SynthesisEnvironmental health and preventive medicine2019
Medical empirical research on forest bathing (Shinrin-yoku): a systematic review.
Synthesis in Environmental health and preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 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
74 citing papers in PubMed, 10 syntheses or guidelines pooled it, 218 citations in OpenAlex.
- Forest therapy for psychological stress and emotional disorders: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Nature-based interventions: a systematic review of reviews.Frontiers in psychology · 2025Pooled it
- Greenspace exposure and associated health outcomes: a systematic review of reviews.F1000Research · 2024Pooled it
- Nature-Based Interventions for Autistic Children: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled 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
- 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
- Nature's Role in Outdoor Therapies: An Umbrella Review.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
- 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
- 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
- Chronic exercise and neuropsychological function in healthy young adults: a randomised controlled trial investigating a running intervention.Cognitive processing · 2024Trial
- 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
- Comparative Study of the Restorative Effects of Forest and Urban Videos during COVID-19 Lockdown: Intrinsic and Benchmark Values.International journal of environmental research and public health · 2020Trial
- Trial
- Article
- Effectiveness of Nature-Based Mindfulness Interventions to Improve Mental Health: A Narrative Review.International journal of environmental research and public health · 2026Review
- Forest Bathing (Medical sciences (Basel, Switzerland) · 2026Review
- The Efficacy of Forest Therapy on Negative Emotions, Oxidative Stress, and Cardiovascular Disease Risk in Elderly Hypertensive Patients.Anatolian journal of cardiology · 2026Article
14 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
5 authors at 2 institutions in 1 country.
Funding
Abstract
aimsThis study focused on the newest evidence of the relationship between forest environmental exposure and human health and assessed the health efficacy of forest bathing on the human body as well as the methodological quality of a single study, aiming to provide scientific guidance for interdisciplinary integration of forestry and medicine.
methodThrough PubMed, Embase, and Cochrane Library, 210 papers from January 1, 2015, to April 1, 2019, were retrieved, and the final 28 papers meeting the inclusion criteria were included in the study.
resultThe methodological quality of papers included in the study was assessed quantitatively with the Downs and Black checklist. The methodological quality of papers using randomized controlled trials is significantly higher than that of papers using non-randomized controlled trials (p < 0.05). Papers included in the study were analyzed qualitatively. The results demonstrated that forest bathing activities might have the following merits: remarkably improving cardiovascular function, hemodynamic indexes, neuroendocrine indexes, metabolic indexes, immunity and inflammatory indexes, antioxidant indexes, and electrophysiological indexes; significantly enhancing people's emotional state, attitude, and feelings towards things, physical and psychological recovery, and adaptive behaviors; and obvious alleviation of anxiety and depression.
conclusionForest bathing activities may significantly improve people's physical and psychological health. In the future, medical empirical studies of forest bathing should reinforce basic studies and interdisciplinary exchange to enhance the methodological quality of papers while decreasing the risk of bias, thereby raising the grade of paper evidence.
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.