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Long-Term Effects of Mountain Hiking vs. Forest Therapy on Physical and Mental Health of Couples: A Randomized Controlled Trial

Author

Listed:
  • Daniela Huber

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
    These authors contributed equally to this work.)

  • Johanna Freidl

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
    These authors contributed equally to this work.)

  • Christina Pichler

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Michael Bischof

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Martin Kiem

    (Certified Nature and Forest Therapy Guide, 39010 Tisens, Italy)

  • Renate Weisböck-Erdheim

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Gabriella Squarra

    (Certified Forest-Health-Trainer, 83435 Bad Reichenhall, Germany)

  • Vincenzo De Nigris

    (Institute of Sports Medicine, South Tyrol Health Authority, 39100 Bozen, Italy)

  • Stefan Resnyak

    (Institute of Sports Medicine, South Tyrol Health Authority, 39100 Bozen, Italy)

  • Marcel Neberich

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Susanna Bordin

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • René Zechner

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Arnulf Hartl

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

Abstract

Background: Lifelong physical activity is related to longer health span, which is reflected at an individual level, and is of substantial socioeconomic relevance. Sedentary lifestyles, on the other hand, pose an increasingly major public health problem. In addition, the COVID-19 pandemic had a negative impact on activity levels and well-being. Previous research indicates that contact with nature might improve exercise levels as well as well-being. Methods: This randomized, controlled clinical trial (ANKER-study) investigated the effects of two types of nature-based therapies (forest therapy and mountain hiking) in couples (FTG: n = 23; HG: n = 22;) with a sedentary or inactive lifestyle on health-related quality of life, relationship quality and other psychological and physiological parameters. Results: The results of this study displayed that healthy and highly functioning women and men with sedentary lifestyles mentally benefit from contact with nature (quality of life, satisfaction with life, mood, internal and external health-related control beliefs). The gender-specific effect on women is most visible in the physiological outcomes (hemopoietic system, aerobic capacity, skeletal muscle mass and hydration) of mountain hiking. Men and women showed small improvements in blood pressure as a result of the interventions. Conclusions: The ANKER-study provides a method for valid comparison of forest therapy interventions for the first time. Regarding the COVID-19 pandemic, the nature-based intervention presented could offer a multimodal contribution to maintaining a more active lifestyle, further contact with nature that affects peoples physical as well as mental health, and an improvement in social interaction.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1469-:d:1034776
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    References listed on IDEAS

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    1. 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.
    2. Jin-Gun Kim & Won-Sop Shin, 2021. "Forest Therapy Alone or with a Guide: Is There a Difference between Self-Guided Forest Therapy and Guided Forest Therapy Programs?," IJERPH, MDPI, vol. 18(13), pages 1-15, June.
    3. Youngran Chae & Sunhee Lee & Youngmi Jo & Soyean Kang & Suyoun Park & Hyoyoung Kang, 2021. "The Effects of Forest Therapy on Immune Function," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    4. Gianluca Grilli & Sandro Sacchelli, 2020. "Health Benefits Derived from Forest: A Review," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    5. Debanjan Banerjee & Mayank Rai, 2020. "Social isolation in Covid-19: The impact of loneliness," International Journal of Social Psychiatry, , vol. 66(6), pages 525-527, September.
    6. Kyung Hee Oh & Won Sop Shin & Tae Gyu Khil & Dong Jun Kim, 2020. "Six-Step Model of Nature-Based Therapy Process," IJERPH, MDPI, vol. 17(3), pages 1-16, January.
    7. Bum-Jin Park & Chang-Seob Shin & Won-Sop Shin & Chung-Yeub Chung & Si-Hyung Lee & Dong-Jun Kim & Youn-Hee Kim & Chang-Eun Park, 2020. "Effects of Forest Therapy on Health Promotion among Middle-Aged Women: Focusing on Physiological Indicators," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    8. Ky B. Stoltzfus & David Naylor & Tessa Cattermole & Arthur Ankeney & Rebecca Mount & Rong Chang & Cheryl A. Gibson, 2020. "Blood Pressure Changes While Hiking at Moderate Altitudes: A Prospective Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-9, October.
    9. Marita Stier-Jarmer & Veronika Throner & Michaela Kirschneck & Gisela Immich & Dieter Frisch & Angela Schuh, 2021. "The Psychological and Physical Effects of Forests on Human Health: A Systematic Review of Systematic Reviews and Meta-Analyses," IJERPH, MDPI, vol. 18(4), pages 1-39, February.
    10. Martin Niedermeier & Carina Grafetstätter & Martin Kopp & Daniela Huber & Michaela Mayr & Christina Pichler & Arnulf Hartl, 2019. "The Role of Anthropogenic Elements in the Environment for Affective States and Cortisol Concentration in Mountain Hiking—A Crossover Trial," IJERPH, MDPI, vol. 16(2), pages 1-16, January.
    11. 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.
    12. Arkaitz Castañeda-Babarro & Ane Arbillaga-Etxarri & Borja Gutiérrez-Santamaría & Aitor Coca, 2020. "Physical Activity Change during COVID-19 Confinement," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    13. Chorong Song & Harumi Ikei & Takahide Kagawa & Yoshifumi Miyazaki, 2019. "Effects of Walking in a Forest on Young Women," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
    14. Poung-Sik Yeon & Jin-Young Jeon & Myeong-Seo Jung & Gyeong-Min Min & Ga-Yeon Kim & Kyung-Mi Han & Min-Ja Shin & Seong-Hee Jo & Jin-Gun Kim & Won-Sop Shin, 2021. "Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(23), pages 1-27, December.
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    Cited by:

    1. Kelvin I. Afrashtehfar & Carlos A. Jurado & Amaweya Al-Sammarraie & Musab H. Saeed, 2023. "Consequences of COVID-19 and Its Variants: Understanding the Physical, Oral, and Psychological Impact," IJERPH, MDPI, vol. 20(4), pages 1-5, February.
    2. Arnulf Josef Hartl & Johanna Freidl & Daniela Huber, 2023. "Effects of Alpine Natural Health Resources on Human Health and Wellbeing," IJERPH, MDPI, vol. 20(12), pages 1-3, June.

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