Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis.
Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis.
复制标题
DOI：
10.1016/j.ssmph.2021.100934
复制
发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
White PL
中科院分区：
文献类型：
--
作者：
Coventry PA;Brown JE;Pervin J;Brabyn S;Pateman R;Breedvelt J;Gilbody S;Stancliffe R;McEachan R;White PL
精神健康问题与生活质量下降、计划外护理增加、经济和社会成本高昂以及死亡率增加有关。基于自然的干预措施 (NBI) 支持人们以结构化方式接触自然，是基于资产的解决方案，旨在改善社区成年人的心理健康。然而，尚不清楚哪些 NBI 最有效，或者什么形式和剂量最有效。我们系统地审查了户外 NBI 的受控和非受控证据。该协议已在 PROSPERO 注册（CRD42020163103）。研究对象包括社区环境中的成年人（年龄≥18 岁），无论有或没有精神和/或身体健康问题，均符合纳入条件。符合条件的干预措施是在绿色和/或蓝色空间中组织户外活动，以促进健康和福祉。我们于 2019 年 10 月检索了 ASSIA、CENTRAL、Embase、Greenfile、MEDLINE、PsycINFO 和 Web of Science；该搜索于 2020 年 9 月更新。我们筛选了 14,321 条记录，纳入 50 项研究。十六项研究是随机对照试验（RCT）； 18 项为对照研究； 16 人在研究前后不受控制。随机对照试验的偏倚风险为低至中等；对于对照和非对照研究，中度至高。 RCT的随机效应荟萃分析显示，NBI可有效改善抑郁情绪-0.64（95% CI：1.05至-0.23）、减少焦虑-0.94（95% CI：0.94至-0.01）、改善积极情绪0.95（95% CI：0.59至1.31）和减少消极情绪-0.52（95% CI） CI：0.77至-0.26）。对照和非对照研究的结果在很大程度上反映了随机对照试验的结果。很少有证据表明 NBI 可以改善身体健康。最有效的干预措施持续 8 至 12 周，最佳剂量范围为 20 至 90 分钟。 NBI，特别是园艺、绿色运动和自然疗法，可以有效改善成年人的心理健康结果，包括那些已有心理健康问题的人。
Mental health problems are associated with lower quality of life, increased unscheduled care, high economic and social cost, and increased mortality. Nature-based interventions (NBIs) that support people to engage with nature in a structured way are asset-based solutions to improve mental health for community based adults. However, it is unclear which NBIs are most effective, or what format and dose is most efficacious. We systematically reviewed the controlled and uncontrolled evidence for outdoor NBIs. The protocol was registered at PROSPERO (CRD42020163103). Studies that included adults (aged ≥18 years) in community-based settings with or without mental and/or physical health problems were eligible for inclusion. Eligible interventions were structured outdoor activities in green and/or blue space for health and wellbeing. We searched ASSIA, CENTRAL, Embase, Greenfile, MEDLINE, PsycINFO, and Web of Science in October 2019; the search was updated in September 2020. We screened 14,321 records and included 50 studies. Sixteen studies were randomised controlled trials (RCTs); 18 were controlled studies; and 16 were uncontrolled before and after studies. Risk of bias for RCTs was low to moderate; and moderate to high for controlled and uncontrolled studies. Random effects meta-analysis of RCTs showed that NBIs were effective for improving depressive mood −0.64 (95% CI: 1.05 to −0.23), reducing anxiety −0.94 (95% CI: 0.94 to −0.01), improving positive affect 0.95 (95% CI: 0.59 to 1.31), and reducing negative affect −0.52 (95% CI: 0.77 to −0.26). Results from controlled and uncontrolled studies largely reflected findings from RCTs. There was less evidence that NBIs improved physical health. The most effective interventions were offered for between 8 and 12 weeks, and the optimal dose ranged from 20 to 90 min. NBIs, specifically gardening, green exercise and nature-based therapy, are effective for improving mental health outcomes in adults, including those with pre-existing mental health problems.
登录
查看更多内容
影响因子：
2.9
作者：
Furukawa TA;Salanti G;Atkinson LZ;Leucht S;Ruhe HG;Turner EH;Chaimani A;Ogawa Y;Takeshima N;Hayasaka Y;Imai H;Shinohara K;Suganuma A;Watanabe N;Stockton S;Geddes JR;Cipriani A
通讯作者：
Cipriani A
影响因子：
6.3
作者：
Brown, Daniel K.;Barton, Jo L.;Gladwell, Valerie F.
通讯作者：
Gladwell, Valerie F.
DOI：
10.3390/ijerph14070728
发表时间：
2017-07-05
影响因子：
--
作者：
Bang KS;Lee I;Kim S;Lim CS;Joh HK;Park BJ;Song MK
通讯作者：
Song MK
影响因子：
3.7
作者：
Bielinis E;Janeczko E;Takayama N;Zawadzka A;Słupska A;Piętka S;Lipponen M;Bielinis L
通讯作者：
Bielinis L
影响因子：
6.2
作者：
Bail JR;Frugé AD;Cases MG;De Los Santos JF;Locher JL;Smith KP;Cantor AB;Cohen HJ;Demark-Wahnefried W
通讯作者：
Demark-Wahnefried W