Nature-based interventions for physical health conditions: A systematic review and meta-analysis

Environmental Research, Journal Year: 2024, Volume and Issue: 258, P. 119421 - 119421

Published: June 13, 2024

Nature-based interventions (NBIs) are activities, strategies, or programs taking place in natural settings, such as exercising greenspaces, to improve the health and well-being of people by integrating benefits nature exposure with healthy behaviours. Current reviews on NBIs do not report effects different groups physical conditions. The purpose this systematic review meta-analysis was identify synthesize evidence effect outcomes biomarkers Overall, 20,201 studies were identified through searching MEDLINE, Embase, CINAHL, SPORTDiscus, CENTRAL databases up June 7, 2024. Inclusion criteria were: 1) randomized controlled intervention studies; 2) population a condition; 3) vs. no intervention; 4) measuring and/or biomarkers. Twenty-six included review, 15 which contributed meta-analysis. Compared control groups, showed significant improvements in: diastolic blood pressure (MD -3.73 mmHg [-7.46 −0.00], I2 = 62%) heart rate -7.44 bpm [-14.81 −0.06], 0%) for cardiovascular conditions, fatigue (SMD -0.50 [-0.82 −0.18], 16%) central nervous system body fat percentage -3.61% [-5.05 −2.17], endocrine High heterogeneity found several analyses had moderate-to-high risk bias (RoB). non-significant direction favour NBI cardiovascular, system, endocrine, musculoskeletal, respiratory This some beneficial at least three condition though RoB inconsistent limited interpretations. promising therapies that healthcare professionals can consider into clinical practice.

Language: Английский

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The greener the living environment, the better the health? Examining the effects of multiple green exposure metrics on physical activity and health among young students

Environmental Research, Journal Year: 2024, Volume and Issue: 250, P. 118520 - 118520

Published: Feb. 23, 2024

Language: Английский

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Senses, emotions and wellbeing in forest recreation and tourism

Tourism Recreation Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 13

Published: March 1, 2024

Outdoor tourism can provide nature therapies. Implementation research for mental healthcare aims to establish psychological mechanisms and specify designs, doses durations medical trials. As one component, we tested simultaneous links from senses emotions, emotions self-perceived wellbeing, 524 tourists at 27 forest reserves in China. We used quantitative surveys, person, with: 5-point Likert-type scales measure links; free-text descriptions of their most memorable sensory emotional experiences during these visits; 7-item Personal Wellbeing Index (PWI) 10-item Kessler stress index (K10) health wellbeing. found that Chinese perceive strongly (p < 0.00001) drive determine Senses reported were: sight by 86%, sound 36%, smell 41%, touch 18%, temperature 42%, humidity 20%. The number engaged ranged 1, 39%, 6, 9%. K10 stress-reduction wellbeing was significantly = 0.0272) but weakly (R2 0.009) correlated with the engaged. Future on benefits outdoor tourists, tourist choreography tour guides trail signs, should therefore focus intensity emotions.

Language: Английский

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Nature prescriptions should address motivations and barriers to be effective, equitable, and sustainable

The Lancet Planetary Health, Journal Year: 2023, Volume and Issue: 7(7), P. e542 - e543

Published: July 1, 2023

Equitable, effective, and durable solutions to address social determinants of health remain elusive ever more urgent in the context climate change.1Sherman JD McGain F Lem M Mortimer Jonas WB MacNeill AJ Net zero healthcare: a call for clinician action.BMJ. 2021; 374n1323 Google Scholar Contact with natural environments, such as parks forests, is associated better health.2Astell-Burt T Hartig Putra IGNE Walsan R Dendup Feng X Green space loneliness: systematic review theoretical methodological guidance future research.Sci Total Environ. 2022; 847157521 Crossref PubMed Scopus (9) Enabling people increasingly interact nature recognised by some professionals an option addressing unmet needs (eg, physical activity connections others).3Astell-Burt Pappas E Redfern J Nature prescriptions community planetary health: unrealised potential improve compliance outcomes physiotherapy.J Physiother. 68: 151-152Crossref (4) Seeking contact environments restoration not new, but many receive limited benefits they spend minimal time nature. One way are being encouraged have nature—and which interest high countries, Australia—is via so-called prescriptions.4Astell-Burt Hipp JA Gatersleben B et al.Need protect cardiovascular mental nationally-representative study insights randomised trials.Heart Lung Circ. 2023; 32: 114-123Summary Full Text PDF (0) prescribing accessible low-cost adjunct routine medical care, comprising written directives visits settings either individually or groups recreation, relaxation, reconnection.5Kondo MC Oyekanmi KO Gibson A South EC Bocarro evidence research opportunities.Int Environ Res Public Health. 2020; 174213 (34) Although robust experimental, health-economic, implementation-science-focused evaluations co-designed nascent period development implementation,5Kondo early results promising. Nature-prescription activities can lead increase (especially walking) reductions depression, anxiety, blood pressure.6Nguyen P-Y Astell-Burt Rahimi-Ardabili H Effect on cardiometabolic health, activity: review.Lancet Planet 7: e313-e328Summary However, other behavioural interventions, exclusive focus educating about scientific without supporting access might be somewhat ineffective. Delivery interventions that preferentially benefit privileged societal positions could ultimately widen inequities. We propose equitable, sustainable, should who use them from using them, health-care providers, experienced specialise facilitating accredited therapists gardeners). This co-design key stakeholder necessary ensure acceptable intended beneficiaries, credible those expected recommend achievable deliver them. Co-design attend differences personal capacities enable—and external barriers inhibit—time spent ways intersect variations autonomous motivations contact. Attending these factors crucial maximise uptake adherence.3Astell-Burt Accordingly, we four-quadrant, multilevel framework inform nature-prescription (figure). For example, person receptive prescription experience substantial interacting environments. Access only influenced availability, also scarcity, inclement weather, transportation, even financial access—for entry vehicle fees charged national Australia Canada. Cultural gender norms alone) disability influence access;7Wojnowska-Heciak Suchocka Błaszczyk Muszyńska Urban perceived city residents mobility difficulties: qualitative in-depth interviews.Int 192018 planners roles designing redesigning inclusive everyone engage Furthermore, individual green blue nearby few accessing little motivation several reasons risk injury concerns related safety). Differences types change long been recognised8Deci EL Ryan RM The "what" "why" goal pursuits: human self-determination behavior.Psychol Inq. 2000; 11: 227-268Crossref under-researched specifically. Unfortunately, will find idea rewarding (ie, intrinsic motivation) value it part their identity integrated motivation). Some recognise attractive alternative indoor gym improvement identified Low levels potentially due loss direct, lifelong, community-oriented result negligent planning obliterates spaces resident wildlife favour commercial interests, cars, motorways. These conditions, lonelygenic environment, likely disproportionately affect living socioeconomic disadvantage.9Feng Lonelygenic environments: loneliness.Lancet 6: e933-e934Summary Finding methods remove strengthen crucial. Interventions focused introjected controlled) involving guilt pressure useful sustained after undermine contact.8Deci Potential include testing group-based person-based incorporating intrinsically motivating commitment devices temptation bundling)10Rogers Milkman KL Volpp KG Commitment devices: initiatives behavior.JAMA. 2014; 311: 2065-2066Crossref (110) indirectly familiarise refamiliarise individuals feel disconnected more-than-human world. Our proposed emphasises need segment trial populations supports application avant-garde designs, factorial experiment, capable defining what intervention components positive population while considering challenges mentioned. Identifying size each quadrant representative surveys help define scope benefit. declare no competing interests.

Language: Английский

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Exploring autonomous and controlled motivations for nature contact to maximise health benefits

People and Nature, Journal Year: 2024, Volume and Issue: 6(3), P. 1155 - 1170

Published: May 8, 2024

Abstract Increasing evidence indicates contact with nature supports mental, physical and social health. However, beyond a widely reported number of barriers to contact, the constellation motivations for human is under‐theorised under‐studied. We begin develop indicators autonomous controlled informed by self‐determination theory. These include intrinsic motivation (i.e. enjoyment), integrated regulation (alignment identify life goals), identified (a means an end), introjected (emotional reasons like guilt avoidance) external (such as peer pressure). compare these indices in nationally representative sample 5082 adults Australia 2022 Nature Relatedness Scale (NR6), also test associations between them five outcomes: time spent nature, smartphone use interest prescriptions, activity self‐rated Statistical analyses were adjusted potential confounding. Results demonstrate people have complex mixtures varying potency visiting natural settings extent which those motives are or matters what they do, benefits accrued. For example, our show that more direct considerations intrinsic, forms superior explanatory power than NR6 adherence recommendations External regulations emphasising approval associated not only no additional but distractive activities when environments, defined media while there. While avoidance increased similarly on smartphones has been shown undermine restoration. Synthesis applications: need formally measure better understand both why some visit whether mindfully maximising health experiences. This will help inform robust nature‐based interventions acceptable, effective sustainable everyone. Read free Plain Language Summary this article Journal blog.

Language: Английский

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Physical Activity in Natural Settings: An Opportunity for Lifestyle Medicine

American Journal of Lifestyle Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: May 11, 2024

Physical activity is a well-known behavior for promoting health and preventing variety of chronic diseases. Despite widespread knowledge the benefits physical activity, most Americans do not engage in sufficient activity. Over past decade, there has been increasing recognition spending time nature, mediated part through This led to new partnerships across health, parks recreation, public lands, environmental organizations increase spent, natural settings. review assesses current evidence around settings (PANS), strategies PANS including professional engagement, gaps research literature.

Language: Английский

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Nature-based social prescribing programmes: opportunities, challenges, and facilitators for implementation

Environment International, Journal Year: 2024, Volume and Issue: 190, P. 108801 - 108801

Published: June 6, 2024

Evidence on the health benefits of spending time in nature has highlighted importance provision blue and green spaces where people live. The potential for offered by exposure, however, extends beyond promotion to treatment. Social prescribing links with or social care needs community-based, non-clinical interventions improve wellbeing. Nature-based (NBSP) is a variant that uses health-promoting activities carried out natural environments, such as gardening walking. Much current NBSP practice been developed UK, there increasing global interest its implementation. This requires be adapted different contexts, considering populations structure healthcare systems. paper presents results from an expert group participatory workshop involving 29 practitioners, researchers, policymakers UK Germany's environmental sectors. Using Germany, two countries systems developmental stages practice, case studies, we analysed opportunities, challenges, facilitators development implementation NBSP. We identified five overarching themes developing, implementing, evaluating NBSPCapacity Building; Accessibility Acceptability; Networks Collaborations; Standardised Implementation Evaluation; Sustainability. also discuss key strengths, weaknesses, threats each theme understand how they could support offer significant public using available spaces. guidance implementation, wider policy design evaluation individual programmes, contexts. research help inform programmes planetary local scales.

Language: Английский

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Green space type and healthy ageing in place: An Australian longitudinal study

Urban forestry & urban greening, Journal Year: 2023, Volume and Issue: 84, P. 127903 - 127903

Published: March 21, 2023

Language: Английский

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Climate Change and the Health of Older Adults

Springer eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 837 - 860

Published: Jan. 1, 2024

Language: Английский

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Emerging effects of temperature on human cognition, affect, and behaviour

Biological Psychology, Journal Year: 2024, Volume and Issue: 189, P. 108791 - 108791

Published: April 8, 2024

Human body core temperature is tightly regulated within approximately 37 °C. Global near surface has increased by over 1.2 °C between 1850 and 2020. In light of the challenge this poses to human thermoregulation, present perspective article sought provide an overview on effects varying ambient cognitive, affective, behavioural domains functioning. To end, observational experimental studies in healthy individuals with mental disorders was provided. Within at °C, relatively lower skin temperatures appear evoke a need for social connection, whereas comparably higher facilitate notions other as closer more sociable. Above-average are associated conflicts well incident psychotic depressive symptoms, disorders, suicide. With mild hypo- hyperthermia, paradoxical observed: acute states generally characterised impairments cognitive performance, anxiety, irritability, depression experience longer-term symptom improvements treatments deliberately inducing these brief amounts time. When taken together, it thus become clear that inexorably cognition, affect, (potentially) behaviour. Given projected increase global warming, further research into affective sequelae heat mechanisms translating health outcomes urgently warranted.

Language: Английский

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