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A systematic review of evidence for the added benefits to health of exposure to natural environments
Open accessAbstract
Background: There is increasing interest in the potential role of the natural environment in human health and well-being. However, the evidence-base for specific and direct health or well-being benefits of activity within natural compared to more synthetic environments has not been systematically assessed. Methods: We conducted a systematic review to collate and synthesise the findings of studies that compare measurements of health or well-being in natural and synthetic environments. Effect sizes of the differences between environments were calculated and meta-analysis used to synthesise data from studies measuring similar outcomes. Results: Twenty-five studies met the review inclusion criteria. Most of these studies were crossover or controlled trials that investigated the effects of short-term exposure to each environment during a walk or run. This included 'natural' environments, such as public parks and green university campuses, and synthetic environments, such as indoor and outdoor built environments. The most common outcome measures were scores of different self-reported emotions. Based on these data, a meta-analysis provided some evidence of a positive benefit of a walk or run in a natural environment in comparison to a synthetic environment. There was also some support for greater attention after exposure to a natural environment but not after adjusting effect sizes for pretest differences. Meta-analysis of data on blood pressure and cortisol concentrations found less evidence of a consistent difference between environments across studies. Conclusions: Overall, the studies are suggestive that natural environments may have direct and positive impacts on well-being, but support the need for investment in further research on this question to understand the general significance for public health.
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“Although a previous meta-analysis has been published that examined whether exposure to natural environments has a positive impact on health and well-being (Bowler et al., 2010)”
From The relationship between nature connectedness and happiness: a meta-analysis (2014) · cites this paper as Bowler et al., 2010
In the citing paper
“For example, exposure to natural environments decreases stress, increases happiness, improves mood, and restores attention (Berto, 2005; Bowler, Buyung-Ali, Knight, & Pullin, 2010; White, Alcock, Wheeler, & Depledge, 2013).”
From Behavioral trainings and manipulations to reduce delay discounting: A systematic review (2019) · cites this paper as Bowler, Buyung-Ali, Knight, & Pullin, 2010
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“Natural spaces have been shown to provide individuals with well-being benefits [47]”
From Understanding How Virtual Reality Can Support Mindfulness Practice: Mixed Methods Study (2020) · cites this paper as [47]
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Green space, social inequalities and neonatal mortality in France
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“The search terms were derived from previous reviews on the natural environment and psychological well-being (Bowler et al., 2010; McMahan and Estes, 2015; Jo et al., 2019; Roberts et al., 2019; Browning M. H. E. M. et al., 2020; Yao et al., 2021; Frost et al., 2022).”
BackgroundMethodResidential green space and birth outcomes in a coastal setting
Glazer, K. B., Eliot, M., Danilack, V. A., Carlson, L., PHIPPS, M. G., Dadvand, P., Savitz, D. A., & Wellenius, G. A. (2018) · Environmental Research · doi:10.1016/j.envres.2018.01.006 · Cited by 73
“…green space has been positively associated with overall self-perceived health (Maas et al., 2006) and with better mental (Alcock et al., 2014; Bowler et al., 2010; Gascon et al., 2015) and physical health and wellbeing (James et al., 2015; Lee and Maheswaran, 2011;…”
BackgroundInfluentialGao, J., Hou, H., Zhai, Y., Woodward, A. J., Vardoulakis, S., Kovats, S. R., Wilkinson, P., Li, L., Song, X., Xu, L., et al. (2018) · Environmental Pollution · doi:10.1016/j.envpol.2018.05.011 · Cited by 74
The role of green infrastructures in Italian cities by linking natural and social capital
Valente, D., Pasimeni, M. R., & Petrosillo, I. (2019) · Ecological Indicators · doi:10.1016/j.ecolind.2019.105694 · Cited by 73
Life Course, Green Space and Health: Incorporating Place into Life Course Epidemiology
Pearce, J., Shortt, N., Rind, E., & Mitchell, R. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13030331 · Cited by 70
“Thematic and systematic reviews of observational and experimental studies provide tentative support for a connection between green space and a range of health outcomes including physical activity (and related outcomes), mental health and wellbeing, and perceived general health [1–3].”
BackgroundHealth Benefits Derived from Forest: A Review
Grilli, G., & Sacchelli, S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176125 · Cited by 75
“[14] collected all studies specifically designed to understand the effect of urban green spaces on rest in a systematic meta-analysis and found that all primary sources identified some degree of effectiveness of green spaces on human health.”
BackgroundDoes urbanization affect the seasonal dynamics of bird communities in urban parks?
Leveau, L. M., & Leveau, C. M. (2016) · Urban Ecosystems · doi:10.1007/s11252-016-0525-5 · Cited by 75
Park, S.-A., Song, C., Oh, Y.-A., Miyazaki, Y., & Son, K.-C. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14091087 · Cited by 74
Optimization of jet impingement heat transfer: A review on advanced techniques and parameters
Barewar, S. D., Joshi, M., Sharma, P. O., Kalos, P. S., Bakthavatchalam, B., Chougule, S. S., Habib, K., & Saha, S. K. (2023) · Thermal Science and Engineering Progress · doi:10.1016/j.tsep.2023.101697 · Cited by 71
No time to lose – Green the cities now
van den Bosch, M. A., & Nieuwenhuijsen, M. J. (2016) · Environment International · doi:10.1016/j.envint.2016.11.025 · Cited by 78
Barrett, M., Combs, V., Su, J. G., Henderson, K., Tuffli, M., & Collaborative, T. A. L. (2018) · Health Affairs · doi:10.1377/hlthaff.2017.1315 · Cited by 71
Pasanen, T. P., Neuvonen, M., & Korpela, K. M. (2018) · Environment and Behavior · doi:10.1177/0013916517720261 · Cited by 70
Nature-based interventions in institutional and organisational settings: a scoping review
Moeller, C., KING, N. M., Burr, V., Gibbs, G. R., & Gomersall, T. (2018) · International Journal of Environmental Health Research · doi:10.1080/09603123.2018.1468425 · Cited by 84
“These include positive effects for specific groups, such as people with dementia (de Bruin et al. 2015), clinical depression (Gonzalez et al. 2011) and cancer (Cimprich and Ronis 2003), as well as more general impacts (e.g. (Bowler et al. 2010).”
BackgroundWeijs-Perrée, M., Dane, G., & van den Berg, P. V. D. (2020) · Sustainability · doi:10.3390/su12197921 · Cited by 62
“For example, it is recognized, based on an extensive literature review, that physical activity in a natural environment leads to more positive emotions [29].”
BackgroundNoseworthy, M. W., Peddie, L., Buckler, E. J., Park, F., Pham, M., Pratt, S., Singh, A., Puterman, E. M., & Liu-Ambrose, T. Y. L. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031669 · Cited by 85
Enhancing the well-being of veterans using extended group-based nature recreation experiences
Duvall, J., & Kaplan, R. (2014) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2013.08.0190 · Cited by 75
Cedervall, Y., Torres, S., & Åberg, A. C. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.962004 · Cited by 69
“This form of self has been shown to persist even in the later stages of dementia (Caddell & Clare, 2010).”
BackgroundPilotti, M., Klein, E., Golem, D. L., Piepenbrink, E., & Kaplan, K. (2014) · Environment and Behavior · doi:10.1177/0013916514533187 · Cited by 69
“However, if the beneficial impact of nature on affect is less shortlived than that on arousal, as some evidence suggests (see Bowler et al., 2010), self-reported affect might be more positive at the end of the experiment than at baseline (see Bowler et al., 2010; Hartig et al., 2003).”
BackgroundMorton, T. A., van der Bles, A. M., & Haslam, S. A. (2016) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2016.11.002 · Cited by 76
Occupational engagement as a constraint on restoration during leisure time in forest settings
von Lindern, E., Bauer, N., Frick, J., Hunziker, M., & Hartig, T. (2013) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2013.03.001 · Cited by 69
Gardening for therapeutic people-plant interactions during long-duration space missions
Odeh, R., & Guy, C. L. (2017) · Open Agriculture · doi:10.1515/opag-2017-0001 · Cited by 69
Eye movements in viewing urban images and natural images in diverse vegetation periods
Franěk, M., Petružálek, J., & Šefara, D. (2019) · Urban forestry & urban greening · doi:10.1016/j.ufug.2019.126477 · Cited by 66
Subiza‐Pérez, M., Pasanen, T., Ratcliffe, E., Lee, K., Bornioli, A., de Bloom, J., & Korpela, K. (2021) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2021.101706 · Cited by 71
Effects of Indoor Plants on Human Functions: A Systematic Review with Meta-Analyses
Han, K.-T., Ruan, L.-W., & Liao, L.-S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127454 · Cited by 82
Greenspaces And Cardiovascular Health
Keith, R. J., Hart, J. L., & Bhatnagar, A. (2024) · Circulation Research · doi:10.1161/circresaha.124.323583 · Cited by 73
My garden – my mate? Perceived restorativeness of private gardens and its predictors
Cervinka, R., Schwab, M., Schönbauer, R., Hämmerle, I., Pirgie, L., & Sudkamp, J. (2016) · Urban forestry & urban greening · doi:10.1016/j.ufug.2016.01.013 · Cited by 68
The effect of green walking on heart rate variability: a pilot crossover study
de Brito, J. N., Pope, Z. C., Mitchell, N. R., Schneider, I. E., Larson, J. M., Horton, T. H., & Pereira, M. A. (2020) · Environmental Research · doi:10.1016/j.envres.2020.109408 · Cited by 67
Mostajeran, F., Fischer, M., Steinicke, F., & Kühn, S. (2023) · Scientific Reports · doi:10.1038/s41598-022-26750-6 · Cited by 78
Silva, A. L., de Matos, M. A. V., & Gonçalves, M. (2023) · Journal of Environmental Planning and Management · doi:10.1080/09640568.2023.2227761 · Cited by 74
Pocock, M. J. O., Evans, D. M., Fontaine, C., Harvey, M. C., Julliard, R., McLaughlin, Ó. B., SILVERTOWN, J. W., Tamaddoni‐Nezhad, A., White, P. C. L., & Bohan, D. A. (2016) · Advances in ecological research/Advances in Ecological Research · doi:10.1016/bs.aecr.2015.10.006 · Cited by 69
“the impetus of global threats to biodiversity and ecosystem services, but engagement with nature also impacts positively on individuals (Bowler et al., 2010).”
BackgroundTracking Restoration of Park and Urban Street Settings in Coronary Artery Disease Patients
Gražulevičienė, R., Venclovienė, J., Kubilius, R., Grižas, V., Danilevičiūtė, A., Dėdelė, A., Andrušaitytė, S., Vitkauskienė, A., Steponavičiūtė, R., & Nieuwenhuijsen, M. J. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13060550 · Cited by 67
“While there is some evidence that exposure to a natural environment may improve mood and reduce stress, the effect of green space exposure on physiological responses has been proven to be inconsistent [3,4].”
BackgroundResultvan den Berg, M., van Poppel, M. N. M., Smith, G., Mas, M. T., Andrušaitytė, S., KAMP, I. V., van Mechelen, W., Gidlow, C. J., Gražulevičienė, R., Nieuwenhuijsen, M. J., et al. (2017) · Urban forestry & urban greening · doi:10.1016/j.ufug.2017.04.010 · Cited by 67
“Many experimental studies have indicated that exposure to natural or green environments, as opposed to built environments, positively affects mood and helps people to recover from stress and mental fatigue (Bowler et al., 2010; Bratman et al., 2012; Health Council of the Netherlands, 2004).”
BackgroundResidential neighborhood greenery and children's cognitive development
Reuben, A., Arseneault, L., Belsky, D. W., Caspi, A., Fisher, H. L., Houts, R., Moffitt, T. E., & Odgers, C. L. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.04.029 · Cited by 78
“and learning, particularly in urban spaces with high stressor loads (Bowler et al. 2010; Dadvand et al. 2015; Kuo 2015; Lee and Maheswaran 2011; Shanahan et al. 2015).”
BackgroundLow Childhood Nature Exposure is Associated with Worse Mental Health in Adulthood
Preuß, M., Nieuwenhuijsen, M. J., Márquez, S., Cirach, M., Dadvand, P., Mas, M. T., Gidlow, C. J., Gražulevičienė, R., Kruize, H., & Zijlema, W. L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16101809 · Cited by 80
O'Callaghan-Gordo, C., Kogevinas, M., Cirach, M., Castaño-Vinyals, G., Aragonés, N., Delfrade, J., Fernández-Villa, T., Amiano, P., Dierssen-Sotos, T., Tardon, A., et al. (2018) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2018.07.014 · Cited by 63
Happiness with rural experience: Exploring the role of tourist mindfulness as a moderator
Loureiro, S. M. C., Breazeale, M. J., & Radic, A. (2019) · Journal Of Vacation Marketing · doi:10.1177/1356766719849975 · Cited by 79
“Multiple interactions—among participants and between participants and owners, and with the environment—during the experience have been positively associated with happiness (ecological theory) (Bowler et al., 2010).”
Background
Metadata
- Authors
- Bowler, D. E., Buyung-Ali, L. M., Knight, T. M., & Pullin, A. S.
- Affiliations
- Bangor University (GB)
- Corresponding author
- Pullin, Andrew S
- Venue
- BMC Public Health
- Published
- 2010-08-04
- Volume
- 10
- Issue
- 1
- Pages
- 456-456
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC2924288
- OpenAlex
- W2115180584
- Cited by
- 1,993
- References
- 57
- Citations by year
- 2026: 108 · 2025: 146 · 2024: 206 · 2023: 172 · 2022: 176 · 2021: 184 · 2020: 227 · 2019: 167 · 2018: 138 · 2017: 103 · 2016: 112 · 2015: 80 · 2014: 78 · 2013: 54 · 2012: 24
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Natural England
- Topics
- Social Sciences › Urban Studies › Urban Green Space and Health
- Physical Sciences › Physics and Astronomy › Acoustics and Ultrasonics › Noise Effects and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- natural environment, synthetic environments, built environment, well-being, self-reported emotion, attention, blood pressure, cortisol, walking, running, green spaces, public parks, urban green space, nature exposure
- MeSH terms
- Health Status, Humans, Personal Satisfaction, Nature
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