SynthesisEnvironmental health and preventive medicine2017
Health and well-being benefits of spending time in forests: systematic review.
Synthesis in Environmental health and preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 15 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
82 citing papers in PubMed, 15 syntheses or guidelines pooled it, 237 citations in OpenAlex.
- Short-term cardiovascular and mental health responses to Shinrin-Yoku (forest bathing): a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- Benefits of forest therapy for adult mental health: a systematic review and meta-analysis based on the Profile of Mood States (POMS).Frontiers in psychology · 2025Pooled it
- Greenspace exposure and associated health outcomes: a systematic review of reviews.F1000Research · 2024Pooled it
- Understanding How Community Wellbeing is Affected by Climate Change: Evidence From a Systematic Literature Review.Environmental management · 2023Pooled 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
- 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
- Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled 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
- Nature Exposure and Its Effects on Immune System Functioning: A Systematic Review.International journal of environmental research and public health · 2021Pooled 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
- A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting.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
- Spending time in a forest vs. a virtual forest simulation: qualitative and quantitative effects on stress perception and psychological wellbeing in a randomized cross-over trial of highly sensitive persons.Frontiers in psychology · 2026Trial
- Long-Term Effects of Mountain Hiking vs. Forest Therapy on Physical and Mental Health of Couples: A Randomized Controlled Trial.International journal of environmental research and public health · 2023Trial
- 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
- The effect of exercising in different environments on heart rate and power output among older adults-a randomized crossover study.PloS one · 2022Trial
- Brief repeated virtual nature contact for three weeks boosts university students' nature connectedness and psychological and physiological health during the COVID-19 pandemic: A pilot study.Frontiers in public health · 2022Trial
22 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
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNumerous 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.
methodA 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.
resultsSix 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.
conclusionForest 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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Identifiers
What OpenQuestion holds
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.