The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure.
The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure.
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DOI：
10.3390/ijerph14040368
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发表时间：
2017-03-31
影响因子：
--
通讯作者：
Yan J
中科院分区：
文献类型：
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作者：
Mao G;Cao Y;Wang B;Wang S;Chen Z;Wang J;Xing W;Ren X;Lv X;Dong J;Chen S;Chen X;Wang G;Yan J
本研究的目的是检验森林浴作为辅助疗法对患有慢性心力衰竭（CHF）的老年患者有益的假设。两组患有CHF的参与者被同时送往森林或城市控制区，分别进行为期四天的旅行。与城市组和他们自己的基线水平相比，暴露于森林地点的受试者的脑钠肽（BNP）显着降低。暴露于森林环境的受试者的心血管疾病相关病理因子，包括内皮素-1（ET-1）和肾素-血管紧张素系统（RAS）成分，包括肾素、血管紧张素原（AGT）、血管紧张素II（ANGII）和ANGII受体1型或2型（AT1或AT2）的值低于城市对照组。显然，森林组比城市组炎症细胞因子水平降低，抗氧化功能改善。情绪状态概况（POMS）评估表明，森林浴后负面情绪情绪状态得到缓解。正如预期，根据PM2.5（颗粒物<2.5μm）和负离子的检测，林区空气质量有所改善。这些结果提供了直接证据，表明森林浴对CHF患者有有益作用，因此可能为森林浴作为心血管疾病的有效辅助疗法的潜在发展铺平道路。
The aim of the current study was to test the hypothesis that forest bathing would be beneficial for elderly patients with chronic heart failure (CHF) as an adjunctive therapy. Two groups of participants with CHF were simultaneously sent to the forest or an urban control area for a four-day trip, respectively. Subjects exposed to the forest site showed a significant reduction of brain natriuretic peptide (BNP) in comparison to that of the city group and their own baseline levels. The values for the cardiovascular disease related pathological factors, including endothelin-1 (ET-1), and constituents of the renin-angiotensin system (RAS), including renin, angiotensinogen (AGT), angiotensin II (ANGII), and ANGII receptor type 1 or 2 (AT1 or AT2) in subjects exposed to the forest environment were lower than those in the urban control group. Obviously, a decreased level of inflammatory cytokines and improved antioxidant function was observed in the forest group rather than in the city group. The assessment of the profile of mood states (POMS) indicated that the negative emotional mood state was alleviated after forest bathing. As anticipated, a better air quality in the forest site was observed according to the detection of PM2.5 (particulate matter <2.5 μm) and negative ions. These results provided direct evidence that forest bathing has a beneficial effect on CHF patients, and thus may pave the way for potential development of forest bathing as an effective adjunctive therapy on cardiovascular disorders.