Page 8 - Health and Healing Through Nature Article
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            Wilderness Access (continued)

             Intervention                   Result/Outcome
             Vacation in nature vs. city    More relaxing and restorative 34


             Walking/watching forest vs.    Decreased Prefrontal Cortex activity in brain after forest walking
             urban                          Decreased cortisol (“the stress hormone”) before and after watching
                                            forest 35

             Time in forest, sitting or     Decreased sympathetic (“fight or flight”) and increased parasympa-
             walking                        thetic (“calming”) nervous system activation 36


             Nature trip for 3 days         7-day increase in Natural Killer cell count increased for forest group,
                                            which was not found in the urban group 37


             Forest bathing trip            Natural Killer cell activity increased for more than 7 days
                                            Phytonides increased, resulting in more Natural Killer cells, activity,
                                            and antioxidant proteins 38

             Green exercise                 Self-esteem and mood improved (independent of type, intensity, and
                                            duration) 39


             Rural vs. Urban exercise       Pleasant wilderness scenes resulted in the most positive mood effect
                                            Unpleasant urban screens resulted in the most negative impact on
                                            mood 40


             Exercise in nature vs.         Increased mental well-being outdoors 41
             indoors


             Walking in nature              Improved cognitive function and mood vs. city walking
                                            Improved mood and cognitive functioning  42


             Forest walking                 Decreased sympathetic and increased parasympathetic nervous
                                            system 43


             Walking/viewing city vs.       Forest walking/viewing resulted in improved pulse and diastolic
             forest                         blood pressure 44


             Running in nature/city         Felt more psychologically restorative in nature vs. city 45


             Exercise vs. non-exercise in   Better recovery from stress with exercise 46
             green space






        Nature and Healing - David Bilstrom, MD                                                                    8
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