Evidence map›Paper›PMID 33990458›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

An ecosystem service perspective on urban nature, physical activity, and health.

Roy P Remme, Howard Frumkin, Anne D Guerry, Abby C King, Lisa Mandle, Chethan Sarabu, Gregory N Bratman, Billie Giles-Corti, Perrine Hamel, Baolong Han and 16 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Urban tree canopy fragmentation and child mortality in low- and middle-income countries.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  7. Short-Term Impacts of PMGeoHealth · 2026
    Article
  8. Testing nature-based biopsychosocial resilience theory: a research programme protocol.Archives of public health = Archives belges de sante publique · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Land-use history causes differences in park nighttime cooling capacity and forest structure.Ecological applications : a publication of the Ecological Society of America · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Nature and Mental Health in Urban Texas: A NatureScore-Based Study.International journal of environmental research and public health · 2024
    Article
  20. Review
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

26 authors.

Roy P RemmeNatural Capital Project, Stanford University, Stanford, CA 94305; r.p.remme@cml.leidenuniv.nl.ORCID 0000-0002-0799-2319
Howard FrumkinDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98195.ORCID 0000-0001-7079-3534
Anne D GuerryNatural Capital Project, Stanford University, Stanford, CA 94305.ORCID 0000-0001-9417-8042
Abby C KingDepartment of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA 94305.ORCID 0000-0002-7949-8811
Lisa MandleNatural Capital Project, Stanford University, Stanford, CA 94305.ORCID 0000-0002-1420-8529
Chethan SarabuDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA 94305.
Gregory N BratmanSchool of Environmental and Forest Sciences, University of Washington, Seattle, WA 98195.ORCID 0000-0001-5982-4686
Billie Giles-CortiHealthy Liveable Cities Group, Centre for Urban Research, Royal Melbourne Institute of Technology University, 3000 Melbourne, Australia.
Perrine HamelNatural Capital Project, Stanford University, Stanford, CA 94305.ORCID 0000-0002-3083-8205
Baolong HanState Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, 100875 Beijing, China.
Jennifer L HicksDepartment of Bioengineering, Stanford University, Stanford, CA 94305.ORCID 0000-0002-2516-9334
Peter JamesDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215.ORCID 0000-0002-2858-1973
Joshua J LawlerSchool of Environmental and Forest Sciences, University of Washington, Seattle, WA 98195.ORCID 0000-0002-8306-3175
Therese LindahlBeijer Institute of Ecological Economics, Royal Swedish Academy of Sciences, 104 05 Stockholm, Sweden.ORCID 0000-0003-4089-1509
Hongxiao LiuKey Laboratory of Vegetation Restoration and Management of Degraded Ecosystems, South China Botanical Garden, Chinese Academy of Sciences, 510650 Guangzhou, China.
Yi LuDepartment of Architecture and Civil Engineering, City University of Hong Kong, Kowloon Tong, Hong Kong.ORCID 0000-0001-7614-6661
Bram OosterbroekMaastricht Sustainability Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-3866-342X
Bibek PaudelSean N. Parker Center for Allergy & Asthma Research, Stanford University School of Medicine, Stanford, CA 94305.
James F SallisHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA 92093-0631.ORCID 0000-0003-2555-9452
Jasper SchipperijnDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, DK-5230 Odense M, Denmark.ORCID 0000-0002-6558-7610
Rok SosičDepartment of Computer Science, Stanford University, Stanford, CA 94305.ORCID 0000-0003-0723-9172
Sjerp de VriesCultural Geography/Wageningen Environmental Research, Wageningen University & Research, 6700 AA Wageningen, The Netherlands.ORCID 0000-0002-0525-6967
Benedict W WheelerEuropean Centre for Environment & Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital, TR1 3HD Truro, United Kingdom.ORCID 0000-0001-9404-5936
Spencer A WoodSchool of Environmental and Forest Sciences, University of Washington, Seattle, WA 98195.ORCID 0000-0002-5794-2619
Tong WuState Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, 100875 Beijing, China.ORCID 0000-0002-5467-2094
Gretchen C DailyNatural Capital Project, Stanford University, Stanford, CA 94305.ORCID 0000-0003-1443-1111

Funding

Built Environment Assessment through Computer visiON (BEACON): Applying Deep Learning to Street-Level and Satellite Images to Estimate Built Environment Effects on Cardiovascular HealthR01HL150119 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JAMES, PETER · 2020 to 2024
$3.9M
High Resolution Measures of Behavioral Cancer Risk Factors From Mobile TechnologyR00CA201542 · NCI · HARVARD PILGRIM HEALTH CARE, INC. · PI JAMES, PETER · 2017 to 2019
$747k
NCI NIH HHS R00 CA201542NHLBI NIH HHS R01 HL150119
6 · The paper itself

Abstract

Nature underpins human well-being in critical ways, especially in health. Nature provides pollination of nutritious crops, purification of drinking water, protection from floods, and climate security, among other well-studied health benefits. A crucial, yet challenging, research frontier is clarifying how nature promotes physical activity for its many mental and physical health benefits, particularly in densely populated cities with scarce and dwindling access to nature. Here we frame this frontier by conceptually developing a spatial decision-support tool that shows where, how, and for whom urban nature promotes physical activity, to inform urban greening efforts and broader health assessments. We synthesize what is known, present a model framework, and detail the model steps and data needs that can yield generalizable spatial models and an effective tool for assessing the urban nature-physical activity relationship. Current knowledge supports an initial model that can distinguish broad trends and enrich urban planning, spatial policy, and public health decisions. New, iterative research and application will reveal the importance of different types of urban nature, the different subpopulations who will benefit from it, and nature's potential contribution to creating more equitable, green, livable cities with active inhabitants.

Indexed as

City PlanningEcosystemExerciseModels, TheoreticalPublic HealthHumansdecision-support toolsequity in accessgreen spacepublic healthurban sustainability

Identifiers

PMID33990458
PMCPMC8179134

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.