{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T21:19:05Z","timestamp":1776719945513,"version":"3.51.2"},"reference-count":55,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Healthy aging encompasses more than the absence of disease, emphasizing the preservation of functional abilities for enhanced well-being and quality of life. Nature-based interventions are scientifically proven contributors to healthy aging. Objective: To develop an evidence map showcasing nature-based interventions targeting older individuals\u2019 health and well-being. Methods: The evidence map was developed through critical analysis of systematic reviews and clinical trials utilizing the tools AMSTAR2 and CONSORT. A systematic search spanning the past decade was conducted across databases: Cochrane, SCOPUS, PubMed, Web of Science, Embase, and LILACS. Results: Twelve articles met the eligibility criteria. Nature-based interventions such as forest bathing, hiking, therapeutic gardens, virtual reality, and forest sounds were identified. Outcomes were categorized into physical aspects (cardiovascular and pulmonary; neuro-immuno-endocrinological) and mental\/behavioral aspects. The final map integrated interventions, outcomes, and quality assessments. Conclusions: The survey highlights the positive impact of nature-based interventions on the health of the elderly. This study provides insights across various domains, fostering the development of programs and policies in management to promote healthy aging. Regarding healthcare, it encourages discourse among professionals regarding the integration of nature-based practices for equitable care in both individual and group settings. Furthermore, it underscores the need for research in the Southern Hemisphere, particularly in Brazil, where the study was conducted.<\/jats:p>","DOI":"10.3390\/ijerph21010112","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T09:46:39Z","timestamp":1705657599000},"page":"112","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Nature-Based Interventions Targeting Elderly People\u2019s Health and Well-Being: An Evidence Map"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7458-0368","authenticated-orcid":false,"given":"Giulia","family":"Catissi","sequence":"first","affiliation":[{"name":"Albert Einstein Israeli Faculty of Health Sciences, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05651-901, Brazil"}]},{"given":"Gabriela","family":"Gouveia","sequence":"additional","affiliation":[{"name":"A Benefic\u00eancia Portuguesa de S\u00e3o Paulo, S\u00e3o Paulo 01323-001, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-9206","authenticated-orcid":false,"given":"Roberta Maria","family":"Savieto","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Education and Research Center, S\u00e3o Paulo 05651-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-2950","authenticated-orcid":false,"given":"Cristiane Pavanello Rodrigues","family":"Silva","sequence":"additional","affiliation":[{"name":"Center for Health Technology and Services Research (CINTESIS), Santa Maria Health School, 4000-088 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4703-1712","authenticated-orcid":false,"given":"Raquel Sim\u00f5es","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory (LabRP-CIR, ESS), Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7412-2412","authenticated-orcid":false,"given":"Gustavo Benvenutti","family":"Borba","sequence":"additional","affiliation":[{"name":"Department of Electronics-DAELN, Graduate School on Biomedical Engineering\u2014PPGEB, Federal University of Technology-Paran\u00e1\u2014UTFPR, Curitiba 80230-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8783-0427","authenticated-orcid":false,"given":"Kaue Alves","family":"Rosario","sequence":"additional","affiliation":[{"name":"Department of Electronics-DAELN, Graduate School on Biomedical Engineering\u2014PPGEB, Federal University of Technology-Paran\u00e1\u2014UTFPR, Curitiba 80230-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0352-0549","authenticated-orcid":false,"given":"Eliseth Ribeiro","family":"Le\u00e3o","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Education and Research Center, S\u00e3o Paulo 05651-901, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"ref_1","first-page":"S1","article-title":"Os conceitos de velhice e envelhecimento ao longo do tempo: Contradi\u00e7\u00e3o ou adapta\u00e7\u00e3o?","volume":"18","author":"Dardengo","year":"2019","journal-title":"Rev. Ci\u00eancias Humanas"},{"key":"ref_2","unstructured":"Eurostat (2022, March 17). Ageing Europe\u20142021 Interactive Edition. Available online: https:\/\/ec.europa.eu\/eurostat\/en\/web\/products-interactive-publications\/-\/ks-08-21-259."},{"key":"ref_3","unstructured":"Instituto Nacional de Estat\u00edstica (INE) (2022, March 17). Estat\u00edstica Demogr\u00e1fica. Available online: https:\/\/www.ine.pt\/xportal\/xmain?xpid=INE&xpgid=ine_publicacoes&PUBLICACOESpub_boui=442993507&PUBLICACOESmodo=2."},{"key":"ref_4","unstructured":"Minist\u00e9rio da Sa\u00fade (2022, August 10). Plano Nacional de Sa\u00fade 2021\u20132030. Sa\u00fade Sustent\u00e1vel: De tod@s Para Tod@s, Available online: https:\/\/www.sns.gov.pt\/noticias\/2022\/04\/08\/plano-nacional-de-saude-2021-2030-2\/."},{"key":"ref_5","unstructured":"Crelier, C. (2021, February 09). Expectativa de Vida Dos Brasileiros Aumenta Para 76, 3 Anos em 2018. Ag\u00eancia Instituto Brasileiro de Geografia e Estat\u00edstica Not\u00edcias, Available online: https:\/\/agenciadenoticias.ibge.gov.br\/agencia-noticias\/2012-agencia-de-noticias\/noticias\/26103-expectativa-de-vida-dos-brasileiros-aumenta-para-76-3-anos-em-2018."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1590\/S0034-89102009000300020","article-title":"Envelhecimento populacional contempor\u00e2neo: Demandas, desafios e inova\u00e7\u00f5es","volume":"43","author":"Veras","year":"2009","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_7","unstructured":"World Health Organization (WHO) (2008). Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health, WHO. Available online: https:\/\/www.who.int\/publications\/i\/item\/WHO-IER-CSDH-08.1."},{"key":"ref_8","unstructured":"(2022, August 10). Brasil. Minist\u00e9rio da Justi\u00e7a. Lei n\u00ba 10.741 de 01 de Outubro de 2003. Disp\u00f5e Sobre o Estatuto do Idoso e d\u00e1 Outras Provid\u00eancias. Bras\u00edlia, Available online: https:\/\/www.planalto.gov.br\/ccivil_03\/leis\/2003\/l10.741.htm."},{"key":"ref_9","unstructured":"World Health Organization (WHO) (2016). Global Strategy and Action Plan on Ageing and Health (2016\u20132020), WHO. A framework for coordinated global action by the World Health Organization, Member States, and Partners across the Sustainable Development Goals."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/S0140-6736(14)61597-X","article-title":"Health in an ageing world\u2014What do we know?","volume":"385","author":"Suzman","year":"2015","journal-title":"Lancet"},{"key":"ref_11","first-page":"889","article-title":"Envelhecimento saud\u00e1vel na perspectiva de idosos: Uma revis\u00e3o integrativa","volume":"20","author":"Tavares","year":"2017","journal-title":"Rev. Bras. Geriatr. Gerontol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s00484-019-01717-x","article-title":"Effects of forest bathing (shinrin-yoku) on levels of cortisol as a stress biomarker: A systematic review and meta-analysis","volume":"63","author":"Antonelli","year":"2019","journal-title":"Int. J. Biometeorol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.healthplace.2017.05.007","article-title":"It is not all bad for the grey city\u2014A crossover study on physiological and psychological restoration in a forest and an urban environment","volume":"46","author":"Stigsdotter","year":"2017","journal-title":"Health Place"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Ideno, Y., Hayashi, K., Abe, Y., Ueda, K., Iso, H., Noda, M., Lee, J.S., and Suzuki, S. (2017). Blood pressure-lowering effect of Shinrin-yoku (Forest bathing): A systematic review and meta-analysis. BMC Complement. Altern. Med., 17.","DOI":"10.1186\/s12906-017-1912-z"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Djernis, D., Lerstrup, I., Poulsen, D., Stigsdotter, U., Dahlgaard, J., and O\u2019Toole, M. (2019). A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16173202"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.pedn.2017.08.027","article-title":"Does Access to Green Space Impact the Mental Well-being of Children: A Systematic Review","volume":"37","author":"McCormick","year":"2017","journal-title":"J. Pediatr. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s12199-017-0677-9","article-title":"Health and well-being benefits of spending time in forests: Systematic review","volume":"22","author":"Oh","year":"2017","journal-title":"Environ. Health Prev. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.jjcc.2012.08.003","article-title":"Therapeutic effect of forest bathing on human hypertension in the elderly","volume":"60","author":"Mao","year":"2012","journal-title":"J. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1080\/09669582.2020.1742725","article-title":"Nature tourism and mental health: Parks, happiness, and causation","volume":"28","author":"Buckley","year":"2020","journal-title":"Sustain. Tour."},{"key":"ref_20","unstructured":"Europarc Federation (2021, November 18). Case Study\u2014Active Senior Tourism, c2021. Case Study. Available online: https:\/\/www.europarc.org\/case-studies\/active-senior-tourism\/."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Lee, I., Choi, H., Bang, K.S., Kim, S., Song, M., and Lee, B. (2016). Effects of forest therapy on depressive symptoms among adults: A systematic review. Int. J. Environ. Res. Public Health, 13.","DOI":"10.20944\/preprints201703.0077.v1"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.ctcp.2016.08.001","article-title":"The impact of listening to pleasant natural sounds on anxiety and physiologic parameters in patients undergoing coronary angiography: A pragmatic quasi-randomized-controlled trial","volume":"25","author":"Rejeh","year":"2016","journal-title":"Complement. Ther. Clin. Pract."},{"key":"ref_23","first-page":"288","article-title":"Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study","volume":"14","author":"Wichrowski","year":"2021","journal-title":"Health Environ. Res. Des."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.jenvp.2016.04.008","article-title":"Does perceived restorativeness mediate the effects of perceived biodiversity and perceived naturalness on emotional wellbeing following group walks in nature?","volume":"46","author":"Marselle","year":"2016","journal-title":"J. Environ. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s13643-016-0204-x","article-title":"What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products","volume":"5","author":"Hempel","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1038\/528185a","article-title":"Sustainability: Map the evidence","volume":"528","author":"McKinnon","year":"2015","journal-title":"Nature"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"j4008","DOI":"10.1136\/bmj.j4008","article-title":"AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both","volume":"358","author":"Shea","year":"2017","journal-title":"BMJ"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"129","DOI":"10.2341\/17-060-L","article-title":"Compliance of Randomized Clinical Trials in Noncarious Cervical Lesions with the CONSORT Statement: A Systematic Review of Methodology","volume":"43","author":"Reis","year":"2018","journal-title":"Oper. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e2022107","DOI":"10.5123\/S1679-49742022000200033","article-title":"A declara\u00e7\u00e3o PRISMA 2020: Diretriz atualizada para relatar revis\u00f5es sistem\u00e1ticas","volume":"31","author":"Page","year":"2022","journal-title":"Epidemiol. Serv. Sa\u00fade"},{"key":"ref_30","unstructured":"Tableau Software (2022). Tableau Desktop [Software de Visualiza\u00e7\u00e3o de Dados], Tableau Software."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.eujim.2013.10.006","article-title":"Cardiac and pulmonary benefits of forest walking versus city walking in elderly women: A randomised, controlled, open-label trial","volume":"6","author":"Lee","year":"2014","journal-title":"Eur. J. Integr. Med."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Szczepa\u0144ska-Gieracha, J., Cie\u015blik, B., Serweta, A., and Klajs, K. (2021). Virtual Therapeutic Garden: A Promising Method Supporting the Treatment of Depressive Symptoms in Late-Life: A Randomized Pilot Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10091942"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1093\/geront\/gnz019","article-title":"Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review","volume":"60","author":"Yeo","year":"2020","journal-title":"Gerontologist"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"575946","DOI":"10.3389\/fpubh.2020.575946","article-title":"The Urban Built Environment, Walking and Mental Health Outcomes Among Older Adults: A Pilot Study","volume":"8","author":"Roe","year":"2020","journal-title":"Front. Public Health"},{"key":"ref_36","first-page":"327","article-title":"Adjunctive Therapeutic Effects of Cinnamomum Camphora Forest Environment on Elderly Patients with Hypertension","volume":"14","author":"Wu","year":"2020","journal-title":"Int. J. Gerontol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"813","DOI":"10.3233\/JAD-190394","article-title":"An Indoor Therapeutic Garden for Behavioral Symptoms in Alzheimer\u2019s Disease: A Randomized Controlled Trial","volume":"71","author":"Pedrinolla","year":"2019","journal-title":"J. Alzheimers Dis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1093\/heapro\/daz064","article-title":"Psychological effects of outdoor activity in type 2 diabetes: A review","volume":"35","author":"Fraser","year":"2020","journal-title":"Health Promot. Int."},{"key":"ref_39","first-page":"212","article-title":"Health Effect of Forest Bathing Trip on Elderly Patients with Chronic Obstructive Pulmonary Disease","volume":"29","author":"Jia","year":"2016","journal-title":"Biomed. Environ. Sci."},{"key":"ref_40","first-page":"159","article-title":"Additive Benefits of Twice Forest Bathing Trips in Elderly Patients with Chronic Heart Failure","volume":"31","author":"Mao","year":"2018","journal-title":"Biomed. Environ. Sci."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Mao, G., Cao, Y., Wang, B., Wang, S., Chen, Z., Wang, J., Xing, W., Ren, X., Lv, X., and Dong, J. (2017). The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14040368"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Yi, J., Ku, B., Kim, S.G., Khil, T., Lim, Y., Shin, M., Jeon, S., Kim, J., Kang, B., and Shin, J. (2019). Traditional Korean Medicine-Based Forest Therapy Programs Providing Electrophysiological Benefits for Elderly Individuals. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16224325"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"7730","DOI":"10.1038\/s41598-019-44097-3","article-title":"Spending at least 120\u2009minutes a week in nature is associated with good health and wellbeing","volume":"9","author":"White","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"8","DOI":"10.5502\/ijw.v11i1.1267","article-title":"Moments, not minutes: The nature-wellbeing relationship","volume":"11","author":"Richardson","year":"2021","journal-title":"Int. J. Wellbeing"},{"key":"ref_45","first-page":"1","article-title":"The nature stroke study; NASTRU: A randomized controlled trial of nature-based post-stroke fatigue rehabilitation","volume":"52","author":"Stigmar","year":"2020","journal-title":"J. Rehabil. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1265\/ehpm.22-00160","article-title":"Effects of forest environment (Shinrin-yoku\/Forest bathing) on health promotion and disease prevention\u2014The Establishment of \u201cForest Medicine\u201d","volume":"27","author":"Li","year":"2022","journal-title":"Environ. Health Prev. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1109\/TAFFC.2018.2864730","article-title":"Induction and Profiling of Strong Multi-Componential Emotions in Virtual Reality","volume":"12","author":"Meuleman","year":"2021","journal-title":"IEEE Trans. Affect. Comput."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"739","DOI":"10.3389\/fpsyg.2019.00739","article-title":"Art and Psychological Well-Being: Linking the Brain to the Aesthetic Emotion","volume":"10","author":"Mastandrea","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/nyas.13035","article-title":"Neuroscience of aesthetics","volume":"1369","author":"Chatterjee","year":"2016","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Catissi, G., de Oliveira, L.B., da Silva Victor, E., Savieto, R.M., Borba, G.B., Hingst-Zaher, E., Lima, L.M., Bomfim, S.B., and Le\u00e3o, E.R. (2023). Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20166555"},{"key":"ref_51","unstructured":"World Health Organization (WHO) (2021). Decade of Healthy Ageing\u2014Baseline Report, WHO. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240017900."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"eaax0903","DOI":"10.1126\/sciadv.aax0903","article-title":"Nature and mental health: An ecosystem service perspective","volume":"5","author":"Bratman","year":"2019","journal-title":"Sci. Adv."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"He, Y., Jorgensen, A., Sun, Q., Corcoran, A., and Alfaro-Simmonds, M.J. (2022). Negotiating Complexity: Challenges to Implementing Community-Led Nature-Based Solutions in England Pre- and Post-COVID-19. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192214906"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/13645579.2018.1488449","article-title":"Natural experiment methodology for research: A review of how different methods can support real-world research","volume":"22","author":"Leatherdale","year":"2019","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1240231","DOI":"10.3389\/fpubh.2023.1240231","article-title":"Four recommendations to tackle the complex reality of transdisciplinary, natural experiment research","volume":"11","author":"Pearson","year":"2023","journal-title":"Front. Public Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/1\/112\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:46:06Z","timestamp":1760103966000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/1\/112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":55,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1]]}},"alternative-id":["ijerph21010112"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21010112","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]}}}