Related Experiment Video
Updated: Sep 13, 2025

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
Published on: March 7, 2019
Participation in Tourism-Oriented Nature-Based Physical Activity and Compliance With WHO Physical Activity
1Department of Tourism and Health Studies (Sponsored by Ryukyuseimeisaiseikai), Institute for Tourism and Health, Naha, JPN.
Background:
Nature-based physical activity (NBPA), outdoor sports conducted in natural (green or blue) environments, can simultaneously promote public health and regional tourism.
Aim:
This study examined whether participation in tourism-oriented NBPA is associated with (i) attainment of the 2020 World Health Organization (WHO) aerobic activity guidelines, (ii) perceived insufficient exercise, and (iii) self-rated health (SRH) in a nationally representative Japanese sample. We hypothesized that NBPA participants would show higher compliance with WHO physical activity guidelines, more favorable subjective health ratings, and lower perceived exercise insufficiency than non-participants, underscoring NBPA's potential as a public health strategy.
Methods:
This secondary analysis used data from the Sports Life Survey 2024 (unweighted n = 2,896; weighted estimates reported). NBPA was defined as engaging at least once in the previous 12 months in one or more outdoor sports conducted in natural settings. Weighted logistic regression models were estimated in Python 3.11 (pandas 2.2.2, statsmodels 0.14.2, surveyweights 0.7.0; Python Software Foundation, Fredericksburg, VA, US) to compute adjusted odds ratios (Adj-ORs) for each outcome, controlling for age, sex, and body mass index (BMI).
Results:
NBPA participation was reported by 68.1% of respondents. NBPA participants had significantly higher odds of meeting the WHO guideline (Adj-OR = 2.38, 95% CI 2.01-2.80, p < 0.001) but showed no significant differences in perceived insufficient exercise (Adj-OR = 0.97, 0.80-1.19) or SRH (Adj-OR = 1.13, 0.95-1.36).
Conclusions:
Even occasional NBPA more than doubles the likelihood of meeting physical activity guidelines; however, infrequent participation does not appear to influence perceived exercise adequacy or overall health status. Public policies promoting regular, sustained NBPA engagement may yield broader health benefits and serve as models for integrating public health and tourism strategies globally.
Related Concept Videos
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Physiological Barriers
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
Exercise and Muscle Performance
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...

