ArticleInternational journal of environmental research and public health2015
Physiological and psychological effects of forest therapy on middle-aged males with high-normal blood pressure.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 11 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
101 citing papers in PubMed, 11 syntheses or guidelines pooled it, 227 citations in OpenAlex.
- Does Forest Therapy Have Physio-Psychological Benefits? A Systematic Review and Meta-Analysis of Randomized Controlled Trials.International journal of environmental research and public health · 2022Pooled it
- Effects of Forest-Based Interventions on Mental Health: A Meta-Analysis of Randomized Controlled Trials.International journal of environmental research and public health · 2022Pooled it
- What Activities in Forests Are Beneficial for Human Health? A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Pooled it
- How Should Forests Be Characterized in Regard to Human Health? Evidence from Existing Literature.International journal of environmental research and public health · 2020Pooled it
- Medical empirical research on forest bathing (Shinrin-yoku): a systematic review.Environmental health and preventive medicine · 2019Pooled it
- Physiological Benefits of Viewing Nature: A Systematic Review of Indoor Experiments.International journal of environmental research and public health · 2019Pooled it
- Effects of forest bathing (shinrin-yoku) on levels of cortisol as a stress biomarker: a systematic review and meta-analysis.International journal of biometeorology · 2019Pooled it
- Psycho-Physiological Stress Recovery in Outdoor Nature-Based Interventions: A Systematic Review of the Past Eight Years of Research.International journal of environmental research and public health · 2019Pooled it
- The health benefits of the great outdoors: A systematic review and meta-analysis of greenspace exposure and health outcomes.Environmental research · 2018Pooled it
- Blood pressure-lowering effect of Shinrin-yoku (Forest bathing): a systematic review and meta-analysis.BMC complementary and alternative medicine · 2017Pooled it
- Reduced hair cortisol concentrations are associated with improved emotional wellbeing in older adults following repeated forest walking.Scientific reports · 2025Trial
- Therapeutic effects of forest bathing on older adult patients with essential hypertension: evidence from a subtropical evergreen broad-leaved forest.Frontiers in public health · 2025Trial
- Relaxation Effect of Nature Sound Exposure on Gambling Disorder Patients: A Crossover Study.Journal of integrative and complementary medicine · 2023Trial
- Effects of Urban Forest Therapy Program on Depression Patients.International journal of environmental research and public health · 2022Trial
- Forest Therapy Alone or with a Guide: Is There a Difference between Self-Guided Forest Therapy and Guided Forest Therapy Programs?International journal of environmental research and public health · 2021Trial
- Benefits of a Three-Day Bamboo Forest Therapy Session on the Physiological Responses of University Students.International journal of environmental research and public health · 2020Trial
- The Effects of a Forest Therapy Programme on Mental Hospital Patients with Affective and Psychotic Disorders.International journal of environmental research and public health · 2019Trial
- An Exploratory Study on the Effects of Forest Therapy on Sleep Quality in Patients with Gastrointestinal Tract Cancers.International journal of environmental research and public health · 2019Trial
- Effects of Walking in a Forest on Young Women.International journal of environmental research and public health · 2019Trial
41 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Time spent walking and relaxing in a forest environment ("forest bathing" or "forest therapy") has well demonstrated anti-stress effects in healthy adults, but benefits for ill or at-risk populations have not been reported. The present study assessed the physiological and psychological effects of forest therapy (relaxation and stress management activity in the forest) on middle-aged males with high-normal blood pressure. Blood pressure and several physiological and psychological indices of stress were measured the day before and approximately 2 h following forest therapy. Both pre- and post-treatment measures were conducted at the same time of day to avoid circadian influences. Systolic and diastolic blood pressure (BP), urinary adrenaline, and serum cortisol were all significantly lower than baseline following forest therapy (p<0.05). Subjects reported feeling significantly more "relaxed" and "natural" according to the Semantic Differential (SD) method. Profile of Mood State (POMS) negative mood subscale scores for "tension-anxiety," "confusion," and "anger-hostility," as well as the Total Mood Disturbance (TMD) score were significantly lower following forest therapy. These results highlight that forest is a promising treatment strategy to reduce blood pressure into the optimal range and possibly prevent progression to clinical hypertension in middle-aged males with high-normal blood pressure.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.