Evidence map›Paper›PMID 35409570›Full record

ArticleInternational journal of environmental research and public health2022

Mountain Hiking vs. Forest Therapy: A Study Protocol of Novel Types of Nature-Based Intervention.

Christina Pichler, Johanna Freidl, Michael Bischof, Martin Kiem, Renate Weißböck-Erdheim, Daniela Huber, Gabriella Squarra, Paul Clemens Murschetz, Arnulf Hartl

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Trial
  2. Testing nature-based biopsychosocial resilience theory: a research programme protocol.Archives of public health = Archives belges de sante publique · 2026
    Article
  3. Article
  4. Forest Bathing (Medical sciences (Basel, Switzerland) · 2026
    Review
  5. Forest Therapy Trails: Development and Application of an Assessment Protocol.International journal of environmental research and public health · 2025
    Article
  6. Effects of Alpine Natural Health Resources on Human Health and Wellbeing.International journal of environmental research and public health · 2023
    Article
  7. Bibliometric Analysis of Nature-Based Therapy Research.Healthcare (Basel, Switzerland) · 2023
    Article
  8. A Forest Bathing Intervention in Adults with Intellectual Disabilities: A Feasibility Study Protocol.International journal of environmental research and public health · 2022
    Article
  9. Article
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

9 authors.

Christina PichlerInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.
Johanna FreidlInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0002-9764-1896
Michael BischofInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.
Martin KiemCertified Nature and Forest Therapy Guide, 39010 Tisens, Italy.
Renate Weißböck-ErdheimInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.
Daniela HuberInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.
Gabriella SquarraCertified Forest-Health-Trainer, 83435 Bad Reichenhall, Germany.
Paul Clemens MurschetzInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.
Arnulf HartlInstitute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0001-9626-6425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe global rise of urbanization has much triggered scientific interest in how nature impacts on human health. Natural environments, such as alpine landscapes, forests, or urban green spaces, are potential high-impact health resources. While there is a growing body of evidence to reveal a positive influence of these natural environments on human health and well-being, further investigations guided by rigorous evidence-based medical research are very much needed.

objectiveThe present study protocol aims at testing research methodologies in the context of a prospective clinical trial on nature-based interventions. This shall improve the standards of medical research in human-nature interactions.

methodsThe ANKER Study investigates the influence of two novel types of nature-based therapy-mountain hiking and forest therapy-on physiological, psychological, and immunological parameters of couples with a sedentary lifestyle. Two intervention groups were formed and spent a seven-day holiday in Algund, Italy. The "forest therapy group" participated in daily guided low-power nature connection activities. The "hiking group", by contrast, joined in a daily moderate hiking program. Health-related quality of life and relationship quality are defined as primary outcomes. Secondary outcomes include nature connection, balance, cardio-respiratory fitness, fractional exhaled nitric oxide, body composition and skin hydration. Furthermore, a new approach to measure health-related quality of life is validated. The so-called "intercultural quality of life" comic assesses the health-related quality of life with a digitally animated comic-based tool.

Indexed as

Quality of LifeSportsExerciseForestsHumansProspective Studiesclimate therapyforest therapygreen exercisehealth-related quality of life (HRQOL)intercultural quality of life assessmentnature and healthsedentary lifestyle

Identifiers

PMID35409570
PMCPMC8997693

What OpenQuestion holds

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LicenceCC BY
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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.