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Effect of Forest Therapy for Menopausal Women with Insomnia

Author

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  • Hyeyun Kim

    (Department of Neurology, Catholic Kwandong University, International St. Mary’s Hospital, Incheon 1600-8291, Korea)

  • Jayoung Kim

    (Department of Laboratory Medicine, Catholic Kwandong University, International St. Mary’s Hospital, Incheon 1600-8291, Korea)

  • Hyo Jin Ju

    (College of Medicine, Catholic Kwandong University, International St. Mary’s Hospital, Incheon 1600-8291, Korea)

  • Bong Jin Jang

    (Graduate School of Healthcare Convergence, Catholic Kwandong University, International St. Mary’s Hospital, Incheon 1600-8291, Korea)

  • Tae Kyu Wang

    (Department of Public Administration, Catholic Kwandong University, Incheon 1600-8291, Korea)

  • Yeong In Kim

    (Department of Neurology, Catholic Kwandong University, International St. Mary’s Hospital, Incheon 1600-8291, Korea)

Abstract

Female hormone changes during menopause can affect the autonomic nervous system, circadian rhythm, and secretion of cortisol/melatonin, resulting in a vulnerability to insomnia. In this light, therapy has been gaining attention as a way to reduce stress hormones by stabilizing the autonomic nervous system. Thus, this study aims to objectively and scientifically analyze the impact of forest therapy in postmenopausal insomnia patients. The forest therapy program lasted 6 days, wherein 35 postmenopausal women performed activities such as trekking, leg massages, stretches, and bathing in warm and cold water. They also underwent serologic tests, participated in polysomnography (PSG), and answered sleep questionnaires before and after the program. Further, a statistical analysis compared the results. Serologic tests showed a significant reduction of cortisol from 10.2 ± 3.79 to 7.75 ± 2.81, while PSGs showed how sleep efficiency increased to 89.3 ± 4.3% ( p < 0.01), and how waking after sleep onset reduced to 47.4 ± 22.3 min (p < 0.01). The total sleep time also increased to 428.5 min and sleep latency was 11.1 ± 11.0 min. Despite its limitations, forest therapy could be a good alternative to nonpharmacological treatment for mitigating insomnia in postmenopausal women.

Suggested Citation

  • Hyeyun Kim & Jayoung Kim & Hyo Jin Ju & Bong Jin Jang & Tae Kyu Wang & Yeong In Kim, 2020. "Effect of Forest Therapy for Menopausal Women with Insomnia," IJERPH, MDPI, vol. 17(18), pages 1-8, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6548-:d:410807
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    References listed on IDEAS

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    1. Hiroko Ochiai & Harumi Ikei & Chorong Song & Maiko Kobayashi & Takashi Miura & Takahide Kagawa & Qing Li & Shigeyoshi Kumeda & Michiko Imai & Yoshifumi Miyazaki, 2015. "Physiological and Psychological Effects of a Forest Therapy Program on Middle-Aged Females," IJERPH, MDPI, vol. 12(12), pages 1-11, December.
    2. Hyeyun Kim & Yong Won Lee & Hyo Jin Ju & Bong Jin Jang & Yeong In Kim, 2019. "An Exploratory Study on the Effects of Forest Therapy on Sleep Quality in Patients with Gastrointestinal Tract Cancers," IJERPH, MDPI, vol. 16(14), pages 1-7, July.
    3. Margaret M. Hansen & Reo Jones & Kirsten Tocchini, 2017. "Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review," IJERPH, MDPI, vol. 14(8), pages 1-48, July.
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    Cited by:

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    2. Daniela Huber & Johanna Freidl & Christina Pichler & Michael Bischof & Martin Kiem & Renate Weisböck-Erdheim & Gabriella Squarra & Vincenzo De Nigris & Stefan Resnyak & Marcel Neberich & Susanna Bordi, 2023. "Long-Term Effects of Mountain Hiking vs. Forest Therapy on Physical and Mental Health of Couples: A Randomized Controlled Trial," IJERPH, MDPI, vol. 20(2), pages 1-20, January.
    3. Dorothy Day Huntsman & Grzegorz Bulaj, 2022. "Healthy Dwelling: Design of Biophilic Interior Environments Fostering Self-Care Practices for People Living with Migraines, Chronic Pain, and Depression," IJERPH, MDPI, vol. 19(4), pages 1-16, February.
    4. Mi-Jung Kang & Hyun-Sun Kim & Ji-Yeon Kim, 2022. "Effects of Forest-Based Interventions on Mental Health: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    5. Yunsoo Kim & Yoonhee Choi & Hyeyun Kim, 2022. "Positive Effects on Emotional Stress and Sleep Quality of Forest Healing Program for Exhausted Medical Workers during the COVID-19 Outbreak," IJERPH, MDPI, vol. 19(5), pages 1-10, March.

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