Cited by 809Urban Green Space and HealthUrban Arborization and Environmental StudiesEnvironmental Justice and Health Disparities

Health Benefits from Nature Experiences Depend on Dose

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Shanahan, Danielle F., Bush, Robert, Gaston, Kevin J., Lin, Brenda B., Dean, Julie, Barber, Elizabeth, Fuller, Richard A.·2016·Scientific Reports

Abstract

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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Research works printed but not linked: 32

  1. 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
  2. Dye C. Health and urban living. Science 319, 766– 769 (2008). 18258905
  3. 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
  4. 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).
  5. 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
  6. Mitchell R. & Popham F. Effect of exposure to natural environment on health inequalities: an observational population study. The Lancet 372, 1655– 1660 (2008). 18994663
  7. Kardan O.. Neighborhood greenspace and health in a large urban center. Scientific Reports 5, doi: 10.1038/srep11610 (2015). PMC4497305 26158911 · DOI
  8. 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
  9. 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
  10. 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).
  11. 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
  12. 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
  13. Shanahan D. F.. Toward improved public health outcomes from urban nature. American Journal of Public Health 105, 470– 477 (2015). 25602866 PMC4330853
  14. Hartig T., Mitchell R., de Vries S. & Frumkin H. Nature and Health. Annual Review of Public Health 35, 207– 228 (2014). 24387090
  15. Ulrich R. S.. Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology. 11, 201– 230 (1991).
  16. Kaplan R. & Kaplan S. The experience of nature: a psychological perspective. (Cambridge University Press, 1989).
  17. Sampson R. J., Raudenbush S. W. & Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 277, 918– 924 (1997). 9252316
  18. Mozaffarian D.. Heart disease and stroke statistics–2015 update: a report from the American Heart Association. Circulation 131, e29– 322 (2015). 25520374
  19. 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).
  20. 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).
  21. Cohen D. A.. Parks and physical activity: why are some parks used more than others? Preventive Medicine 50, Supplement S9– S12 (2010). 19850067 PMC2821457
  22. 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
  23. 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
  24. 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
  25. 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
  26. Hill A. B. Environment and disease - association or causation. Proceedings of the Royal Society of Medicine-London 58, 295-& (1965). PMC1898525 14283879
  27. Schwarz N. & Oyserman D. Asking questions about behavior: cognition, communication, and questionnaire construction. American Journal of Evaluation 22, 127– 160 (2001).
  28. 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
  29. 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).
  30. Martyn P. & Brymer E. The relationship between nature relatedness and anxiety. Journal of Health Psychology doi: 10.1177/1359105314555169 (2014). 25370570 · DOI
  31. Tews J.. Animal species diversity driven by habitat heterogeneity/diversity: the importance of keystone structures. Journal of Biogeography 31, 79– 92 (2004).
  32. Altshuler B. Modeling of dose-response relationships. Environmental Health Perspectives 42, 23– 27 (1981). 7333256 PMC1568781

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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.
Venue
Scientific Reports
Published
2016-06-23
Volume
6
Issue
1
Pages
28551-28551
ISSN
2045-2322 (ISSN-L)
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
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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