Nature immersion
Effects of forest bathing (shinrin-yoku) on levels of cortisol as a stress biomarker: a systematic review and meta-analysis
Antonelli M, Barbieri G, Donelli D
International Journal of Biometeorology · 2019
This systematic review and meta-analysis looked at whether forest bathing (shinrin-yoku) lowers cortisol, a commonly used stress hormone marker. From 971 screened articles, 22 studies were included in the review and 8 in the statistical meta-analysis. In all but two of the included studies, cortisol was lower after time in the forest compared with control or urban groups, or dropped from before to after the forest session. The pooled analysis found salivary cortisol was lower in forest groups than urban groups. The authors conclude that forest bathing can influence cortisol in the short term in a way that suggests lower stress, while noting that people's expectations, a placebo effect, may play an important role. They also point to the limited amount of available data as a reason for more research.