{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:55:55Z","timestamp":1777481755232,"version":"3.51.4"},"reference-count":65,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T00:00:00Z","timestamp":1632873600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sustainability"],"abstract":"<jats:p>The World Health Organization (WHO) recognizes that health and well-being are essential to achieving the United Nations (UN) Development Agenda 2030, which includes the goal of empowering people to adopt active lifestyles while protecting the planet\u2019s health. This article aims at exploring how exercise performed in different natural settings can contribute to improving health and to a more sustainable world. We define \u201cexercise\u201d as a form of physical activity undertaken to increase fitness, health, and well-being, and argue for the importance of \u201cgreen\u201d and \u201cblue\u201d exercise as forms of physical activity that are associated with the protection and sustainability of natural settings and the promotion of planetary health. Blue and green exercise should become a focus of public policies, especially when outdoor activities are being identified as fundamental for the promotion of mental, physical, social, and spiritual health. The current paper intends to raise the awareness of political decision-makers and professionals in education, environment, and heath sectors for the potential of green and blue exercise as specific exercise practices that are healthy, joyful, and environmentally friendly.<\/jats:p>","DOI":"10.3390\/su131910829","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T21:37:49Z","timestamp":1633901869000},"page":"10829","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["The Role of Blue and Green Exercise in Planetary Health and Well-Being"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1166-3219","authenticated-orcid":false,"given":"Nuno","family":"Loureiro","sequence":"first","affiliation":[{"name":"Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal"},{"name":"ISAMB, Universidade de Lisboa, 1649-028 Lisboa, Portugal"},{"name":"Departamento de Artes, Humanidades e Desporto, Instituto Polit\u00e9cnico de Beja, 7800-295 Beja, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7551-6445","authenticated-orcid":false,"given":"Lu\u00eds","family":"Calmeiro","sequence":"additional","affiliation":[{"name":"ISAMB, Universidade de Lisboa, 1649-028 Lisboa, Portugal"},{"name":"School of Applied Sciences, Abertay University, Dundee DD1 1HG, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9850-7771","authenticated-orcid":false,"given":"Adilson","family":"Marques","sequence":"additional","affiliation":[{"name":"ISAMB, Universidade de Lisboa, 1649-028 Lisboa, Portugal"},{"name":"CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4651-0439","authenticated-orcid":false,"given":"Diego","family":"Gomez-Baya","sequence":"additional","affiliation":[{"name":"Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal"},{"name":"Department of Social, Developmental and Educational Psychology, Universidad de Huelva, 21007 Huelva, Spain"}]},{"given":"Margarida","family":"Gaspar de Matos","sequence":"additional","affiliation":[{"name":"Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal"},{"name":"ISAMB, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,29]]},"reference":[{"key":"ref_1","unstructured":"WHO (2017). World Health Statistics 2017: Monitoring Health for the SDGs, Sustainable Development Goals, World Health Organization."},{"key":"ref_2","unstructured":"WHO (2012). Health Education: Theoretical Concepts, Effective Strategies and Core Competencies. A Foundation Document to Guide Capacity Development of Health Educators, World Health Organization, Regional Office for the Eastern Mediterranean."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/09603120500155963","article-title":"The mental and physical health outcomes of green exercise","volume":"15","author":"Pretty","year":"2005","journal-title":"Int. J. Environ. Health Res."},{"key":"ref_4","unstructured":"WHO (1986). The Ottawa Charter for Health Promotion, World Health Organization."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/S0140-6736(16)30383-X","article-title":"The economic burden of physical inactivity: A global analysis of major non-communicable diseases","volume":"388","author":"Ding","year":"2016","journal-title":"Lancet"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/sms.12669","article-title":"Is there such a thing as sustainable physical activity?","volume":"27","author":"Torstveit","year":"2017","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Barton, J., Bragg, R., Wood, C., and Pretty, J. (2016). Green Exercise: Linking Nature, Health and Well-Being, Routledge.","DOI":"10.4324\/9781315750941"},{"key":"ref_8","first-page":"126","article-title":"Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research","volume":"100","author":"Caspersen","year":"1985","journal-title":"Public Health Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"4354","DOI":"10.3390\/ijerph120404354","article-title":"Mental health benefits of long-term exposure to residential green and blue spaces: A systematic review","volume":"12","author":"Gascon","year":"2015","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Lahart, I., Darcy, P., Gidlow, C., and Calogiuri, G. (2019). The Effects of Green Exercise on Physical and Mental Wellbeing: A Systematic Review. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16081352"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/2046-7648-2-3","article-title":"The great outdoors: How a green exercise environment can benefit all","volume":"2","author":"Gladwell","year":"2013","journal-title":"Extrem. Physiol. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.healthplace.2013.06.005","article-title":"The beach as a setting for families\u2019 health promotion: A qualitative study with parents and children living in coastal regions in Southwest England","volume":"23","author":"Ashbullby","year":"2013","journal-title":"Health Place"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Akp\u0131nar, A. (2019). Green Exercise: How Are Characteristics of Urban Green Spaces Associated with Adolescents\u2019 Physical Activity and Health?. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16214281"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/1757913915589845","article-title":"A comparison of four typical green exercise environments and prediction of psychological health outcomes","volume":"136","author":"Rogerson","year":"2016","journal-title":"Perspect. Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Rogerson, M., and Barton, J. (2015). Effects of the Visual Exercise Environments on Cognitive Directed Attention, Energy Expenditure and Perceived Exertion. Int. J. Environ. Res. Public Health, 12.","DOI":"10.3390\/ijerph120707321"},{"key":"ref_16","unstructured":"Peacock, J., Hine, R., and Pretty, J. (2007). The Mental Health Benefits of Green Exercise Activities and Green Care, Mind."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"943","DOI":"10.3389\/fpsyg.2019.00943","article-title":"Immersive nature-experiences as health promotion interventions for healthy, vulnerable, and sick populations? A systematic review and appraisal of controlled studies","volume":"10","author":"Mygind","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_18","first-page":"313","article-title":"Exercise and nature: A relevant combination to health and well-being","volume":"12","author":"Veloso","year":"2017","journal-title":"Rev. Iberoam. Psicol. Ejerc. Deporte"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.healthplace.2017.02.006","article-title":"Place, green exercise and stress: An exploration of lived experience and restorative effects","volume":"46","author":"Olafsdottir","year":"2017","journal-title":"Health Place"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.ufug.2017.03.012","article-title":"The effect of nature and physical activity on emotions and attention while engaging in green exercise","volume":"24","author":"Han","year":"2017","journal-title":"Urban For. Urban Green."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.psychsport.2010.01.002","article-title":"The effect of \u201cgreen exercise\u201d on state anxiety and the role of exercise duration, intensity, and greenness: A quasi-experimental study","volume":"11","author":"Mackay","year":"2010","journal-title":"Psychol. Sport Exerc."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Mnich, C., Weyland, S., Jekauc, D., and Schipperijn, J. (2019). Psychosocial and physiological health outcomes of green exercise in children and adolescents\u2014A systematic review. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16214266"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1080\/2159676X.2020.1761433","article-title":"\u2018I\u2019m just lost in the world\u2019: The impact of blue exercise on participant well-being","volume":"13","author":"Thompson","year":"2020","journal-title":"Qual. Res. Sport Exerc. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.jenvp.2010.04.004","article-title":"Blue space: The importance of water for preference, affect, and restorativeness ratings of natural and built scenes","volume":"30","author":"White","year":"2010","journal-title":"J. Environ. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Tan, C., Chang, C., Nghiem, L., Zhang, Y., Oh, R., Shanahan, D., Lin, B., Gaston, K., Fuller, R., and Carrasco, L. (2021). The right mix: Residential urban green-blue space combinations are correlated with physical exercise in a tropical city-state. Urban For. Urban Green., 57.","DOI":"10.1016\/j.ufug.2020.126947"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Wilson, E. (1984). Biophilia: The Human Bond with Other Species, Harvard University Press.","DOI":"10.4159\/9780674045231"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0272-4944(05)80184-7","article-title":"Stress recovery during exposure to natural and urban environments","volume":"11","author":"Ulrich","year":"1991","journal-title":"J. Environ. Psychol."},{"key":"ref_28","unstructured":"Kaplan, R., and Kaplan, S. (1989). The Experience of Nature: A Psychological Perspective, Cambridge University Press."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Ibanez, J., and Bockheim, J. (2013). Pedodiversity: State of the Art and Future Challenges, CRC Press.","DOI":"10.1201\/b14780"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1177\/0309133311423172","article-title":"Ecosystem services: Exploring a geographical perspective","volume":"35","author":"Potschin","year":"2011","journal-title":"Prog. Phys. Geogr."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Pretty, J., Rogerson, M., and Barton, J. (2017). Green Mind Theory: How Brain-Body-Behaviour Links into Natural and Social Environments for Healthy Habits. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14070706"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.psychsport.2018.12.020","article-title":"The empowering variability of affordances of nature: Why do exercisers feel better after performing the same exercise in natural environments than in indoor environments?","volume":"42","author":"Brymer","year":"2019","journal-title":"Psychol. Sport Exerc."},{"key":"ref_33","unstructured":"Kellert, S., and Wilson, E. (1993). The Biophilia Hypothesis, Island Press."},{"key":"ref_34","first-page":"140","article-title":"Understanding the Transformative Aspects of the Wilderness and Protected Lands Experience upon Human Health","volume":"64","author":"Ewert","year":"2011","journal-title":"USDA For. Serv. Proc. RMRS"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Marselle, M.R., Stadler, J., Korn, H., Irvine, K.N., and Bonn, A. (2019). Theoretical Foundations of Biodiversity and Mental Well-being Relationships. Biodiversity and Health in the Face of Climate Change, Springer International Publishing.","DOI":"10.1007\/978-3-030-02318-8"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1111\/j.1467-9280.2008.02225.x","article-title":"The Cognitive Benefits of Interacting With Nature","volume":"19","author":"Berman","year":"2008","journal-title":"Psychol. Sci."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.ufug.2016.01.005","article-title":"Linking forest naturalness and human wellbeing-a study on public\u2019s experiential connection to remnant forests within a highly urbanized region in Malaysia","volume":"16","author":"Foo","year":"2016","journal-title":"Urban Urban Green"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.ufug.2016.10.011","article-title":"Why viewing nature is more fascinating and restorative than viewing buildings: A closer look at perceived complexity","volume":"20","author":"Joye","year":"2016","journal-title":"Urban Urban Green"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mandelbrot, B. (1983). The Fractal Geometry of Nature, Freeman.","DOI":"10.1119\/1.13295"},{"key":"ref_40","unstructured":"Steg, L., van den Berg, A., and Groot, J. (2013). Restorative environments. Environmental Psychology: An Introduction, BPS Blackwell."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ecoser.2014.12.007","article-title":"Exploring connections among nature, biodiversity, ecosystem services, and human health and Well-being: Opportunities to enhance health and biodiversity conservation","volume":"12","author":"Sandifer","year":"2015","journal-title":"Ecosyst. Serv."},{"key":"ref_42","first-page":"189","article-title":"Understanding the psychological health and well-being benefits of physical activity in nature: An ecological dynamics analysis","volume":"6","author":"Brymer","year":"2014","journal-title":"Ecopsychology"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.psychsport.2018.08.014","article-title":"Enhancing the acute psychological benefits of green exercise: An investigation of expectancy effects","volume":"39","author":"Flowers","year":"2018","journal-title":"Psychol. Sport Exerc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.socscimed.2013.06.030","article-title":"Streetscape greenery and health: Stress, social cohesion and physical activity as mediators","volume":"94","author":"Groenewegen","year":"2013","journal-title":"Soc. Sci. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1469-8986.1995.tb03405.x","article-title":"The effects of running, environment, and attentional focus on athletes\u2019 catecholamine and cortisol levels and mood","volume":"32","author":"Harte","year":"1995","journal-title":"Psychophysiology"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.ypmed.2013.08.017","article-title":"Mental health benefits of neighbourhood green space are stronger among physically active adults in middle-to-older age: Evidence from 260,061 Australians","volume":"57","author":"Feng","year":"2013","journal-title":"Prev. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.healthplace.2016.01.003","article-title":"Visiting green space is associated with mental health and vitality: A cross-sectional study in four european cities","volume":"38","author":"Andrusaityte","year":"2016","journal-title":"Health Place"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.1136\/jech.2009.104695","article-title":"Greenspace in urban neighbourhoods and residents\u2019 health: Adding quality to quantity","volume":"66","author":"Groenewegen","year":"2012","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"3947","DOI":"10.1021\/es903183r","article-title":"What is the best dose of nature and green exercise for improving mental health? A multi-study analysis","volume":"44","author":"Barton","year":"2010","journal-title":"Environ. Sci. Technol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"143","DOI":"10.2165\/00007256-199111030-00002","article-title":"A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and Mechanisms","volume":"3","author":"Petruzzello","year":"1991","journal-title":"Sports Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.jad.2016.03.063","article-title":"Exercise as a treatment for depression: A meta-analysis","volume":"202","author":"Kvam","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/09640560601156466","article-title":"Green exercise in the UK countryside: Effects on health and psychological well-being, and implications for policy and planning","volume":"50","author":"Pretty","year":"2007","journal-title":"J. Environ. Plan. Manag."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1080\/17430437.2015.1096251","article-title":"The green waves of environmental sustainability in sport","volume":"19","author":"McCullough","year":"2016","journal-title":"Sport Soc."},{"key":"ref_54","first-page":"9","article-title":"Environmental sustainability in sport: Current state and future trends","volume":"3","author":"Trendafilova","year":"2014","journal-title":"Glob. J. Adv. Pure Appl. Sci."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.smr.2017.08.009","article-title":"Equity-based sustainability and ecocentric management: Creating more ecologically just sport organization practices","volume":"21","author":"McCullough","year":"2018","journal-title":"Sport Manag. Rev."},{"key":"ref_56","first-page":"53","article-title":"Riding the sustainability wave: Surfing and environmentalism","volume":"27","author":"Borne","year":"2018","journal-title":"Environ. Sci."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0272-4944(83)80021-8","article-title":"Place-identity: Physical world socialization of the self","volume":"3","author":"Proshansky","year":"1983","journal-title":"J. Environ. Psychol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1080\/13549839.2010.548373","article-title":"Exploring the influence of outdoor recreation participation on pro-environmental behaviour in a demographically diverse population","volume":"16","author":"Larson","year":"2011","journal-title":"Local Environ."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1080\/01490400.2017.1305306","article-title":"Surfers as environmental stewards: Understanding place-protecting behavior at Cape Hatteras National Seashore","volume":"40","author":"Larson","year":"2018","journal-title":"Leis. Sci."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/14775080902965223","article-title":"Extreme sports as a precursor to environmental sustainability","volume":"14","author":"Brymer","year":"2009","journal-title":"J. Sport Tour."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Sugiyama, N., Hosaka, T., Takagi, E., and Numata, S. (2021). How do childhood nature experiences and negative emotions towards nature influence preferences for outdoor activity among young adults?. Landsc. Urban Plan., 205.","DOI":"10.1016\/j.landurbplan.2020.103971"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1177\/001391602237248","article-title":"Environmental socialization: Quantitative tests of the childhood play hypothesis","volume":"34","author":"Bixler","year":"2002","journal-title":"Environ. Behav."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/0013916511402673","article-title":"Environmental sustainability and behavioral science: Meta-analysis of proenvironmental behavior experiments","volume":"44","author":"Osbaldiston","year":"2012","journal-title":"Environ. Behav."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1027\/1016-9040\/a000174","article-title":"Bringing environmental psychology into action: Four steps from science to policy","volume":"19","author":"Ernst","year":"2014","journal-title":"Eur. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1027\/1016-9040\/a000184","article-title":"Past and Present Environmental Psychology","volume":"19","year":"2014","journal-title":"Eur. Psychol."}],"container-title":["Sustainability"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2071-1050\/13\/19\/10829\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:07:18Z","timestamp":1760166438000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2071-1050\/13\/19\/10829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,29]]},"references-count":65,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2021,10]]}},"alternative-id":["su131910829"],"URL":"https:\/\/doi.org\/10.3390\/su131910829","relation":{},"ISSN":["2071-1050"],"issn-type":[{"value":"2071-1050","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,29]]}}}