Evidence map›Paper›PMID 36328588›Full record

ArticleEnvironmental health and preventive medicine2022

Effects of forest bathing (shinrin-yoku) on serotonin in serum, depressive symptoms and subjective sleep quality in middle-aged males.

Qing Li, Hiroko Ochiai, Toshiya Ochiai, Norimasa Takayama, Shigeyoshi Kumeda, Takashi Miura, Yoichiro Aoyagi, Michiko Imai

Open access · goldAbstract read
In one paragraph

Article in Environmental health and preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  5. Forest Bathing (Medical sciences (Basel, Switzerland) · 2026
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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

8 authors at 5 institutions in 2 countries.

Qing LiDepartment of Rehabilitation Medicine, Graduate School of Medicine, Nippon Medical School.
Hiroko OchiaiDepartment of Plastic and Reconstructive Surgery, Laboratory of Regenerative Medicine, Division of Hearing and Balance Disorder, National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center.
Toshiya OchiaiForest Baubiologie Studio Inc.
Norimasa TakayamaForestry and Forest Products Research Institute, Forest Research and Management Organization.
Shigeyoshi KumedaNagano Prefectural Kiso Hospital.
Takashi MiuraAgematsu Town Office Industry & Tourism Department.
Yoichiro AoyagiDepartment of Rehabilitation Medicine, Graduate School of Medicine, Nippon Medical School.
Michiko ImaiINFOM (International Society of Nature and Forest Medicine).
Nippon Medical School · JPForestry and Forest Products Research Institute · JPKomatsu (Japan) · JPNagano Prefectural College · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously found that a forest bathing (shinrin-yoku) program significantly reduced the scores for depression, anxiety, anger, fatigue, and confusion and increased the score for vigor in the profile of mood states (POMS) test and showed a potential preventive effect on the depressive status in both males and females. In the present study, we investigated the effects of a forest bathing program on the level of serotonin in serum, depressive symptoms and subjective sleep quality in middle-aged males.

methodsTwenty healthy male subjects aged 57.3 ± 8.4 years were selected after obtaining informed consent. These subjects took day trips to a forest park, the birthplace of forest bathing in Japan named Akasawa Shizen Kyuyourin, Agematsu, Nagano Prefecture (situated in central Japan), and to an urban area of Nagano Prefecture as a control in June 2019. On both trips, they walked 2.5 km for 2 hours each in the morning and afternoon on Saturday and Sunday, respectively. Blood was sampled in the afternoon before and after each trip. Concentrations of serotonin and lactic acid in serum were measured. The POMS test and a questionnaire for subjective sleep quality were conducted before and after the trips. Ambient temperature and humidity were monitoring during the trips. The Ethics Committees of the Nippon Medical School and Nagano Prefectural Kiso Hospital approved this study.

resultsThe forest bathing program significantly increased level of serotonin in serum, and significantly increased the score for vigor and decreased the score for fatigue in the POMS test. The forest bathing program also improved the sleepiness on rising and feeling refreshed (recovery from fatigue) in the Oguri-Shirakawa-Azumi sleep inventory MA version (OSA-MA).

conclusionsTaken together, the present study suggests that forest bathing may have potential preventive effects on depression (depressive status).

Indexed as

DepressionForestsSerotoninFatigueHumansMaleMiddle AgedSleep QualitySerotoninDepressionForest bathingMiddle-aged malesOguri-Shirakawa-Azumi sleep inventory MA version (OSA-MA)POMSSerotoninShinrin-yokuSleep

Identifiers

PMID36328588
PMCPMC9665960
OpenAlexW4308638387

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.