SynthesisApplied psychology. Health and well-being2022
Psychological benefits of outdoor physical activity in natural versus urban environments: A systematic review and meta-analysis of experimental studies.
Synthesis in Applied psychology. Health and well-being, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 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
65 citing papers in PubMed, 10 syntheses or guidelines pooled it, 163 citations in OpenAlex.
- A systematic overview and second-order meta-analysis of nature-based interventions for stress, anxiety and depression.Nature human behaviour · 2026Pooled it
- Nature-based and technology-assisted exercise for cognitive and mobility outcomes in older adults: a systematic review of randomized trials.BMC geriatrics · 2026Pooled it
- Effects of green exercise on mental health: a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- The influence of outdoor physical activity on the physical and mental health of college students: a systematic review.Frontiers in psychology · 2026Pooled it
- Effects of green exercise on mental health in older adults: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Comparative efficacy of green exercise versus indoor exercise for depression and anxiety: a systematic review and network meta-analysis.Frontiers in public health · 2026Pooled it
- Effects of urban green exercise on mental health: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Daily Step Count and Depression in Adults: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Does nature-based social prescription improve mental health outcomes? A systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Psychological benefits of outdoor physical activity in natural versus urban environments: A systematic review and meta-analysis of experimental studies.Applied psychology. Health and well-being · 2022Pooled it
- Knowledge-Attitude-Practice-Based Outdoor Exercise Education for Patients With Type 2 Diabetes: A Randomized Controlled Trial.Journal of diabetes research · 2026Trial
- Acute effects of outdoor and indoor walking on cigarette cravings, withdrawal symptoms and affective response during temporary smoking abstinence.Psychopharmacology · 2024Trial
- Nature-Based Environments for Health, Well-Being and Performance: A Hypothesis on Sport and Exercise Behavior.Sports (Basel, Switzerland) · 2026Review
- Psychometric Evaluation of the Lithuanian Version of the Revised Compound Psychological Capital Scale (CPC-12R) and Its Associations with Nature Exposure and Physical Activity.Behavioral sciences (Basel, Switzerland) · 2026Article
- Self-Reported Outdoor Activities and Perceived Stress During the First COVID-19 Wave: A Cross-Sectional Study in Poland and Italy.Medicina (Kaunas, Lithuania) · 2026Article
- Development of the Nature Impact Mental Health Intervention for People Experiencing Mild to Moderate Anxiety, Depression, and/or Stress-Co-Producing a Programme Theory and Logic Model.Healthcare (Basel, Switzerland) · 2026Article
- Employee-nature interactions: A scoping review on employees' green exercise behaviors.Work (Reading, Mass.) · 2026Article
- What Keeps Older Adults Moving? An Analysis of Barriers and Motivation Across Different Exercise Settings.Journal of cross-cultural gerontology · 2026Article
- Testing nature-based biopsychosocial resilience theory: a research programme protocol.Archives of public health = Archives belges de sante publique · 2026Article
- The impact mechanism of green exercise on college students' suicidal ideation: a mediation analysis based on entrance anxiety.Frontiers in psychology · 2026Article
5 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
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The impact of environmental context on the psychological benefits derived from physical activity has attracted research attention in recent years. Previous reviews have compared effects of indoor versus outdoor exercise. This review compares the effects of physical activity undertaken in outdoor green natural environments versus outdoor urban environments on psychological health outcomes in adult general populations. An electronic literature search identified 24 experimental studies meeting the inclusion criteria. Results were analysed via narrative synthesis (n = 24) and meta-analysis (n = 9) of effect on six outcomes. Narrative synthesis found in favour of the natural environment for anxiety, anger/hostility, energy, affect and positive engagement. Post-intervention effect sizes suggested duration and social context as potential moderators. The meta-analyses revealed large or moderate effects in favour of the natural environment for anxiety, fatigue, positive affect and vigour, and a small effect for depression. Results were subject to high risk of bias and heterogeneity. Physical activity undertaken outdoors in natural environments is more beneficial for a range of psychological outcomes compared with urban environments. The various effect sizes evident in the meta-analyses may be explained by differing mechanisms through which psychological gains are experienced during physical activity in nature.
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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.