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Environ Health Prev Med. 2017 Oct 18;22(1):71. doi: 10.1186/s12199-017-0677-9.

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

Author information

1
Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney Medical School, Sydney, NSW, Australia. byeong.oh@sydney.edu.au.
2
School of Life Science, University of Technology, NSW, Australia. byeong.oh@sydney.edu.au.
3
Department of Epidemiology and Medical Informatics, Graduate School of Public Health, Korea University, Seoul, South Korea.
4
School of Life Science, University of Technology, NSW, Australia.
5
Harvard Medical School, Boston, MA, USA.
6
College of Nursing & Health Innovation, Arizona State University, Phoenix, AZ, USA.
7
Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney Medical School, Sydney, NSW, Australia.

Abstract

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.

KEYWORDS:

Forest; Green environment; Health; Nature; Wellbeing

PMID:
29165173
PMCID:
PMC5664422
DOI:
10.1186/s12199-017-0677-9
[Indexed for MEDLINE]
Free PMC Article

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