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Associations between Nature Exposure and Health: A Review of the Evidence

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  • Marcia P. Jimenez

    (Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA
    Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA 02215, USA
    These authors contributed equally as first authors to this work.)

  • Nicole V. DeVille

    (Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA
    Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA
    These authors contributed equally as first authors to this work.)

  • Elise G. Elliott

    (Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA
    Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA)

  • Jessica E. Schiff

    (Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA)

  • Grete E. Wilt

    (Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA)

  • Jaime E. Hart

    (Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA
    Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA
    These authors contributed equally as senior authors to this work.)

  • Peter James

    (Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA 02215, USA
    Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA
    Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA 02215, USA
    These authors contributed equally as senior authors to this work.)

Abstract

There is extensive empirical literature on the association between exposure to nature and health. In this narrative review, we discuss the strength of evidence from recent (i.e., the last decade) experimental and observational studies on nature exposure and health, highlighting research on children and youth where possible. We found evidence for associations between nature exposure and improved cognitive function, brain activity, blood pressure, mental health, physical activity, and sleep. Results from experimental studies provide evidence of protective effects of exposure to natural environments on mental health outcomes and cognitive function. Cross-sectional observational studies provide evidence of positive associations between nature exposure and increased levels of physical activity and decreased risk of cardiovascular disease, and longitudinal observational studies are beginning to assess long-term effects of nature exposure on depression, anxiety, cognitive function, and chronic disease. Limitations of current knowledge include inconsistent measures of exposure to nature, the impacts of the type and quality of green space, and health effects of duration and frequency of exposure. Future directions include incorporation of more rigorous study designs, investigation of the underlying mechanisms of the association between green space and health, advancement of exposure assessment, and evaluation of sensitive periods in the early life-course.

Suggested Citation

  • Marcia P. Jimenez & Nicole V. DeVille & Elise G. Elliott & Jessica E. Schiff & Grete E. Wilt & Jaime E. Hart & Peter James, 2021. "Associations between Nature Exposure and Health: A Review of the Evidence," IJERPH, MDPI, vol. 18(9), pages 1-19, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4790-:d:546739
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    References listed on IDEAS

    as
    1. Viniece Jennings & April Karen Baptiste & Na’Taki Osborne Jelks & Renée Skeete, 2017. "Urban Green Space and the Pursuit of Health Equity in Parts of the United States," IJERPH, MDPI, vol. 14(11), pages 1-17, November.
    2. Elizabeth W. Holt & Quinn K. Lombard & Noelle Best & Sara Smiley-Smith & John E. Quinn, 2019. "Active and Passive Use of Green Space, Health, and Well-Being amongst University Students," IJERPH, MDPI, vol. 16(3), pages 1-13, February.
    3. Gert-Jan Vanaken & Marina Danckaerts, 2018. "Impact of Green Space Exposure on Children’s and Adolescents’ Mental Health: A Systematic Review," IJERPH, MDPI, vol. 15(12), pages 1-17, November.
    4. Myriam Preuß & Mark Nieuwenhuijsen & Sandra Marquez & Marta Cirach & Payam Dadvand & Margarita Triguero-Mas & Christopher Gidlow & Regina Grazuleviciene & Hanneke Kruize & Wilma Zijlema, 2019. "Low Childhood Nature Exposure is Associated with Worse Mental Health in Adulthood," IJERPH, MDPI, vol. 16(10), pages 1-18, May.
    5. Viniece Jennings & Cassandra Johnson Gaither, 2015. "Approaching Environmental Health Disparities and Green Spaces: An Ecosystem Services Perspective," IJERPH, MDPI, vol. 12(2), pages 1-17, February.
    6. Lærke Mygind & Matt P. Stevenson & Lasse S. Liebst & Ivana Konvalinka & Peter Bentsen, 2018. "Stress Response and Cognitive Performance Modulation in Classroom versus Natural Environments: A Quasi-Experimental Pilot Study with Children," IJERPH, MDPI, vol. 15(6), pages 1-15, May.
    7. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
    8. Chorong Song & Harumi Ikei & Yoshifumi Miyazaki, 2016. "Physiological Effects of Nature Therapy: A Review of the Research in Japan," IJERPH, MDPI, vol. 13(8), pages 1-17, August.
    9. Selin Akaraci & Xiaoqi Feng & Thomas Suesse & Bin Jalaludin & Thomas Astell-Burt, 2020. "A Systematic Review and Meta-Analysis of Associations between Green and Blue Spaces and Birth Outcomes," IJERPH, MDPI, vol. 17(8), pages 1-20, April.
    10. Coombes, Emma & Jones, Andrew P. & Hillsdon, Melvyn, 2010. "The relationship of physical activity and overweight to objectively measured green space accessibility and use," Social Science & Medicine, Elsevier, vol. 70(6), pages 816-822, March.
    11. Phoebe R. Maund & Katherine N. Irvine & Jonathan Reeves & Emily Strong & Ruth Cromie & Martin Dallimer & Zoe G. Davies, 2019. "Wetlands for Wellbeing: Piloting a Nature-Based Health Intervention for the Management of Anxiety and Depression," IJERPH, MDPI, vol. 16(22), pages 1-17, November.
    12. Linyan Li & Jaime E. Hart & Brent A. Coull & Shi-jie Cao & John D. Spengler & Gary Adamkiewicz, 2019. "Effect of Residential Greenness and Nearby Parks on Respiratory and Allergic Diseases among Middle School Adolescents in a Chinese City," IJERPH, MDPI, vol. 16(6), pages 1-11, March.
    13. Xiaoqi Feng & Claudia Flexeder & Iana Markevych & Marie Standl & Joachim Heinrich & Tamara Schikowski & Sibylle Koletzko & Gunda Herberth & Carl-Peter Bauer & Andrea von Berg & Dietrich Berdel & Thoma, 2020. "Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany," IJERPH, MDPI, vol. 17(13), pages 1-16, July.
    14. 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.
    15. Elizabeth P.D. Koselka & Lucy C. Weidner & Arseniy Minasov & Marc G. Berman & William R. Leonard & Marianne V. Santoso & Junia N. de Brito & Zachary C. Pope & Mark A. Pereira & Teresa H. Horton, 2019. "Walking Green: Developing an Evidence Base for Nature Prescriptions," IJERPH, MDPI, vol. 16(22), pages 1-18, November.
    16. Alessandro Rigolon & Matthew H. E. M. Browning & Olivia McAnirlin & Hyunseo (Violet) Yoon, 2021. "Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    17. Suzanne Tillmann & Andrew F. Clark & Jason A. Gilliland, 2018. "Children and Nature: Linking Accessibility of Natural Environments and Children’s Health-Related Quality of Life," IJERPH, MDPI, vol. 15(6), pages 1-15, May.
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