-OPA group. There was a superior improvement in PA in the BWR-OPA training group (p < 0.05). Statistical and clinical improvements were found (p < 0.001) with effect sizes over 2.0 for objective measures of function. Similar improvements were recorded over time (p < 0.005) at 12 weeks for QoL, KOOS subscales for ADL, QoL and sports/recreation and psychological functioning for both groups. Conclusions: A blended web-based self-managed care program with outdoor PA was superior in many respects to usual care in KOA participants. Full article

There are many cognitive, physical, and social–emotional benefits for youths from participating in outdoor adventure activities. However, youths with visual impairments are not given the same opportunities to participate in outdoor adventure activities as their peers without disabilities. The purpose of this study was to examine the outdoor adventure experiences of youths with visual impairments participating in a week-long sports camp. Thirty-seven youths with visual impairment (ages 9–19 years) attending a one-week sports camp participated in this study. Participants engaged in a variety of outdoor adventure activities throughout the week of camp (e.g., sailing, hiking, rock climbing, biking, kayaking). Participants provided written accounts about their outdoor adventure experiences and were observed throughout the week during each activity to examine instructional strategies and task modifications. Additionally, 10 randomly chosen athletes, their one-on-one coaches, and five outdoor recreation specialists participated in focus group interviews. The data analysis revealed three major themes: (1) Benefits, (2) Support, and (3) Barriers. The subthemes of benefits were enjoyment, independence, and relationships; the subthemes of support were instructional strategies and task modifications; and subthemes for barriers were fear and anxiety, exclusion and low expectations, and lack of equipment. These findings support the inclusion of youths with visual impairments in all outdoor adventure programming with appropriate instruction and modification. Full article

During the COVID-19 pandemic, government and health officials introduced measures such as social distancing and facility closures that amplified barriers to physical activity. Certain groups, including people with multiple sclerosis (MS), have been underserved during the pandemic. In this qualitative study we aimed to: (1) explore the physical activity experiences of people with MS during the COVID-19 pandemic; (2) identify the facilitators and barriers to physical activity during COVID-19 for people with MS; and (3) make recommendations for inclusive physical activity policy and programming. We conducted semi-structured interviews with 11 adults (9 women) with MS during January and February 2021. Following an inductive thematic analysis, three themes were developed: (1) changing opportunities and adapting to new opportunities; (2) social isolation and physical activity; and (3) adapting physical activity to stay safe from COVID-19. Common facilitators identified included having knowledge and resources to adapt activities, social connections, and access to outdoor recreation opportunities. Identified barriers included fear and anxiety related to the spread of the virus, a loss of in-person activity options, and the closure of physical activity spaces. Online and at-home opportunities for physical activity were a valued and accessible way to address barriers to physical activity for people with MS, and should be maintained post-pandemic while considering flexibility to accommodate variable support needs. Full article

Introduction: Educational campaigns have the potential to inform at risk populations about key issues relevant to lung health and to facilitate active engagement promoting healthy behaviors and risk prevention. We developed a community-based educational campaign called the Lung Health Ambassador Program (LHAP) with a goal of engaging youth and empowering them to be advocates for pulmonary health in their community. Objective: To evaluate the process outcomes and feasibility of the inaugural LHAP (2018–2019 academic year), with a specific aim to impact tobacco policy in the state of Maryland. Methods: Outcomes regarding feasibility included assessment of number of schools reached, number of students and healthcare professionals participating, and types of projects developed by participating students to impact modifiable risk factors for lung health. The courses for the LHAP were five 1 h sessions implemented at days and times identified by the community. The topics of the LHAP focused on lung anatomy, pulmonary diseases affecting school aged youth, tobacco use and prevalence, and air pollution (both indoor and outdoor). The fifth class discussed ways in which the students could impact lung health (e.g., policy and advocacy) and mitigate pulmonary disparities. Main Results: The LHAP was implemented at two elementary/middle schools, one high school, and two recreation centers within an urban metropolitan region. A total of 268 youths participated in the LHAP (age ranging from 11 to 18), whereby 72 (26.9%) were Hispanic/Latino and 110 (41.0%) were African American. Of the participating students, 240 wrote letters to local politicians to advocate for policies that would raise the legal age of acquiring tobacco products to 21. As for healthcare professionals, 18 academic faculty members participated in implementing the LHAP: 8 physicians and faculty staff and 10 nurses. Conclusions: The LHAP is a community-based program that provides education and training in advocacy with a goal of teaching about and, ultimately, reducing respiratory health disparities. The results from the first year demonstrate that the program is feasible, with success demonstrated in completing educational modules and engaging students. Next steps will include strategies to ensure sustainability and scalability to increase the reach of this program. Full article

Females’ participation in outdoor recreation is often limited for a variety of reasons including social gender norms, a lack of exposure, and fear. Research has uncovered a wide range of positive outcomes for those females who do participate ranging from enhanced self-esteem and confidence to improved body image, indicating the importance of opening the outdoors as a welcoming place for all to experience. Finding Your Voice is a recreation intervention created with the focus of introducing middle school girls to outdoor recreation to increase the participants’ self-efficacy and self-empowerment. Empirical research focusing on participant experiences has demonstrated promising results and the best practices from Finding Your Voice and the broader research on female empowerment in the outdoors are presented. Full article

(1) Background: The prevalence of allergic respiratory diseases is still rising and efforts towards holistic treatments should be made. Although speleotherapy is widely applied in Europe to treat chronic airway diseases, the existing scientific evidence is rather low. Recreational winter exercise has been shown to improve allergic airway inflammation, but little is known about the combined effects of speleotherapy and recreational winter exercise. (2) Methods: In this clinical study we investigated the effects of winter exercise and speleotherapy on adults with allergic rhinitis and/or asthma. The speleotherapy group (n = 23) participated in a ten-day combined winter exercise and speleotherapy program and the exercise group (n = 18) joined a full-day winter sports program. The effects on allergic airway inflammation, quality of life, spirometry and cardiorespiratory fitness were assessed. (3) Results: No significant effects were found for fractional exhaled nitric oxide or nasal nitric oxide. Quality of life (p < 0.001 time effect) and allergic symptoms (p < 0.001 time effect) were improved in the speleotherapy and in the exercise group. (4) Conclusions: Winter exercise alone and winter exercise in combination with speleotherapy improve quality of life and allergic symptoms in adults with allergic rhinitis and/or asthma. Further studies are required to investigate the specific effects of speleotherapy. To our knowledge, this is the first investigation examining speleotherapy in combination with winter exercise. Recreational outdoor winter exercise and speleotherapy may be recommended for highly functioning patients with good disease control. Full article

Solar ultraviolet radiation may cause acute and chronic health effects on the skin, eyes, and also on the immune system. Actinic keratosis, non-melanoma skin cancers, and malignant melanoma are the main long-term adverse skin effects. In the white population, the most common type of cancer worldwide is skin cancer, and the incidence of this cancer has increased during the last decades. The most important risk factor responsible for this trend seems to be Ultraviolet Radiation (UVR). IARC has classified UVR as being carcinogenic to humans. UV radiation exposure is ubiquitous; to study skin cancer risk, it is important to take into account the fact that UV exposure may occur both for occupational activities but also during vacation or recreational activities. Furthermore, exposure to artificial UVR such as those emitted by artificial devices, classified by IARC as carcinogenic to humans, is also to be considered. Due to the prominent role of UVR, primary prevention of skin cancer is very suitable, because when following specific rules this risk factor can be reduced. The incidence rate of skin cancer is higher in people with fair skin. Outdoor workers exposed to solar UVR are at risk of developing skin cancer, particularly non-melanoma skin cancers, and welders exposed to artificial UVR are at risk of developing ocular melanoma. A specific project on solar UVR risk in outdoor workers in Tuscany, Italy, has shown that outdoor workers had an unsatisfactory sun protection behaviour. The project demonstrates the complexity of studying UVR exposure and recommended the need for prevention programs. Risk increases with increasing ambient solar radiation and with unsafe behaviours in the sun or when using artificial UVR (e.g., sunbeds). Effective prevention strategies have to be adopted both for the outdoor workers and for the general population exposed to UVR. A standardized program of proven efficacy, such as that implemented in Australia, should also be implemented in other countries. All these strategies could contribute to the aim of decreasing the morbidity and mortality of cancers associated with this exposure. The aim of this paper is to provide an overview of UVR exposure risk, particularly occupational risk, and to give some elements to understand the complexity of the relation between UVR exposure and cancer risk, as well as to outline primary prevention measures, focusing also on Italian experiences that could be useful for providing additional elements of knowledge on this topic. Full article