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Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature

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  • Daniela Haluza

    (Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, A-1090 Vienna, Austria)

  • Regina Schönbauer

    (Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, A-1090 Vienna, Austria)

  • Renate Cervinka

    (Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, A-1090 Vienna, Austria)

Abstract

Natural environments offer a high potential for human well-being, restoration and stress recovery in terms of allostatic load. A growing body of literature is investigating psychological and physiological health benefits of contact with Nature. So far, a synthesis of physiological health outcomes of direct outdoor nature experiences and its potential for improving Public Health is missing. We were interested in summarizing the outcomes of studies that investigated physiological outcomes of experiencing Nature measuring at least one physiological parameter during the last two decades. Studies on effects of indoor or simulated Nature exposure via videos or photos, animal contact, and wood as building material were excluded from further analysis. As an online literature research delivered heterogeneous data inappropriate for quantitative synthesis approaches, we descriptively summarized and narratively synthesized studies. The procedure started with 1,187 titles. Research articles in English language published in international peer-reviewed journals that investigated the effects of natural outdoor environments on humans by were included. We identified 17 relevant articles reporting on effects of Nature by measuring 20 different physiological parameters. We assigned these parameters to one of the four body systems brain activity, cardiovascular system, endocrine system, and immune function. These studies reported mainly direct and positive effects, however, our analyses revealed heterogeneous outcomes regarding significance of results. Most of the studies were conducted in Japan, based on quite small samples, predominantly with male students as participants in a cross-sectional design. In general, our narrative review provided an ambiguous illustration of the effects outdoor nature exerted on physiological parameters. However, the majority of studies reported significant positive effects. A harmonizing effect of Nature, especially on physiological stress reactions, was found across all body systems. From a Public Health perspective, interdisciplinary work on utilizing benefits of Nature regarding health promotion, disease prevention, and nature-based therapy should be optimized in order to eventually diminish given methodological limitations from mono-disciplinary studies.

Suggested Citation

  • Daniela Haluza & Regina Schönbauer & Renate Cervinka, 2014. "Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature," IJERPH, MDPI, vol. 11(5), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:5:p:5445-5461:d:36214
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    References listed on IDEAS

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    1. Melissa R. Marselle & Katherine N. Irvine & Sara L. Warber, 2013. "Walking for Well-Being: Are Group Walks in Certain Types of Natural Environments Better for Well-Being than Group Walks in Urban Environments?," IJERPH, MDPI, vol. 10(11), pages 1-26, October.
    2. Daniela Haluza & Stana Simic & Jan Höltge & Renate Cervinka & Hanns Moshammer, 2014. "Connectedness to Nature and Public (Skin) Health Perspectives: Results of a Representative, Population-Based Survey among Austrian Residents," IJERPH, MDPI, vol. 11(1), pages 1-16, January.
    3. Andrea Abraham & Kathrin Sommerhalder & Thomas Abel, 2010. "Landscape and well-being: a scoping study on the health-promoting impact of outdoor environments," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(1), pages 59-69, February.
    4. Ulla Timlin & Helinä Hakko & Raija Heino & Helvi Kyngäs, 2014. "A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3321-3334, December.
    5. Lucy E. Keniger & Kevin J. Gaston & Katherine N. Irvine & Richard A. Fuller, 2013. "What are the Benefits of Interacting with Nature?," IJERPH, MDPI, vol. 10(3), pages 1-23, March.
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    7. Jenny J. Roe & Catharine Ward Thompson & Peter A. Aspinall & Mark J. Brewer & Elizabeth I. Duff & David Miller & Richard Mitchell & Angela Clow, 2013. "Green Space and Stress: Evidence from Cortisol Measures in Deprived Urban Communities," IJERPH, MDPI, vol. 10(9), pages 1-18, September.
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