Benefits of Outdoor Sports for Society. A Systematic Literature Review and Reflections on Evidence

Barbara Eigenschenk, Andreas Thomann, Mike McClure, Larissa Davies, Maxine Gregory, Ulrich Dettweiler, Eduard Inglés, Barbara Eigenschenk, Andreas Thomann, Mike McClure, Larissa Davies, Maxine Gregory, Ulrich Dettweiler, Eduard Inglés

Abstract

The combination of physical activity and being in nature is recognized as providing a range of significant benefits. The objective of this literature review was to compile an overview of the social benefits and costs associated with outdoor sports within the academic literature and to reflect on the quality of underlying evidence that supports the relationship. A systematic review was carried out with seven partners from different European countries, including Bulgaria, France, Germany, United Kingdom, Italy, Portugal, and Spain. From a total of 17,560 studies identified, 133 studies were selected with relevant data extracted to standardized forms. The selected studies have been analyzed with qualitative research methods. A meta-analysis could not be conducted due to the heterogeneity of the study designs and outcome measures. As a result, the review gives an overview of the social impacts associated with outdoor sports which have been clustered to six broad categories: physical health, mental health and wellbeing, education and lifelong learning, active citizenship, crime reduction, and anti-social behavior, as well as additional benefits. The review furthermore revealed gaps in the evidence base which are especially notable in the long-term effects that outdoor sports can have on personal and social development.

Keywords: health enhancing physical activity; outdoor education; outdoor recreation; outdoor sports; social benefits and costs or social impacts.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Research and selection process.

References

    1. Cavill N., Kahlmeier S., Racioppi F. Physical Activity and Health in Europe: Evidence for Action. WHO; Copenhagen, Denmark: 2006.
    1. Ten Brink P., Mutafoglu K., Schweitzer J.-P., Kettunen M., Twigger-Ross C., Baker J., Kuipers Y., Emonts M., Tyrväinen L., Hujala T., et al. The Health and Social Benefits of Nature and Biodiversity Protection. A report for the European Commission. Institute for European Environmental Policy; London, UK: Brussels, Belgium: 2016.
    1. Thompson Coon J., Boddy K., Stein K., Whear R., Barton J., Depledge M.H. Does Participating in Physical Activity in Outdoor Natural Environments Have a Greater Effect on Physical and Mental Wellbeing than Physical Activity Indoors? A Systematic Review. Environ. Sci. Technol. 2011;45:1761–1772. doi: 10.1021/es102947t.
    1. Council of Europe Recommendation No. R (92) 13 REV of the Committee of Ministers to Member States on the revised European Sports Charter. [(accessed on 22 February 2019)];1992 Available online: .
    1. Dickson T., Gray T., Mann K. Australian Outdoor Adventure Activity. Benefits Catalogue. University of Canberra; Canberra, Australia: 2008.
    1. Coalter F. The Social Benefits of Sport. Sportscotland; Glasgow, UK: 2013. [(accessed on 28 September 2016)]. Available online: .
    1. Taylor P., Davies L., Wells P., Gilbertson J., Tayleur W. A Review of the Social Impacts of Culture and Sport. Department for Culture, Media and Sport; London, UK: 2015. [(accessed on 28 September 2016)]. Available online: .
    1. Duncan M.J., Clarke N.D., Birch S.L., Tallis J., Hankey J., Bryant E., Eyre E.L.J. The Effect of Green Exercise on Blood Pressure, Heart Rate and Mood State in Primary School Children. Int. J. Environ. Res. Public Health. 2014;11:3678–3688. doi: 10.3390/ijerph110403678.
    1. Pretty J., Peacock J., Sellens M., Griffin M. The mental and physical health outcomes of green exercise. Int. J. Environ. Health Res. 2005;15:319–337. doi: 10.1080/09603120500155963.
    1. Hartig T., Evans G.W., Jamner L.D., Davis D.S., Garling T. Tracking restoration in natural and urban field settings. J. Environ. Psychol. 2003;23:109–123. doi: 10.1016/S0272-4944(02)00109-3.
    1. Izenstark D., Oswald R.F., Holman E.G., Mendez S.N. Rural, Low-Income Mothers’ Use of Family-Based Nature Activities to Promote Family Health. J. Leis. Res. 2016;48:134–155. doi: 10.18666/jlr-2016-v48-i2-6409.
    1. Liu M.-H., Liu Z.-Q. Effect of Winter Swimming on the Cardiovascular Function of the Seniors and Middle-age Population. J. Beijing Sport Univ. 2010;33:63–65.
    1. Stoeppler R., Tillmann V. “Alle in einem Boot” Rudern als aktive Freizeitgestaltung bei Menschen mit geistiger Behinderung. Praxis der Psychomotorik. 2004;29:209–213.
    1. Stuhl A., Porter H. Riding the Waves: Therapeutic Surfing to Improve Social Skills for Children with Autism. Ther. Recreat. J. 2015;49:253–256.
    1. Zabriskie R.B., Lundberg N.R., Groff D.G. Quality of Life and Identity: The Benefits of a Community-Based Therapeutic Recreation and Adaptive Sports Program. Ther. Recreat. J. 2005;39:176–191.
    1. Donatiello E., Dello Russo M., Formisano A., Lauria F., Nappo A., Reineke A., Sparano S., Barba G., Russo P., Siani A. Physical activity, adiposity and urbanization level in children: Results for the Italian cohort of the IDEFICS study. Public Health. 2013;27:761–765. doi: 10.1016/j.puhe.2013.04.031.
    1. Doistua Nebreda J., Ried Luci A. Ocio en la naturaleza como espacio de desarrollo juvenil. Rev. Psicolog. Deporte. 2016;25:39–44.
    1. Andre E.K., Williams N., Schwartz F., Bullard C. Benefits of Campus Outdoor Recreation Programs: A Review of the Literature. J. Outdoor Recreat. Educ. Leadersh. 2017;9:15–25. doi: 10.18666/JOREL-2017-V9-I1-7491.
    1. Dragoi C.C. Study regarding the influence of hiking on certain health markers in middle school students. Sport Soc. 2014;14:36–43.
    1. Rosa P., Carvalhinho L., Soares J. O Desporto de Natureza e o Desenvolvimento Sustentável: Prespectivas de Desenvolvimento e Governança. Revista de Educação Física da UFRGS. Movimento. 2017;23:419–436. doi: 10.22456/1982-8918.60361.
    1. Oftedal A., Schneider I. Outdoor Recreation availability, physical activity, and health outcomes: County-level analysis in Minnesota. J. Park Recreat. Adm. 2013;31:34–56. doi: 10.1016/j.ypmed.2013.11.010.
    1. Pierskalla C.D., Lee M.A., Stein T.V., Anderson D.H., Nickerson R. Understanding relationships among recreation opportunities: A meta analysis of nine studies. Leis. Sci. 2004;26:163–180. doi: 10.1080/01490400490432082.
    1. Rosenberger R.S., Bergerson T.R., Kline J.D. Macro-Linkages between Health and Outdoor Recreation: The Role of Parks and Recreation Providers. J. Park Recreat. Adm. 2009;27:8–20.
    1. Hanson S., Jones A. Is there benefit that walking groups have health benefits? A systematic review and meta-analysis. Br. J. Sports Med. 2015;49:710–715. doi: 10.1136/bjsports-2014-094157.
    1. Roberson D.N., Babic V. Remedy for modernity: Experiences of walkers and hikers on Medvednica Mountain. Leis. Stud. 2009;28:105–112. doi: 10.1080/02614360802127219.
    1. Bachčevanski S. Приспособления за адаптация на ветроходни яхти за хора с физически увреждания. Sport Nauka. 2016;60:120–127.
    1. Gešev P., Papazoglu J. Динамика на развитието на силовите качества на 15-годишни ученици, практикуващи ветроходен спорт. Sport Nauka. 2013;57:97–105.
    1. Kux S., Wolfgang H. Health Benefits of Non-Motorized Outdoor Recreation: A Summary of Published Findings. School of Resource and Environmental Management, Simon Fraser University; Burnaby, BC, Canada: 2014.
    1. Verity C., Mackintosh C. Reconomics: The Economic Impact of Outdoor Recreation in the UK: The Evidence. Sport and Recreation Alliance; London, UK: 2014.
    1. Bowles B., Fleming K., Fuller K., Lankford J., Prinz J. Economic and Health Benefits of Bicycling in Iowa. Iowa Bicycle Coalition; Coralville, IA, USA: 2011.
    1. Morris N. Health, Well-Being, and Open Space: Literature Review. OPENspace, the Research Centre for Inclusive Access to Outdoor Environments, Edinburgh College of Art and Heriot-Watt University; Edinburgh, UK: 2003.
    1. De Moor D. Walking Works: Making the Case to Encourage Greater Uptake of Walking as a Physical Activity and Recognise the Value and Benefits of Walking for Health. Ramblers and Macmillan Cancer Support; London, UK: 2015.
    1. Mapes N. Green exercise and dementia. In: Barton J., Bragg R., Wood C., Pretty J.N., editors. Green Exercise: Linking Nature, Health and Well-Being. Routledge; London, UK: 2016. pp. 150–160.
    1. Moore S.C., Lee I.-M., Weiderpass E., Campbell P.T., Sampson J.N., Kitahara C.M., Keadle S.C., Arem H., Berrington de Gonzalez A., Hartge P., et al. Association of Leisure-Time Physical Activity with Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA Intern. Med. 2016;176:816–825. doi: 10.1001/jamainternmed.2016.1548.
    1. Blond K., Rasmussen M., Østergaard L., Grøntved A. Prospective Study of Bicycling and Risk of Coronary Heart Disease in Danish Men and Women. Circulation. 2016;134:1409–1411. doi: 10.1161/CIRCULATIONAHA.116.024651.
    1. Thijssen D.H.J., de Groot P.C.E., Smits P., Hopman M.T.E. Vascular adaptations to 8-week cycling training in older men. Acta Physiol. 2007;190:221–228. doi: 10.1111/j.1748-1716.2007.01685.x.
    1. Niederseer D., Ledl-Kurkowski E., Kvita K., Patsch W., Dela F., Mueller E., Niebauer J. Salzburg Skiing for the Elderly Study: Changes in cardiovascular risk factors through skiing in the elderly. Scand. J. Med. Sci. Sports. 2011;21:47–55. doi: 10.1111/j.1600-0838.2011.01341.x.
    1. Heggie T.W., Heggie T.M. Dead men hiking: Case studies from the American wilderness. Med. Sport. Off. J. Pol. Soc. Sports Med. 2012;16:118–121. doi: 10.5604/17342260.1011392.
    1. Wilson I., McDermott H., Munir F., Hogervorst E. Injuries, ill-health and fatalities in white water rafting and white water paddling. Sports Med. 2013;43:65–75. doi: 10.1007/s40279-012-0007-8.
    1. Ruedl G., Schranz A., Fink C., Woldrich T., Sommersacher R., Nachbauer W., Burtscher M. Knieverletzungen bei Frauen im Freizeitskilauf: Risikofaktoren und Präventivmaßnahmen im Überblick. Dtsch. Z. Sportmed. 2009;60:345–349.
    1. White M.P., Elliott L.R., Taylor T., Wheeler B.W., Spencer A., Bone A., Depledge M.H., Fleming L.E. Recreational physical activity in natural environments and implications for health: A population based cross-sectional study in England. Prev. Med. 2016;91:383–388. doi: 10.1016/j.ypmed.2016.08.023.
    1. Kelly P., Kahlmeier S., Götschi T., Orsini N., Richards J., Roberts N., Scarborough P., Foster C. Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship. Int. J. Behav. Nutr. Phys. Act. 2014;11:1–15. doi: 10.1186/s12966-014-0132-x.
    1. Hasler R.M., Huttner H.E., Keel M.J.B., Durrer B., Zimmermann H., Exadaktylos A.K., Benneker L.M. Spinal and pelvic injuries in airborne sports: A retrospective analysis from a major Swiss trauma centre. Injury. 2012;43:440–445. doi: 10.1016/j.injury.2011.06.193.
    1. Aleman K.B., Meyers M.C. Mountain Biking Injuries in Children and Adolescents. Sports Med. 2010;40:77–90. doi: 10.2165/11319640-000000000-00000.
    1. Crane M., Rissel C., Standen C., Greaves S. Associations between the frequency of cycling and domains of quality of life. Health Promot. J. Aust. 2014;25:182–185. doi: 10.1071/HE14053.
    1. Puett R., Teas J., Espana-Romero V., Artero E., Duck-chul L., Baruth M., Sui X., Montresor-Lopez J., Blair S.N. Physical Activity: Does Environment Make a Difference for Tension, Stress, Emotional Outlook, and Perceptions of Health Status? J. Phys. Act. Health. 2014;11:1103–1511. doi: 10.1123/jpah.2012-0375.
    1. Minello K., Nixon D. ‘Hope I never stop’: Older men and their two-wheeled love affairs. Ann. Leis. Res. 2017;20:75–95. doi: 10.1080/11745398.2016.1218290.
    1. Müller E., Gimpl M., Kirchner S., Kröll J., Jahnel R., Niebauer J., Niederseer D., Scheiber P. Salzburg Skiing for the Elderly Study: Influence of alpine skiing on aerobic capacity, strength, power, and balance. Scand. J. Med. Sci. Sports. 2011;21:9–22. doi: 10.1111/j.1600-0838.2011.01337.x.
    1. Dan S. Effect of Winter Outdoor Swimming on Old people’s Microcirculation and Hemorheological Changes. J. Beijing Sport Univ. 2007;30:1231–1233.
    1. De Rui M., Toffanello E.D., Veronese N., Zambon S., Bolzetta F., Sartori L., Musacchio E., Corti M., Baggio G., Crepaldi G., et al. Vitamin D Deficiency and Leisure Time Activities in the Elderly: Are All Pastimes the Same? PLoS ONE. 2014;9:e94805. doi: 10.1371/journal.pone.0094805.
    1. Dalmay F., Bhalla D., Nicoletti A., Cabrera-Gomez J.A., Cabre P., Ruiz F., Druet-Cabanac M., Dumas M., Preux P.M. Multiple sclerosis and solar exposure before the age of 15 years: Case–control study in Cuba, Martinique and Sicily. Mult. Scler. J. 2010;6:899–908. doi: 10.1177/1352458510366856.
    1. Russo A., Semeraro F., Romano M.R., Matropasqua R., Dell’Omo R., Castagliola C. Myopia onset and progression: Can it be prevented? Int. Ophthalmol. 2014;34:693–705. doi: 10.1007/s10792-013-9844-1.
    1. Donoghue O., O’Connell M., Kenny R.A. Walking to Wellbeing: Physical Activity, Social Participation and Psychological Health in Irish Adults Aged 50 Years and Older. TILDA (The Irish Longitudinal Study on Ageing); Dublin, Ireland: 2016.
    1. Bratman G.N., Hamilton J.P., Hahn K.S., Daily G.C., Gross J.J. Nature experience reduces rumination and subgenual prefrontal cortex activation. Proc. Natl. Acad. Sci. USA. 2015;112:8567–8572. doi: 10.1073/pnas.1510459112.
    1. Brown D.K., Barton J.L., Pretty J., Gladwell V.F. Walks4Work: Assessing the role of the natural environment in a workplace physical activity intervention. Scand. J. Work. Health. 2014;40:390–400. doi: 10.5271/sjweh.3421.
    1. Weng P., Chiang Y. Psychological Restoration through Indoor and Outdoor Leisure Activities. J. Leis. Res. 2014;46:203–217. doi: 10.1080/00222216.2014.11950320.
    1. Mitchell R. Is physical activity in natural environments better for mental health than physical activity in other environments? Soc. Sci. Med. 2013;91:130–134. doi: 10.1016/j.socscimed.2012.04.012.
    1. Duvall J., Kaplan R. Exploring the Benefits of Outdoor Experiences on Veterans. Sierra Club Military Families and Veterans Initiative; San Francisco, CA, USA: 2013.
    1. Mutz M., Müller J. Mental health benefits of outdoor adventures: Results from two pilot studies. J. Adolesc. 2016;49:105–114. doi: 10.1016/j.adolescence.2016.03.009.
    1. Sandford R., Duncombe R., Armour K. The Role of Physical Activity/Sport in Tackling Youth Disaffection and Anti-Social Behaviour. Educ. Rev. 2008;60:419–435. doi: 10.1080/00131910802393464.
    1. Marselle M.R., Irvine K.N., Warber S.L. Examining Group Walks in Nature and Multiple Aspects of Well-Being. Ecopsychology. 2014;6:134–147. doi: 10.1089/eco.2014.0027.
    1. Sheng-Hshiung T., Wei-Rong L., Tien-Ming C. Toward a Structural Model of Challenge Experience in Adventure Recreation. J. Leis. Res. 2015;47:322–336. doi: 10.1080/00222216.2015.11950363.
    1. Šuc N., Lešnik B., Erpič S.C. Differences in self-concept among persons with disabilities due to practising adaptive alpine skiing. Kinesiol. Slov. 2015;21:34–42.
    1. Dorsch T.E., Maxey M., Richards A.R. The effect of an outdoor recreation program on individuals with disabilities and their family members: A case study. Ther. Recreat. J. 2016;50:155–171. doi: 10.18666/TRJ-2016-V50-I2-6527.
    1. Ebner-Priemer U., Reichert M. Lauf Dich glücklich! Sport gegen Depressive Verstimmungen. Untersuchung der Veränderung von Stimmung durch Bewegungs-/Sportinterventionen bei Studierenden mit Erkrankungen im Depressiven Spektrum mittels Ambulantem Assessment. Karlsruher Institut für Technologie/Institut für Sport und Sportwissenschaft; Karlsruhe, Deutschland: 2014.
    1. Federal, Provincial, and Territorial Governments of Canada . 2012 Canadian Nature Survey: Awareness, Participation, and Expenditures in Nature-Based Recreation, Conservation, and Subsistence Activities. Canadian Councils of Resource Ministers; Ottawa, ON, Canada: 2014.
    1. Clough P., Mackenzie S.H., Mallabon L., Brymer E. Adventurous physical activity environments: A mainstream intervention for mental health. Sports Med. 2016;46:963–968. doi: 10.1007/s40279-016-0503-3.
    1. Crust L., Henderson H., Middleton G. The acute effects of urban green and countryside walking on psychological health: A field-based study of green exercise. Int. J. Sport Psychol. 2013;44:160–177. doi: 10.7352/IJSP.2013.44.160.
    1. Hayhurst J., Hunter J., Kafka S., Boyes M. Enhancing Resilience in Youth through a 10-Day Developmental Voyage. J. Adventure Educ. Outdoor Learn. 2015;15:40–52. doi: 10.1080/14729679.2013.843143.
    1. Barton J., Griffin M., Pretty J. Exercise, nature and socially interactive based initiatives improve mood and self-esteem in the clinical population. Perspect. Public Health. 2011;132:89–96. doi: 10.1177/1757913910393862.
    1. Barton J., Pretty J. What is the Best Dose of Nature and Green Exercise for Improving Mental Health? A Multi-Study Analysis. Environ. Sci. Technol. 2010;44:3947–3955. doi: 10.1021/es903183r.
    1. Pretty J., Peacock J., Hine R., Sellens M., South N., Griffin M. Green exercise in the UK countryside: Effects on health and psychological well-being, and implications for policy and planning. J. Environ. Plan. Manag. 2007;50:211–231. doi: 10.1080/09640560601156466.
    1. Hansmann R., Hug S.M., Seeland K. Restoration and stress relief through physical activities in forests and parks. Urban For. Urban Green. 2007;6:213–225. doi: 10.1016/j.ufug.2007.08.004.
    1. Berman M.G., Kross E., Krpan K.M., Askren M.K., Burson A., Deldin P.J., Kaplan S., Sherdell L., Gotlib I.H., Jonides J. Interacting with nature improves cognition and affect for individuals with depression. J. Affect. Disord. 2012;140:300–305. doi: 10.1016/j.jad.2012.03.012.
    1. Focht B.C. Brief Walks in Outdoor Laboratory Environments. Res. Q. Exerc. Sport. 2009;80:611–620. doi: 10.1080/02701367.2009.10599600.
    1. Matsouka O., Bebetsos E., Trigonis I., Simakis S. The effects of an outdoor exercise program on mood states among the elderly. World Leis. J. 2010;52:34–40. doi: 10.1080/04419057.2010.9674620.
    1. Townsend M., Weerasuriya R. Beyond Blue to Green: The Benefits of Contact with Nature for Mental Health and Well-Being. Beyond Blue Limited; Melbourne, Australia: 2010.
    1. Bodin M., Hartig T. Does the outdoor environment matter for psychological restoration gained through running? Psychol. Sport Exerc. 2003;4:141–153. doi: 10.1016/S1469-0292(01)00038-3.
    1. Krenichyn K. ‘The only place to go and be in the city’: Women talk about exercise, being outdoors, and the meanings of a large urban park. Health Place. 2006;12:631–643. doi: 10.1016/j.healthplace.2005.08.015.
    1. Bratman G.N., Daily G.C., Levy B.J., Gross J.J. The benefits of nature experience: Improved affect and cognition. Landsc. Urban Plan. 2015;138:41–50. doi: 10.1016/j.landurbplan.2015.02.005.
    1. Levin B.J., Taylor J. Depression, Anxiety, and Coping in Surfers. J. Clin. Sport Psychol. 2011;5:148–165. doi: 10.1123/jcsp.5.2.148.
    1. Stanton R., Reaburn P. Exercise and the treatment of depression: A review of the exercise program variables. J. Sci. Med. Sport. 2014;17:177–182. doi: 10.1016/j.jsams.2013.03.010.
    1. Mackay G.J. The effect of “green exercise” on state anxiety and the role of exercise duration, intensity and greenness: A quasi-experimental study. Psychol. Sport Exerc. 2010;11:238–245. doi: 10.1016/j.psychsport.2010.01.002.
    1. Sand M.S. Die Auswirkungen des sechsmonatigen Segel-Schulprojektes Klassenzimmer unter Segeln auf die Persönlichkeitsentwicklung Jugendlicher. Czwalina; Hamburg, Deutschland: 2015.
    1. Marques A.P. Protocolo ARC aplicado en la Escola de la Foresta. Anduli Rev. Andal. Cienc. Soc. 2010;9:149–163.
    1. Dimmock K. Finding comfort in adventure: Experiences of recreational SCUBA divers. Leis. Stud. 2009;28:279–295. doi: 10.1080/02614360902951674.
    1. Vălev Y., Dimitrov V. Въздействие на конния спорт върху човека. Sport Nauka. 2015;59:28–36.
    1. Leithäuser R., Beneke R. Sport bei ADHS—Plan für Desaster oder verschenkte Ressource? Dtsch. Z. Sportmed. 2013;64:287–292. doi: 10.5960/dzsm.2013.096.
    1. Paquette L., Brassard A., Guérin A., Fortin-Chevalier J., Tanguay-Beaudoin L. Effects of a Developmental Adventure on the Self-Esteem of College Students. J. Exp. Educ. 2014;37:216–231. doi: 10.1177/1053825913498372.
    1. Capurso M., Borsci S. Effects of a Tall Ship Sail Training Experience on Adolescents’ Self-Concept. Int. J. Educ. Res. 2013;58:15–24. doi: 10.1016/j.ijer.2013.01.004.
    1. Vives Vilarroig J., Ruiz Bernardo M.P. Programa asistido con caballos para la atención psicopedagógica de un adolescente con tda-h. Quad. Digit. Rev. De Nuevas Tecnol. Y Soc. 2017;84:142–155.
    1. Burke S.M., Utley A. Climbing towards recovery: Investigating physically injured combat veterans’ psychosocial response to scaling Mt. Kilimanjaro. Disabil. Rehabil. 2013;35:732–739. doi: 10.3109/09638288.2012.707743.
    1. Clapham E.D., Armitano C.N., Lamont L.S., Audette J.G. The Ocean as a Unique Therapeutic Environment: Developing a Surfing Program. JOPERD J. Phys. Educ. Recreat. Danc. 2014;85:8–14. doi: 10.1080/07303084.2014.884424.
    1. Bernardo R., Matos M. Desporto aventura e auto-estima nos adolescentes, em meio escolar. Revista Portuguesa de Ciências do Desporto. 2003;3:33–46. doi: 10.5628/rpcd.03.01.33.
    1. Palmberg E., Kuru J. Outdoor Activities as a Basis for Environmental Responsibility. J. Environ. Educ. 2010;31:32–36. doi: 10.1080/00958960009598649.
    1. Mazzoni E.R., Purves P.L., Southward J., Rhodes R., Temple V. Effect of Indoor Wall Climbing on Self-Efficacy and Self-Perceptions of Children with Special Needs. Adapt. Phys. Act. Q. 2009;26:259–273. doi: 10.1123/apaq.26.3.259.
    1. Moxham L., Liersch-Sumskis S., Taylor E., Patterson C., Brighton R. Preliminary Outcomes of a Pilot Therapeutic Recreation Camp for People with a Mental Illness. Ther. Recreat. J. 2015;49:61–75.
    1. Panajotov N., Ajkora E. Влиянието на катеренето върху нивата на самоактуализацията и емоционалната стабилност при юноши със заседнал начин на живот. Sport Nauka. 2012;56:123–131.
    1. Barton J., Bragg R., Pretty J., Roberts J., Wood C. The Wilderness Expedition: An effective life course intervention to improve young peoples well-being and connectedness to nature. J. Exp. Educ. 2016;39:59–72. doi: 10.1177/1053825915626933.
    1. Lang S. Ph.D. Thesis. Universität Augsburg; Augsburg, Germany: Jul 15, 2005. Umweltthemen in der Sportpädagogik: Evaluation eines Schulsportprojektes als Beitrag zur Umweltbildung und Bildung für nachhaltige Entwicklung.
    1. Glover T., Chapeskie A., Mock S., Mannel R., Feldberg H. The Canadian Summer Camp Research Project. University of Waterloo; Waterloo, ON, Canada: 2011. [(accessed on 8 June 2017)]. Available online: .
    1. Wheaton B. Surfing through the life-course: Silver surfers’ negotiation of ageing. Ann. Leis. Res. 2017;20:96–116. doi: 10.1080/11745398.2016.1167610.
    1. Calsius J., Courtois I., Feys P., Van Asch P., De Bie J., D’hooghe M. “How to conquer a mountain with multiple sclerosis”. How a climbing expedition to Machu Picchu affects the way people with multiple sclerosis experience their body and identity: A phenomenological analysis. Disabil. Rehabil. 2015;37:2393–2399. doi: 10.3109/09638288.2015.1027003.
    1. Faber Taylor A., Kuo F.E. Children with Attention Deficits Concentrate Better After Walk in the Park. J. Atten. Disord. 2008;12:402–409. doi: 10.1177/1087054708323000.
    1. Kuo F.E., Faber Taylor A. A potential Natural treatment for Attenion-deficit/hyperactivity disorder: Evidence from a national study. Am. J. Public Health. 2004;94:1580–1586. doi: 10.2105/AJPH.94.9.1580.
    1. Matos M.G., Santos A., Fauvelet C., Marta F., Evangelista E.S., Ferreira J., Moita M., Conibear T., Mattila M. Surfing for Social Integration: Mental Health and Well-Being promotion through Surf Therapy among Institutionalized Young People. J. Community Med. Public Health Care. 2017;4:1–6. doi: 10.24966/CMPH-1978/100026.
    1. Henstock M., Barker K., Knijnik J. 2, 6, Heave! Sail Training’s Influence on the Development of Self-Concept and Social Networks and Their Impact on Engagement with Learning and Education. A Pilot Study. Aust. J. Outdoor Educ. 2013;17:32–46. doi: 10.1007/BF03400954.
    1. Kudlacek M., Bocarro J., Jirasek I., Hanus R. The Czech Way of Inclusion through an Experiential Education Framework. J. Exp. Educ. 2009;32:14–27. doi: 10.1177/105382590903200103.
    1. Caballero P.J. Diseño, implementación y evaluación de un programa de actividades en la naturaleza para promover la responsabilidad personal y social en alumnos de formación profesional. Cuadernos de Psicología del Deporte. 2015;15:179–194. doi: 10.4321/S1578-84232015000200020.
    1. Beaumont E., Brown D.H.K. ‘Once a Local Surfer, Always a Local Surfer’: Local Surfing Careers in a Southwest English Village. Leis. Sci. 2015;37:68–86. doi: 10.1080/01490400.2014.952462.
    1. Hansen K., Parker M. Rock Climbing: An experience with responsibility. J. Phys. Educ. Recreat. Danc. 2009;80:17–55. doi: 10.1080/07303084.2009.10598278.
    1. Widmer M.A., Duerden M.D., Taniguchi S.T. Increasing and Generalizing Self-Efficacy. The effects of adventure recreation on the academic efficacy of early adolescents. J. Leis. Res. 2014;46:165–183. doi: 10.1080/00222216.2014.11950318.
    1. Gešev P., Papazoglu J. Проучване на взаимовръзките между изследвани показатели при неспортуващи ученици и ученици, занимаващи се допълнително с ветроходен спорт. Sport Nauka. 2014;58:36–43.
    1. Petkova I. Ролята на спортните игри с елементи на ориентиране за укрепване на физическото и психическото развитие на деца от специализирана институция. Sport Nauka. 2012;56:96–106.
    1. Krein K. Sport, nature and worldmaking. Sportethics Philos. 2008;2:285–301. doi: 10.1080/17511320802475713.
    1. Dettweiler U., Kugelmann C., Streifinger M. Expeditionary Learning: Unterwegs auf neuen pädagogisch-didaktischen Pfaden vom Meer bis in die Alpen. In: Lange H., Duttler G., Leffler T., Siebe A., Zimlich M., editors. Bewegungsbezogene Bildungskonzeptionen: Zur Trias Konzeption, Implementation und Evaluation. Volume 10. Schneider-Verl. Hohengehren; Baltmannsweiler, Deutschland: 2011. pp. 129–143.
    1. Raichlen D.A., Bharadwaj P.K., Fitzhugh M.C., Haws K.A., Torre G.-A., Trouard T.P., Alexander G.E. Differences in Resting State Functional Connectivity between Young Adult Endurance Athletes and Healthy Controls. Front. Hum. Neurosci. 2016;10:610. doi: 10.3389/fnhum.2016.00610.
    1. Rogerson M., Gladwell V.F., Gallagher D.J., Barton J.L. Influences of Green Outdoors versus Indoors Environmental Settings on Psychological and Social Outcomes of Controlled Exercise. Int. J. Environ. Res. Public Health. 2016;13:363. doi: 10.3390/ijerph13040363.
    1. Furman N., Sibthorp J. The Development of Prosocial Behavior in Adolescents: A Mixed Methods Study from NOLS. J. Exp. Educ. 2014;37:160–175. doi: 10.1177/1053825913489105.
    1. Sutherland S., Stroot S. The Impact of Participation in an Inclusive Adventure Education Trip on Group Dynamics. J. Leis. Res. 2010;42:153–176. doi: 10.1080/00222216.2010.11950199.
    1. Johnson J., Chin J.W. Seeking new glory (d)hase: A qualitative examinationof adventure-based, team orientation rituals as an alternative to traditional sport hazing for athletes and coaches. Int. J. Sports Sci. Coach. 2016;11:327–341. doi: 10.1177/1747954116643648.
    1. Breunig M., O’Connell T.S., Todd S., Anderson L., Young A. The Impact of Outdoor Pursuits on College Students’ Perceived Sense of Community. J. Leis. Res. 2010;42:551–572. doi: 10.1080/00222216.2010.11950218.
    1. Wells N.M., Lekies K.S. Nature and the Life Course: Pathways from Childhood Nature Experiences to Adult Environmentalism. Child. Youth Environ. 2006;16:1–24.
    1. Thapa B., Graefe A.R., Meyer L.A. Specialization and Marine Based Environmental Behaviors Among Scuba Divers. J. Leis. Res. 2006;38:601–615. doi: 10.1080/00222216.2006.11950094.
    1. North C., Harasymchuk B. Climbing as if you care: Rock climbing at Kura Tawhiti/Castle Hill as a place-based approach to sustainability. Sports Technol. 2012;5:132–142. doi: 10.1080/19346182.2012.686505.
    1. Baena Extremera A., Granero Gallegos A. Estudio cuasi-experimental de un programa de supervivencia en el medio natural. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte. 2013;13:551–567.
    1. Inglés E., Puig N. Gestión de la práctica deportiva en el medio natural. Efectos de la gobernanza en red colaborativa sobre el desarrollo sostenible. Apunt. Educ. Fis. Deportes. 2016;124:89–99. doi: 10.5672/.(2016/2).124.07.
    1. Rosa P., Carvalhinho L. A educação ambiental e o desporto na natureza: Uma reflexão crítica sobre os novos paradigmas da educação ambiental e o potencial do desporto como metodologia de ensino. Revista de Educação Física da UFRGS Movimento. 2012;18:259–280.
    1. Luthe T., Häusler R., Roth R. Die Durchführung alternativer Schneesportausfahrten und deren Nutzung zur Bildung für eine nachhaltige Entwicklung (BfnE) Sportunterricht. 2007;56:366–370.
    1. Limmer M., Roth R. Effects of a 5-day outdoor sports intervention on environmental attitudes in children. In: Baca A., Wessner B., Diketmüller R., Hofmann M., Kornfeind P., Tsolakidis E., editors. Book of Abstracts, 21, Proceedings of the Annual Congress of the European College of Sport Science: Crossing Borders through Sport Science, Vienna, Austria, 6–9 July 2016. European College of Sport Science; Köln, Deutschland: 2016. p. 520.
    1. Thorpe H. Action sports for youth development: Critical insights for the SDP community. Int. J. Sport Policy. 2016;8:91–116. doi: 10.1080/19406940.2014.925952.
    1. Coulom J.-C., Bessy O. Du Stade d’Eaux Vives Pau-Pyrénées au Parc Naturel Urbain: Entre récréativité innovante et innovation territoriale. Loisir et Société/Soc. Leis. 2014;37:79–100. doi: 10.1080/07053436.2014.881093.
    1. Baena Extremera A., Granero Gallegos A. Las actividades físicas en la naturaleza en el currículum actual: Contribución a la educación para la ciudadanía y los derechos humanos. Retos nuevas tendencias en educación física deporte y recreación. 2008;14:48–53.
    1. Barnes M., Forrester S., Walsh M. Leisure as community catalyst: Re-visiting a community twenty years after the development of a municipal artificial white water river; Proceedings of the 10th World Leisure Congress; Quebec City, QC, Canada. 6–10 October 2008; p. 26.
    1. Goodwin D., Peco J., Ginther N. Hiking Excursions for Persons with Disabilities: Experiences of Interdependence. Ther. Recreat. J. 2009;43:43–55.
    1. McNamee J., Timken G. Outdoor Pursuits in Physical Education. Lessons from the Trenches. J. Phys. Educ. Recreat. Danc. 2017;88:8–15. doi: 10.1080/07303084.2016.1270784.
    1. Rosa P., Teixeira de Almeida M., Carvalhinho L. Gestão do desporto de natureza em áreas protegidas: Estudo de caso no PNSCA. Revista Intercontinental de Gestão Desportiva. 2013;3:1–15.
    1. Mieras M.E., Heesch M.W.S., Slivka D. Physiological and psychological responses to outdoor vs. laboratory cycling. J. Strength Cond. Res. 2014;28:2324–2329. doi: 10.1519/JSC.0000000000000384.

Source: PubMed

3
Abonnieren