Psychophysiological Recovery Discordance and Residual Cardiovascular Risk in Cold-Region Community Outdoor Spaces

Cold-region community outdoor spaces are not only everyday activity settings for older adults in winter, but also public-space types that need to be translated into design evidence for architecture and healthy human-settlement research. Existing restorative-environment studies usually treat improved mood, perceived restoration, and environmental appraisal as evidence of health benefits. The key finding of this study is that subjective restoration and physiological recovery are not always synchronized after outdoor exposure in cold-region communities. This discordance reveals a design risk and an innovative value that can be overlooked when restoration is evaluated only through perception-based indicators. Based on a winter field exposure experiment with 345 older adults in a community in Shenyang, China, this study compared staged changes in systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), POMS, ROS, and ENPQ across an activity plaza, a greenway walkway, and a street corridor. It further developed a psychophysiological concordance classification and a residual cardiovascular risk indicator for the recovery period. The greenway walkway showed the most stable concordant recovery, with 86.84% of women and 79.35% of men showing concordant recovery. The activity plaza showed a clear pattern of emotional recovery: the proportions of women and men whose psychological state improved without a synchronized SBP decrease were 61.58% and 50.32%, respectively. The street corridor had the highest recovery-failure rates, at 92.63% for women and 91.61% for men. Among women, 90.53% reached SBP values of 140 mmHg or higher during the walking phase in the street corridor, and 59.47% remained above this risk threshold during recovery. These results show that health evaluation of cold-region community outdoor spaces should not rely only on subjective restoration indicators, but should also include psychophysiological concordance and residual risk after exposure. The study translates site health effects into three architectural design judgments: concordant-restoration spaces, emotional-restoration spaces, and recovery-failure spaces, providing a testable evidence framework for age-friendly community renewal, path organization, green buffering, and winter wind-protection design.