SynthesisBMC complementary and alternative medicine2017
Blood pressure-lowering effect of Shinrin-yoku (Forest bathing): a systematic review and meta-analysis.
Synthesis in BMC complementary and alternative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
69 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Virtual Reality Interventions for Stress Reduction in the General Population: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- The Effects of Forest Therapy on the Blood Pressure and Salivary Cortisol Levels of Urban Residents: A Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- 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
- Human responses to nature- and culture-based non-clinical interventions: a systematised review.Perspectives in 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
- Is altitude a determinant of the health benefits of nature exposure? A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- The Effects of Forest Therapy on Immune Function.International journal of environmental research and public health · 2021Pooled it
- The Psychological and Physical Effects of Forests on Human Health: A Systematic Review of Systematic Reviews and Meta-Analyses.International journal of environmental research and public health · 2021Pooled it
- Mind-Body Physical Activity Interventions and Stress-Related Physiological Markers in Educational Settings: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled 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
- Short-term effects of urban versus forest bathing on stress, mood, sleep, immune function, and metabolic health: a randomized, open-label, 2 × 2 crossover trial.Environmental health and preventive medicine · 2026Trial
- Thriving Through Stressful Life Events with Nature: A Mixed-Method Study on Tending Indoor Plants and Rumination Resilience.International journal of environmental research and public health · 2025Trial
- Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity.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
- The influence of a walk in nature on human resting brain activity: a randomized controlled trial.Scientific reports · 2024Trial
- Scenting serenity: influence of essential-oil vaporization on dental anxiety - a cluster-randomized, controlled, single-blinded study (AROMA_dent).Scientific reports · 2024Trial
- Spending Time in the Forest or the Field: Investigations on Stress Perception and Psychological Well-Being-A Randomized Cross-Over Trial in Highly Sensitive Persons.International journal of environmental research and public health · 2022Trial
- Cardiac and Mental Benefits of Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) Diet plus Forest Bathing (FB) versus MIND Diet among Older Chinese Adults: A Randomized Controlled Pilot Study.International journal of environmental research and public health · 2022Trial
- Green Exercise: Can Nature Video Benefit Isometric Exercise?International journal of environmental research and public health · 2021Trial
- Associations of Happiness,International journal of environmental research and public health · 2026Article
9 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
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShinrin-yoku (experiencing the forest atmosphere or forest bathing) has received increasing attention from the perspective of preventive medicine in recent years. Some studies have reported that the forest environment decreases blood pressure. However, little is known about the possibility of anti-hypertensive applications of Shinrin-yoku. This study aimed to evaluate preventive or therapeutic effects of the forest environment on blood pressure.
methodsWe systematically reviewed the medical literature and performed a meta-analysis.Four electronic databases were systematically searched for the period before May 2016 with language restriction of English and Japanese. The review considered all published, randomized, controlled trials, cohort studies, and comparative studies that evaluated the effects of the forest environment on changes in systolic blood pressure. A subsequent meta-analysis was performed.
resultsTwenty trials involving 732 participants were reviewed. Systolic blood pressure of the forest environment was significantly lower than that of the non-forest environment. Additionally, diastolic blood pressure of the forest environment was significantly lower than that of the non-forest environment.
conclusionsThis systematic review shows a significant effect of Shinrin-yoku on reduction of 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.