Health Benefits from Nature Experiences Depend on Dose
Open accessAbstract
Nature within cities will have a central role in helping address key global public health challenges associated with urbanization. However, there is almost no guidance on how much or how frequently people need to engage with nature, and what types or characteristics of nature need to be incorporated in cities for the best health outcomes. Here we use a nature dose framework to examine the associations between the duration, frequency and intensity of exposure to nature and health in an urban population. We show that people who made long visits to green spaces had lower rates of depression and high blood pressure, and those who visited more frequently had greater social cohesion. Higher levels of physical activity were linked to both duration and frequency of green space visits. A dose-response analysis for depression and high blood pressure suggest that visits to outdoor green spaces of 30 minutes or more during the course of a week could reduce the population prevalence of these illnesses by up to 7% and 9% respectively. Given that the societal costs of depression alone in Australia are estimated at AUD$12.6 billion per annum, savings to public health budgets across all health outcomes could be immense.
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Affected populations may suffer from the repercussions that are tied to the decreased nature contact that is associated with WFS, through a deprivation of the opportunity to experience the anxiety and rumination reduction, social cohesion, and increases in positive affect that nature contact provides.
“Additionally, affected populations may suffer from the repercussions that are tied to the decreased nature contact that is associated with WFS, through a deprivation of the opportunity to experience the anxiety and rumination reduction [26–28], social cohesion [29, 30], and increases in positive affect [31–33] that nature contact provides.”
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Cites
Barton, J., & Pretty, J. (2010) · Environmental Science & Technology · doi:10.1021/es903183r · Cited by 1,592 · see citing works
Psychological benefits of greenspace increase with biodiversity.
Fuller, R. A., Irvine, K. N., Devine-Wright, P., Warren, P. H., & Gaston, K. J. (2007) · Biology Letters · doi:10.1098/rsbl.2007.0149 · Cited by 1,549 · see citing works
Self-citationPhysical Activity for Health: What Kind? How Much? How Intense? On Top of What?
Powell, K. E., Paluch, A. E., & Blair, S. N. (2011) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031210-101151 · Cited by 685 · see citing works
Rückinger, S., von Kries, R., & Toschke, A. M. (2009) · BMC Medical Research Methodology · doi:10.1186/1471-2288-9-7 · Cited by 162 · see citing works
Flagged first, then by citations
Research works printed but not linked: 32
- Moore M., Gould P. & Keary B. S. Global urbanization and impact on health. International journal of hygiene and environmental health 206, 269– 278 (2003). 12971682
- Dye C. Health and urban living. Science 319, 766– 769 (2008). 18258905
- Sundquist K., Frank G. & Sundquist J. Urbanisation and incidence of psychosis and depression: Follow-up study of 4.4 million women and men in Sweden. The British Journal of Psychiatry 184, 293– 298 (2004). 15056572
- Hartig T., Evans G. W., Jamner L. D., Davis D. S. & Gärling T. Tracking restoration in natural and urban field settings. Journal of Environmental Psychology 23, 109– 123 (2003).
- Hanski I.. Environmental biodiversity, human microbiota, and allergy are interrelated. Proceedings of the National Academy of Sciences of the United States of America 109, 8334– 8339 (2012). 22566627 PMC3361383
- Mitchell R. & Popham F. Effect of exposure to natural environment on health inequalities: an observational population study. The Lancet 372, 1655– 1660 (2008). 18994663
- Kardan O.. Neighborhood greenspace and health in a large urban center. Scientific Reports 5, doi: 10.1038/srep11610 (2015). PMC4497305 26158911 · DOI
- Seresinhe C. I., Preis T. & Moat H. S. Quantifying the Impact of Scenic Environments on Health. Scientific Reports 5, doi: 10.1038/srep16899 (2015). PMC4658473 26603464 · DOI
- Van den Berg A. E. & Custers M. H. G. Gardening promotes neuroendocrine and affective restoration from stress. Journal of Health and Psychology. 16, 3– 11 (2011). 20522508
- Shinew K. J., Glover T. D. & Parry D. C. Leisure spaces as potential sites for interracial interaction: community gardens in urban areas. Journal of Leisure Research 36, 336– 355 (2004).
- Owen N., Humpel N., Leslie E., Bauman A. & Sallis J. F. Understanding environmental influences on walking - Review and research agenda. American Journal of Preventive Medicine 27, 67– 76 (2004). 15212778
- Giles-Corti B.. Increasing walking - How important is distance to, attractiveness, and size of public open space? American Journal of Preventive Medicine 28, 169– 176 (2005). 15694525
- Shanahan D. F.. Toward improved public health outcomes from urban nature. American Journal of Public Health 105, 470– 477 (2015). 25602866 PMC4330853
- Hartig T., Mitchell R., de Vries S. & Frumkin H. Nature and Health. Annual Review of Public Health 35, 207– 228 (2014). 24387090
- Ulrich R. S.. Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology. 11, 201– 230 (1991).
- Kaplan R. & Kaplan S. The experience of nature: a psychological perspective. (Cambridge University Press, 1989).
- Sampson R. J., Raudenbush S. W. & Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 277, 918– 924 (1997). 9252316
- Mozaffarian D.. Heart disease and stroke statistics–2015 update: a report from the American Heart Association. Circulation 131, e29– 322 (2015). 25520374
- Groenewegen P. P., van den Berg A. E., Maas J., Verheij R. A. & de Vries S. Is a green residential environment better for health? If so, why? Annals of the Association of American Geographers 102, 996– 1003 (2012).
- Kuo F. E., Sullivan W. C., Coley R. L. & Brunson L. Fertile ground for community: Inner-city neighborhood common spaces. American Journal of Community Psychology 26, 823– 851 (1998).
- Cohen D. A.. Parks and physical activity: why are some parks used more than others? Preventive Medicine 50, Supplement S9– S12 (2010). 19850067 PMC2821457
- Fone D.. Does social cohesion modify the association between area income deprivation and mental health? A multilevel analysis. International Journal of Epidemiology 36, 338– 345 (2007). 17329315
- Bedimo-Rung A. L., Mowen A. J. & Cohen D. A. The significance of parks to physical activity and public health: a conceptual model. American Journal of Preventive Medicine 28, 159– 169 (2005). 15694524
- Mytton O. T., Townsend N., Rutter H. & Foster C. Green space and physical activity: An observational study using Health Survey for England data. Health Place 18, 1034– 1041 (2012). 22795498 PMC3444752
- Sugiyama T., Francis J., Middleton N. J., Owen N. & Giles-Corti B. Associations between recreational walking and attractiveness, size, and proximity of neighborhood open spaces. American Journal of Public Health 100, 1752– 1757 (2010). 20634455 PMC2920990
- Hill A. B. Environment and disease - association or causation. Proceedings of the Royal Society of Medicine-London 58, 295-& (1965). PMC1898525 14283879
- Schwarz N. & Oyserman D. Asking questions about behavior: cognition, communication, and questionnaire construction. American Journal of Evaluation 22, 127– 160 (2001).
- Bell S. L., Pheonix C., Lovell R. & Wheeler B. W. Green space, health and wellbeing: making space for individual agency. Health Place 30, 287– 292 (2014). 25453749
- Nisbet E. K., Zelenski J. M. & Murphy S. A. Happiness is in our nature: exploring nature relatedness as a contributor to subjective well-being. Journal of Happiness Studies 12, 303– 322 (2011).
- Martyn P. & Brymer E. The relationship between nature relatedness and anxiety. Journal of Health Psychology doi: 10.1177/1359105314555169 (2014). 25370570 · DOI
- Tews J.. Animal species diversity driven by habitat heterogeneity/diversity: the importance of keystone structures. Journal of Biogeography 31, 79– 92 (2004).
- Altshuler B. Modeling of dose-response relationships. Environmental Health Perspectives 42, 23– 27 (1981). 7333256 PMC1568781
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Martin, L., White, M. P., Hunt, A., Richardson, M., Pahl, S., & Burt, J. (2020) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2020.101389 · Cited by 928 · see citing works
Browning, M. H. E. M., Larson, L. R., Sharaievska, I., Rigolon, A., McAnirlin, O., Mullenbach, L., Cloutier, S., Vu, T. M., Thomsen, J., Reigner, N., et al. (2021) · PLOS ONE · doi:10.1371/journal.pone.0245327 · Cited by 888 · see citing works
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Aerts, R., Honnay, O., & Van Nieuwenhuyse, A. (2018) · British Medical Bulletin · doi:10.1093/bmb/ldy021 · Cited by 521 · see citing works
South, E. C., Hohl, B. C., Kondo, M. C., MacDonald, J. M., & Branas, C. C. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.0298 · Cited by 399 · see citing works
Soga, M., Evans, M. J., Tsuchiya, K., & Fukano, Y. (2021) · Ecological Applications · doi:10.1002/eap.2248 · Cited by 389 · see citing works
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Hunter, M. R., Gillespie, B. W., & Chen, S. Y.-P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00722 · Cited by 358 · see citing works
Wood, E., Harsant, A., Dallimer, M., Cronin de Chavez, A., McEachan, R. R. C., & Hassall, C. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02320 · Cited by 330 · see citing works
“However, studies focusing on flower meadows have shown that perceived and actual species richness do correlate strongly, and that plant, bird, and butterfly richness were positively associated with well-being (Southon et al., 2018).”
BackgroundDoses of Nearby Nature Simultaneously Associated with Multiple Health Benefits
Cox, D., Shanahan, D., Hudson, H., Fuller, R., Anderson, K., Hancock, S., & Gaston, K. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14020172 · Cited by 292 · see citing works
Self-citationPerceived species-richness in urban green spaces: cues, accuracy and well-being impacts.
Southon, G. E., Jorgensen, A., Dunnett, N., Hoyle, H., & Evans, K. L. (2018) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2017.12.002 · Cited by 254 · see citing works
Brussoni, M., Ishikawa, T., Brunelle, S., & Herrington, S. (2017) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2017.11.001 · Cited by 186 · see citing works
The affective benefits of nature exposure
Bratman, G. N., Olvera‐Alvarez, H. A., & Gross, J. J. (2021) · Social and Personality Psychology Compass · doi:10.1111/spc3.12630 · Cited by 177 · see citing works
Cleary, A., Fielding, K. S., Bell, S. L., Murray, Z., & Roiko, A. (2017) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2016.10.003 · Cited by 165 · see citing works
Life satisfaction linked to the diversity of nature experiences and nature views from the window
Chang, C.-C., Oh, R. R. Y., Nghiem, T. P. L., Zhang, Y., Tan, C. L. Y., Lin, B. B., Gaston, K. J., Fuller, R. A., & Carrasco, L. R. (2020) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2020.103874 · Cited by 140 · see citing works
Self-citationResearch challenges for cultural ecosystem services and public health in (peri-)urban environments
Chen, X., de Vries, S., Assmuth, T., Dick, J., Hermans, T., Hertel, O., Jensen, A., Jones, L., Kabisch, S., Lanki, T., et al. (2019) · Science of The Total Environment · doi:10.1016/j.scitotenv.2018.09.030 · Cited by 141 · see citing works
Li, H., Browning, M. H. E. M., Rigolon, A., Larson, L. R., Taff, D., Labib, S. M., Benfield, J., Yuan, S., McAnirlin, O., Hatami, N., et al. (2023) · Science of The Total Environment · doi:10.1016/j.scitotenv.2022.159292 · Cited by 119 · see citing works
Mills, J. G., Bissett, A., Gellie, N. J. C., Lowe, A. J., Selway, C. A., Thomas, T., Weinstein, P., Weyrich, L. S., & Breed, M. F. (2020) · Restoration Ecology · doi:10.1111/rec.13175 · Cited by 90 · see citing works
Repke, M. A., Berry, M. S., Conway, L. G., Metcalf, A., Hensen, R. M., & Phelan, C. (2018) · PLOS ONE · doi:10.1371/journal.pone.0202246 · Cited by 74 · see citing works
The “healthy dose” of nature: A cautionary tale
Bell, S. L., Leyshon, C., Foley, R., & Kearns, R. A. (2019) · Geography Compass · doi:10.1111/gec3.12415 · Cited by 70 · see citing works
McDonald, R. I., Beatley, T., & Elmqvist, T. (2018) · Sustainable Earth · doi:10.1186/s42055-018-0002-5 · Cited by 61 · see citing works
Humphreys, A., Walker, E. G., Bratman, G. N., & Errett, N. A. (2022) · BMC Public Health · doi:10.1186/s12889-021-12411-2 · Cited by 53 · see citing works
“Additionally, affected populations may suffer from the repercussions that are tied to the decreased nature contact that is associated with WFS, through a deprivation of the opportunity to experience the anxiety and rumination reduction [26–28], social cohesion [29, 30], and increases in positive affect [31–33] that na…”
BackgroundSantini, Z. I., Koyanagi, A., Tyrovolas, S., Haro, J. M., Donovan, R. J., Nielsen, L., & Koushede, V. (2017) · Experimental Gerontology · doi:10.1016/j.exger.2017.02.074 · Cited by 49 · see citing works
Enhancing the acute psychological benefits of green exercise: an investigation of expectancy effects
Flowers, E. P., Freeman, P., & Gladwell, V. F. (2018) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2018.08.014 · Cited by 44 · see citing works
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- Authors
- Shanahan, D. F., Bush, R., Gaston, K. J., Lin, B. B., Dean, J., Barber, E., & Fuller, R. A.
- Affiliations
- The University of Queensland (AU)
- University of Exeter (GB)
- Commonwealth Scientific and Industrial Research Organisation (AU)
- Corresponding author
- Shanahan, Danielle F.
- ORCID
- Venue
- Scientific Reports
- Published
- 2016-06-23
- Volume
- 6
- Issue
- 1
- Pages
- 28551-28551
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC4917833
- OpenAlex
- W2474879463
- Cited by
- 809
- References
- 4
- Citations by year
- 2026: 97 · 2025: 89 · 2024: 121 · 2023: 83 · 2022: 98 · 2021: 104 · 2020: 62 · 2019: 57 · 2018: 55 · 2017: 33 · 2016: 10
- FWCI
- 32.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Open Research Exeter (University of Exeter) (acceptedVersion)
- Figshare (submittedVersion)
- Funders
- Centre of Excellence for Environmental Decisions, Australian Research Council
- Commonwealth Scientific and Industrial Research Organisation
- Natural Environment Research Council (NE/J015237/1)
- Australian Research Council (DP120102857)
- Department of Science, Information Technology and Innovation, Queensland Government
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Physical Sciences › Environmental Science › Management, Monitoring, Policy and Law › Urban Arborization and Environmental Studies
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Keywords
- nature exposure, urban green space, dose-response relationship, depression, hypertension, social cohesion, physical activity, urbanization, mental health, cardiovascular health
- MeSH terms
- Australia, Cities, Depression, Environment, Female, Humans, Hypertension, Male, Middle Aged, Public Health, Urban Population, Urbanization, Exercise
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