ArticleInternational journal of environmental research and public health2019
Low Childhood Nature Exposure is Associated with Worse Mental Health in Adulthood.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Life Course Nature Exposure and Mental Health Outcomes: A Systematic Review and Future Directions.International journal of environmental research and public health · 2021Pooled it
- Pain Catastrophizing: Mechanisms and Clinical Implications.Journal of pain research · 2026Review
- The impact of urban flower meadows on the well-being of city dwellers provides hints for planning biophilic green spaces.Scientific reports · 2025Article
- Green space and older adults' health: a scoping review.Innovation in aging · 2025Review
- The impact of contact with nature on positive youth development: a multiple mediation model.Frontiers in psychology · 2025Article
- Effect of nature on the mental health and well-being of children and adolescents: meta-review.The British journal of psychiatry : the journal of mental science · 2024Review
- Elementary Classroom Views of Nature Are Associated with Lower Child Externalizing Behavior Problems.International journal of environmental research and public health · 2023Article
- The Relationship Between Greenspace Exposure and Psychopathology Symptoms: A Systematic Review.Biological psychiatry global open science · 2022Review
- New urban models for more sustainable, liveable and healthier cities post covid19; reducing air pollution, noise and heat island effects and increasing green space and physical activity.Environment international · 2021Review
- Associations between Nature Exposure and Health: A Review of the Evidence.International journal of environmental research and public health · 2021Review
- Brain correlates of urban environmental exposures in cognitively unimpaired individuals at increased risk for Alzheimer's disease: A study on Barcelona's population.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
- Relationship between Long-Term Residential Green Exposure and Individuals' Mental Health: Moderated by Income Differences and Residential Location in Urban China.International journal of environmental research and public health · 2020Article
- Effectiveness of a Multicomponent Treatment for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): A Pragmatic Randomized Controlled Trial.Journal of clinical medicine · 2020Article
- Efficacy of a Multicomponent Intervention for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): Study Protocol of a Randomized Controlled Trial.International journal of environmental research and public health · 2020Article
- Testing Reliability of Biophilic Design Matrix Within Urban Residential Playrooms.Frontiers in psychology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Exposure to natural outdoor environments (NOE) is associated with health benefits; however, evidence on the impact of NOE exposure during childhood on mental health (MH) and vitality in adulthood is scarce. This study was based on questionnaire data collected from 3585 participants, aged 18-75, in the PHENOTYPE project (2013) in four European cities. Mixed models were used to investigate associations between childhood NOE exposure and (i) MH; (ii) vitality (perceived level of energy and fatigue); and (iii) potential mediation by perceived amount, use, satisfaction, importance of NOE, and residential surrounding greenness, using pooled and city-level data. Adults with low levels of childhood NOE exposure had, when compared to adults with high levels of childhood NOE exposure, significantly worse mental health (coef. -4.13; 95% CI -5.52, -2.74). Childhood NOE exposure was not associated with vitality. Low levels of childhood NOE exposure were associated with lower importance of NOE (OR 0.81; 95% CI 0.66, 0.98) in adulthood. The association with perceived amount of NOE differed between cities. We found no evidence for mediation. Childhood NOE exposure might be associated with mental well-being in adulthood. Further studies are needed to confirm these findings and to identify mechanisms underlying long-term benefits of childhood NOE exposure.
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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.