Participation in Tourism-Oriented Nature-Based Physical Activity and Compliance With WHO Physical Activity Guidelines: A Cross-Sectional Analysis of the 2024 Sports Life Survey in Japan

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.