Nature's effect on stress in women : A systematic review

This systematic review aims to evaluate which effects nature exposure has on stress in women and get a more objective viewpoint using measurements of physiological markers of stress to complement the many studies using subjective questionnaires. A search was done on Scopus, Medline EBSCO, and Web of Science for peer-reviewed, published, and original research. Five studies met the inclusion criteria and were included in this review. The outcome measurements included were activity in the autonomic nervous system (ANS) measured with heart-rate variability (HRV) and cerebral activity measured by near-infrared spectroscopy (NIRS). With the definition of Shinrin-Yoku in mind, nature exposure was walking in or watching the natural environment, compared to walking in or watching an urban environment. In this systematic review, four of five studies found significant results that nature exposure alleviated stress in women compared to an urban environment. These findings contribute to a growing body of evidence suggesting that nature is valuable in reducing stress-related illnesses in women. On the individual level, these findings show that nature exposure can be used as an evidence-based intervention to reduce stress in women. Furthermore, these findings clarify the benefits of including elements from nature in urban environments on a societal level