ReviewClinical and translational allergy2019
Helsinki by nature: The Nature Step to Respiratory Health.
Review in Clinical and translational allergy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis 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
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiological evidence relating environmental smoke to COPD in lifelong non-smokers: a systematic review.F1000Research · 2018Pooled it
- Nature prescription for patients with chronic respiratory diseases.The World Allergy Organization journal · 2026Review
- The Medicine for a Changing Planet curriculum: a mixed methods evaluation.Frontiers in public health · 2026Article
- Allergic diseases are signalling a public health crisis - It is time for a global allergy health plan.The World Allergy Organization journal · 2025Article
- Urban Lifestyle and Climate-Driven Environmental Exposures: Immunological Consequences for Pediatric Respiratory Allergies.Immunity, inflammation and disease · 2025Review
- One Health and planetary health research landscapes in the Arab world.Science in One Health · 2025Review
- Greenspaces and Health: Scoping Review of studies in Europe.Public health reviews · 2024Article
- A short history from Karelia study to biodiversity and public health interventions.Frontiers in allergy · 2023Review
- Managing the allergy and asthma epidemic in 2020s-Lessons from the Finnish experience.Allergy · 2022Review
- Exposomic determinants of immune-mediated diseases: Special focus on type 1 diabetes, celiac disease, asthma, and allergies: The HEDIMED project approach.Environmental epidemiology (Philadelphia, Pa.) · 2022Review
- External Environmental Pollution as a Risk Factor for Asthma.Clinical reviews in allergy & immunology · 2022Review
- Global trends in the incidence and mortality of asthma from 1990 to 2019: An age-period-cohort analysis using the global burden of disease study 2019.Frontiers in public health · 2022Article
- Dietary Factors Associated with Asthma Development: A Narrative Review and Summary of Current Guidelines and Recommendations.Journal of asthma and allergy · 2022Review
- Melinacidin-ProducingPathogens (Basel, Switzerland) · 2021Article
- The influence of urban, socio-economic, and eco-environmental aspects on COVID-19 cases, deaths and mortality: A multi-city case in the Atlantic Forest, Brazil.Sustainable cities and society · 2021Article
- Review
- Excessive Unbalanced Meat Consumption in the First Year of Life Increases Asthma Risk in the PASTURE and LUKAS2 Birth Cohorts.Frontiers in immunology · 2021Article
- Highlights and recent developments in allergic diseases in EAACI journals (2019).Clinical and translational allergy · 2020Review
- Influence of Lifestyle Parameters - Dietary Habit, Chronic Stress and Environmental Factors, Jobs - on the Human Health in Relation to the COVID-19 Pandemic.Disaster medicine and public health preparedness · 2020Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
48 authors.
Funding
Abstract
background
resultsThe concept of the Nature Step has evolved from innovative research indicating, how changed lifestyle in urban surroundings reduces contact with biodiverse environments, impoverishes microbiota, affects immune regulation and increases risk of NCDs. The Nature Step calls for strengthening connections to nature. Physical activity in natural environments should be promoted, use of fresh vegetables, fruits and water increased, and consumption of sugary drinks, tobacco and alcohol restricted. Nature relatedness should be part of everyday life and especially emphasized in the care of children and the elderly. Taking "nature" to modern cities in a controlled way is possible but a challenge for urban planning, nature conservation, housing, traffic arrangements, energy production, and importantly for supplying and distributing food. Actions against the well-known respiratory risk factors, air pollution and smoking, should be taken simultaneously.
conclusionsIn Finland and elsewhere in Europe, successful programmes have been implemented to reduce the burden of respiratory disorders and other NCDs. Unhealthy behaviour can be changed by well-coordinated actions involving all stakeholders. The growing public health concern caused by NCDs in urban surroundings cannot be solved by health care alone; a multidisciplinary approach is mandatory.
Indexed as
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.