Research Digest

Engagement with Nature

Dear friends,

Engagement with nature – whether passive or active – can promote human health. Vegetation around homes, schools and other places in the community provides a passive form of engagement with nature. This type of engagement is sometimes referred to as “environmental living.” Active engagement with nature takes a variety of forms, including green exercise and different types of outdoor play. In this special issue of the Digest, we explore a range of health-related benefits of contact with nature. During this time of increased stress related to the raging COVID-19 pandemic and the onset of winter, we need nature’s benefits more than ever.

Stay well,

Cathy Jordan signature

Consulting Research Director
Children & Nature Network

Environmental Living

Greenness around homes, schools and in the larger community is linked to more positive health outcomes, including healthier weight, a better functioning immune system, improved sleep, and overall child development.

 

Higher school-based greenness levels are associated with healthier weight in children and adolescents

In a study involving more than 56,000 students in China, over 15% were overweight and over 9% obese. Healthier-weight children were more likely to attend schools with more greenery than overweight/obese children.
Bao et al. 2021. Greenness surrounding schools and adiposity in children and adolescents: Findings from a national population-based study in China. Access Study

 

More greenery may not predict more positive sleep outcomes in children

Research from Germany and Australia found no clear associations between nearby green space and sleep outcomes for a large population of children. There were some differences by gender and age.
Feng et al. 2020. Impact of residential green space on sleep quality and sufficiency in children and adolescents residing in Australia and Germany. Access Study

 

A literature review strengthens the evidence base on the health benefits of green spaces for children

A review of the literature on the potential impact of childhood exposure to green space identified four areas of positive impact: perinatal health, physical exercise, respiratory health, and neurodevelopmental health.
Islam, Johnson & Sly, 2020. Green space and early childhood development: A systematic review.  Access Study

 

Literature review provides some evidence that greater access to green space predicts activity level and weight-related health outcomes

Sample sizes included in this review ranged from 100 to over 44,000. Findings provide some support for a positive association between greenness and higher levels of physical activity, healthier weight, as well as less TV watching for children and youth.
Jia et al. 2020. Green space access in the neighbourhood and childhood obesity.  Access Study

 

Exposure to green space during childhood may not protect against diabetes, contradicting prior thinking

Residential green space assessments conducted four times during childhood and a diabetes risk assessment in early adolescence indicated that childhood greenspace exposure does not reduce the risk of diabetes.
Jimenez et al. 2020. Early life exposure to green space and insulin resistance: An assessment from infancy to early adolescence.  Access Study

 

Residential trees and community greenspace are associated with lower levels of childhood obesity

Data from two different age groups (4-5; 10-11) in the United Kingdom showed a significant positive association between healthy weight and residential tree density. Green space further afield was linked to less obesity in the older group.
Mears et al. 2020. Neighborhood greenspace influences on childhood obesity in Sheffield, UK.  Access Study 

 

More urban greenery is associated with lower indoor particulate matter and noise annoyance

Data from sensors placed in urban European households with young children showed that homes with more surrounding greenness had less indoor particulate matter and less road noise.
Mueller et al. 2020. Urban greenspace and the indoor environment: Pathways to health via indoor particulate matter, noise, and road noise annoyance.  Access Study

 

Adding biodiverse elements to a play yard can enhance preschoolers’ immune systems

Finnish children attending a childcare center with natural forest floor in their play yard had more diverse skin and gut bacteria and signs of better immune system functioning than children in centers without the forest floor.
Roslund et al. 2020. Biodiversity intervention enhances immune regulation and health-associated commensal microbiota among daycare children.  Access Study

 

Urban forests contribute to human health by reducing harm, restoring capacities, and building capacities

Of 201 studies exploring how trees affect human health, 82 focused on reducing harm, 63 on restoring capacities, and 56 on building capacities. Only 13% of the studies focused on children.
Wolf et al. 2020. Urban trees and human health: A scoping reviewAccess Study

 

Street greenery is significantly associated with children’s active school transport and body weight status

A study examining the possible role of neighborhood greenness on physical activity found that students attending Hong Kong schools with greener surrounding areas were more likely to engage in active school transport and more likely to have healthier weight.
Yang et al. 2020. Urban greenery, active school transport, and body weight among Hong Kong children.  Access Study 

Physical Activity

Children tend to be more physically active in outdoor versus indoor environments. Increased physical activity outdoors often involves active engagement with nature, which then promotes physical health and other areas of child development.

 

Nature play may positively impact children’s health and development, particularly in the areas of physical activity and cognitive development

Only quantitative studies were included in a review supporting the idea that nature play has a positive impact on levels of physical activity, health-related fitness, motor skill, cognitive learning, and social and emotional development.
Dankiw et al. 2020. The impacts of unstructured nature play on health in early childhood development: A systematic review.  Access Study

 

A review of the benefits of green exercise for children and youth is inconclusive

This systematic review found that physical activity in nature (green exercise) was more effective than non-green exercise for certain desired outcomes but not for others.
Mnich et al. 2019. Psychosocial and physiological health outcomes of green exercise in children and adolescents – A systematic review. Access Study

 

Nature exposure and green exercise during childhood predict adult nature exposure and green exercise, as well as connectedness to nature

This study, conducted in the United Kingdom, supports previous research indicating that childhood nature exposure may positively influence nature exposure later in life. Nature exposure in this study focused on green exercise; and the impact during adulthood included connectedness to nature.
Wood & Smyth, 2020. The health impact of nature exposure and green exercise across the life course: A pilot study.  Access Study

 

Street greenery is significantly associated with children’s active school transport and body weight status

A study examining the possible role of neighborhood greenness on physical activity found that students attending Hong Kong schools with greener surrounding areas were more likely to engage in active school transport and more likely to have healthier weight.
Yang et al. 2020. Urban greenery, active school transport, and body weight among Hong Kong children.  Access Study

Health-Care Initiatives

Health-care professionals are using passive and active forms of nature engagement as health-promoting measures.

 

Nature prescription programs are growing faster than the evidence base to support and guide such programs

Nature prescriptions, which are becoming increasingly more popular, suggest that patients spend a certain amount of time outside. A literature review highlights the need for more research and evaluation of such programs.
Kondo et al. 2020. Nature prescriptions for health: A review of evidence and research opportunities.  Access Study

 

Children with a dish garden in their hospital room showed significantly greater gains in physical and neuropsychological health than children without a dish garden

Hospitalized children in Iran provided with a dish garden in their room experienced less fear, anxiety, and depression and more happiness, relaxation, and better attention than children in a hospital room without a dish garden.
Yar & Kazemi, 2020. The role of dish gardens on the physical and neuropsychological improvement of hospitalized children. Access Study

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