Evidence map›Paper›PMID 31001682›Full record

SynthesisInternational journal of biometeorology2019

Effects of forest bathing (shinrin-yoku) on levels of cortisol as a stress biomarker: a systematic review and meta-analysis.

Michele Antonelli, Grazia Barbieri, Davide Donelli

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of biometeorology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059390 (Changi General Hospital Complementary Health Therapy), which is not on this map. Cited by 102 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 14 pooled it
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07059390 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Changi General Hospital Complementary Health Therapy

TypeinterventionalSponsorChangi General HospitalRan2027 to 2028Enrolled1,600ConditionsDementia, Acquired Brain Injury Including StrokeArmsNature Immersion Therapy
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 14 syntheses or guidelines pooled it, 250 citations in OpenAlex.

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  7. Could Nature Contribute to the Management of ADHD in Children? A Systematic Review.International journal of environmental research and public health · 2024
    Pooled it
  8. NT-proBNP in Different Patient Groups of COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
  9. Pooled it
  10. Effects of Forest-Based Interventions on Mental Health: A Meta-Analysis of Randomized Controlled Trials.International journal of environmental research and public health · 2022
    Pooled it
  11. What Activities in Forests Are Beneficial for Human Health? A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  12. Mechanisms of Impact of Blue Spaces on Human Health: A Systematic Literature Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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  14. How Should Forests Be Characterized in Regard to Human Health? Evidence from Existing Literature.International journal of environmental research and public health · 2020
    Pooled it
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Michele AntonelliTerme di Monticelli, via Basse 5, 43022, Monticelli Terme, Parma, Italy. michele.1989@hotmail.it.ORCID http://orcid.org/0000-0002-5941-6604
Grazia BarbieriSustainable Architecture and Landscape Design, AUIC, Politecnico di Milano, Milan, Italy.
Davide DonelliTerme di Monticelli, via Basse 5, 43022, Monticelli Terme, Parma, Italy.
Politecnico di Milano · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forest bathing is a traditional practice characterized by visiting a forest and breathing its air. This review aims to investigate the effects of forest bathing on levels of salivary or serum cortisol as a stress biomarker in order to understand whether forest bathing can reduce stress. Medline/PubMed, Embase, Scopus, Web of Science, Cochrane Library, and Google Scholar were systematically searched for relevant articles. The quality of included trials was assessed following the criteria of the NIH dedicated tools. Afterwards, a qualitative and quantitative synthesis of retrieved evidence was performed. A total of 971 articles were screened; 22 of them were included in the systematic review and 8 in the meta-analysis. In all but two included studies, cortisol levels were significantly lower after intervention in forest groups if compared with control/comparison groups, or a significant pre-post reduction of cortisol levels was reported in the forest groups. The main results of the meta-analysis showed that salivary cortisol levels were significantly lower in the forest groups compared with the urban groups both before (MD = - 0.08 μg/dl [95% CI - 0.11 to - 0.05 μg/dl]; p < 0.01; I

Indexed as

HydrocortisoneWalkingBathsBiomarkersForestsBiomarkersHydrocortisoneCortisolForest bathingMeta-analysisPlacebo effectsReviewStress

Identifiers

PMID31001682
OpenAlexW2936978428

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.