ReviewEnvironmental research2020
Exposure to greenspaces could reduce the high global burden of pain.
Review in Environmental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 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
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Core outcome sets for spinal and associated limb, trunk, abdomen or pelvic pain: A systematic review.PloS one · 2025Pooled it
- Pooled it
- Environmental Physiotherapy for Chronic Spinal Pain Management: An International Modified Delphi Study.European journal of pain (London, England) · 2026Article
- Urban greenspace and dementia: Measures, mechanisms, and methodological guidance.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- The Therapeutic Home Environment for Chronic Diseases: A Transdisciplinary Ecosystem for Achieving Migraine Freedom and Managing Comorbid Anxiety, Insomnia, and Chronic Pain.Healthcare (Basel, Switzerland) · 2026Article
- Nature exposure reduces self-reported pain: a systematic review and meta-analysis.Nature. Mental health · 2026Article
- An international and interdisciplinary framework for nature prescribing in healthcare: A modified Delphi study.PLOS global public health · 2026Article
- Impact of Habitat Transformation on Soil Microbial Diversity and Functionality in Karst Mountainous Parks: A Comparative Study of Remnant Forests and Artificial Green Spaces.Ecology and evolution · 2025Article
- Physical Activity as a Central Pillar of Lifestyle Modification in the Management of Chronic Musculoskeletal Pain: A Narrative Review.Journal of functional morphology and kinesiology · 2025Review
- Nature exposure induces analgesic effects by acting on nociception-related neural processing.Nature communications · 2025Article
- Harnessing the therapeutic effects of nature for chronic Pain: A role for immersive virtual reality? A narrative review.European journal of pain (London, England) · 2025Review
- Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health.Frontiers in public health · 2025Article
- Chronic Pain and Substance Use Disorders: A Brief Narrative Review of Genetic, Neurobiological, and Environmental Contributions to Comorbidity.Journal of psychiatry and brain science · 2025Article
- Effects of urban green space habitats and tree species on ectomycorrhizal fungal diversity.Scientific reports · 2024Article
- Trends in Physiotherapy of Chronic Low Back Pain Research: Knowledge Synthesis Based on Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Urban greenspace types and climate factors jointly drive the microbial community structure and co-occurrence network.Scientific reports · 2024Article
- Article
- Disparities in greenspace associated with sleep duration among adolescent children in Southern California.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Contribution of Home Gardens to Sustainable Development: Perspectives from A Supported Opinion Essay.International journal of environmental research and public health · 2022Article
- An Analysis of Theoretical Perspectives in Research on Nature-Based Interventions and Pain.International journal of environmental research and public health · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Painful conditions are among the leading causes of years lived with disability, and may increase following the coronavirus pandemic, which has led to temporary closure of some healthcare services for people with chronic pain. To reduce this burden, novel, cost-effective and accessible interventions are required. We propose that greenspace exposure may be one such intervention. Drawing on evidence from neuroscience, physiology, microbiology, and psychology, we articulate how and why exposure to greenspaces could improve pain outcomes and reduce the high global burden of pain. Greenspace exposure potentially provides opportunities to benefit from known or proposed health-enhancing components of nature, such as environmental microbiomes, phytoncides, negative air ions, sunlight, and the sights and sounds of nature itself. We review the established and potential links between these specific exposures and pain outcomes. While further research is required to determine possible causal links between greenspace exposure and pain outcomes, we suggest that there is already sufficient evidence to help reduce the global burden of pain by improving access and exposure to quality greenspaces.
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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.