Health and well-being benefits of spending time in forests: systematic review

被引:151
作者
Oh, Byeongsang [1 ,2 ]
Lee, Kyung Ju [3 ]
Zaslawski, Chris [2 ]
Yeung, Albert [4 ]
Rosenthal, David [4 ]
Larkey, Linda [5 ]
Back, Michael [1 ]
机构
[1] Royal North Shore Hosp, Sydney Med Sch, Northern Sydney Canc Ctr, Sydney, NSW, Australia
[2] Univ Technol, Sch Life Sci, Sydney, NSW, Australia
[3] Korea Univ, Grad Sch Publ Hlth, Dept Epidemiol & Med Informat, Seoul, South Korea
[4] Harvard Med Sch, Boston, MA USA
[5] Arizona State Univ, Coll Nursing & Hlth Innovat, Phoenix, AZ USA
关键词
Nature; Forest; Health; Wellbeing; Green environment; NATURAL-KILLER ACTIVITY; SHINRIN-YOKU; THERAPEUTIC LANDSCAPES; SALIVARY CORTISOL; BATHING TRIP; WALKING; URBAN; ENVIRONMENTS; EXPERIENCES; EXPRESSION;
D O I
10.1186/s12199-017-0677-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Numerous studies have reported that spending time in nature is associated with the improvement of various health outcomes and well-being. This review evaluated the physical and psychological benefits of a specific type of exposure to nature, forest therapy. Method: A literature search was carried out using MEDLINE, PubMed, ScienceDirect, EMBASE, and ProQuest databases and manual searches from inception up to December 2016. Key words: "Forest" or "Shinrin-Yoku" or "Forest bath" AND "Health" or "Wellbeing". The methodological quality of each randomized controlled trials (RCTs) was assessed according to the Cochrane risk of bias (ROB) tool. Results: Six RCTs met the inclusion criteria. Participants' ages ranged from 20 to 79 years. Sample size ranged from 18 to 99. Populations studied varied from young healthy university students to elderly people with chronic disease. Studies reported the positive impact of forest therapy on hypertension (n = 2), cardiac and pulmonary function (n = 1), immune function (n = 2), inflammation (n= 3), oxidative stress (n = 1), stress (n = 1), stress hormone (n= 1), anxiety (n= 1), depression (n = 2), and emotional response (n = 3). The quality of all studies included in this review had a high ROB. Conclusion: Forest therapy may play an important role in health promotion and disease prevention. However, the lack of high-quality studies limits the strength of results, rendering the evidence insufficient to establish clinical practice guidelines for its use. More robust RCTs are warranted.
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页数:11
相关论文
共 38 条
[11]   A systematic review of randomized controlled trials on curative and health enhancement effects of forest therapy [J].
Kamioka, Hiroharu ;
Tsutani, Kiichiro ;
Mutoh, Yoshiteru ;
Honda, Takuya ;
Shiozawa, Nobuyoshi ;
Okada, Shinpei ;
Park, Sang-Jun ;
Kitayuguchi, Jun ;
Kamada, Masamitsu ;
Okuizumi, Hiroyasu ;
Handa, Shuichi .
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT, 2012, 5 :85-95
[12]   Relief of Chronic Posterior Neck Pain Depending on the Type of Forest Therapy: Comparison of the Therapeutic Effect of Forest Bathing Alone Versus Forest Bathing With Exercise [J].
Kang, Boram ;
Kim, Taikon ;
Kim, Mi Jung ;
Lee, Kyu Hoon ;
Choi, Seungyoung ;
Lee, Dong Hun ;
Kim, Hyo Ryoung ;
Jun, Byol ;
Park, Seen Young ;
Lee, Sung Jae ;
Park, Si-Bog .
ANNALS OF REHABILITATION MEDICINE-ARM, 2015, 39 (06) :957-963
[13]   THE RESTORATIVE BENEFITS OF NATURE - TOWARD AN INTEGRATIVE FRAMEWORK [J].
KAPLAN, S .
JOURNAL OF ENVIRONMENTAL PSYCHOLOGY, 1995, 15 (03) :169-182
[14]   The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants [J].
Klepeis, NE ;
Nelson, WC ;
Ott, WR ;
Robinson, JP ;
Tsang, AM ;
Switzer, P ;
Behar, JV ;
Hern, SC ;
Engelmann, WH .
JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY, 2001, 11 (03) :231-252
[15]  
Kuo M, 2015, FRONT PSYCHOL, V6, DOI [10.3389/fpg.2015.01093, 10.3389/fpsyg.2015.01093]
[16]   Cardiac and pulmonary benefits of forest walking versus city walking in elderly women: A randomised, controlled, open-label trial [J].
Lee, Jee-Yon ;
Lee, Duk-Chul .
EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE, 2014, 6 (01) :5-11
[17]  
Li Q, 2008, J BIOL REG HOMEOS AG, V22, P45
[18]   Visiting a forest, but not a city, increases human natural killer activity and expression of anti-cancer proteins [J].
Li, Q. ;
Morimoto, K. ;
Kobayashi, M. ;
Inagaki, H. ;
Katsumata, M. ;
Hirata, Y. ;
Hirata, K. ;
Suzuki, H. ;
Li, Y. J. ;
Wakayama, Y. ;
Kawada, T. ;
Park, B. J. ;
Ohira, T. ;
Matsu, N. ;
Kagawa, T. ;
Miyazak, Y. ;
Krensky, A. M. .
INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY, 2008, 21 (01) :117-127
[19]   Morbidity is related to a green living environment [J].
Maas, J. ;
Verheij, R. A. ;
de Vries, S. ;
Spreeuwenberg, P. ;
Schellevis, F. G. ;
Groenewegen, P. P. .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2009, 63 (12) :967-973
[20]   Effects of Short-Term Forest Bathing on Human Health in a Broad-Leaved Evergreen Forest in Zhejiang Province, China [J].
Mao Gen Xiang ;
Lan Xiao Guang ;
Cao Yong Bao ;
Chen Zhuo Mei ;
He Zhi Hua ;
Lv Yuan Dong ;
Wang Ya Zhen ;
Hu Xi Lian ;
Wang Guo Fu ;
Yan Jing .
BIOMEDICAL AND ENVIRONMENTAL SCIENCES, 2012, 25 (03) :317-324