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Green Prescriptions for Noncommunicable Disease Prevention: Integrating Urban Nature into the 24-Hour Movement Framework
Mohd Faizan Siddiqui1, Mouna Azaroual2
1: Osh State University, Kyrgyzstan (Kyrgyz Republic); 2: CHU Mohammed VI, Marrakech, Morocco
Purpose: Green prescriptions, a clinician-approved recommendations for engagement in nature-based physical activity are increasingly recognised as a low-cost and promising strategy for the prevention of noncommunicable diseases (NCDs). This study synthesised existing evidence on green prescriptions and examined how urban green spaces can be operationalised within the 24-hour movement behaviour framework, encompassing physical activity, sedentary behaviour and sleep. The aim was to identify implementation pathways, health impacts and equity considerations relevant to primary healthcare and urban policy. Methods: The systematic scoping review following PRISMA-ScR guidelines. PubMed, Scopus, Web of Science, and Embase were searched for 2010–2025 papers on green prescriptions, nature-based physical activity, or clinically suggested outdoor activities for NCD prevention. Duplicates were removed, identifying 872 research. 28 experimental, observational, and implementation studies involving adult populations met the inclusion criteria after title and abstract screening of 66 full-text publications and were included in our studies. Results: Green prescription strategies increased moderate physical activity and decreased inactive time in most studies. Several investigations also noted additional effects including greater sleep and mental health. Training clinicians, having standardized prescribing standards, and living near urban green places helped implement the strategy. Conclusions: Green prescriptions make an environmentally friendly and reasonable method for the prevention of non-communicable diseases. The incorporation of green prescriptions into the primary healthcare system, if supported by urban planning policies that would provide equitable access to green spaces, would be able to strengthen the implementation of the 24-hour movement behaviour framework and lead to healthier and more resilient communities.
