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      Nature Contact and Human Health: A Research Agenda

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          Abstract

          Background: At a time of increasing disconnectedness from nature, scientific interest in the potential health benefits of nature contact has grown. Research in recent decades has yielded substantial evidence, but large gaps remain in our understanding. Objectives: We propose a research agenda on nature contact and health, identifying principal domains of research and key questions that, if answered, would provide the basis for evidence-based public health interventions. Discussion: We identify research questions in seven domains: a) mechanistic biomedical studies; b) exposure science; c) epidemiology of health benefits; d) diversity and equity considerations; e) technological nature; f) economic and policy studies; and g) implementation science. Conclusions: Nature contact may offer a range of human health benefits. Although much evidence is already available, much remains unknown. A robust research effort, guided by a focus on key unanswered questions, has the potential to yield high-impact, consequential public health insights. https://doi.org/10.1289/EHP1663

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          Most cited references364

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          Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.

          I-Min Lee, Eric Shiroma, Felipe Lobelo … (2012)
          Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as coronary heart disease, type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world's population is inactive, this link presents a major public health issue. We aimed to quantify the eff ect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level. For our analysis of burden of disease, we calculated population attributable fractions (PAFs) associated with physical inactivity using conservative assumptions for each of the major non-communicable diseases, by country, to estimate how much disease could be averted if physical inactivity were eliminated. We used life-table analysis to estimate gains in life expectancy of the population. Worldwide, we estimate that physical inactivity causes 6% (ranging from 3·2% in southeast Asia to 7·8% in the eastern Mediterranean region) of the burden of disease from coronary heart disease, 7% (3·9-9·6) of type 2 diabetes, 10% (5·6-14·1) of breast cancer, and 10% (5·7-13·8) of colon cancer. Inactivity causes 9% (range 5·1-12·5) of premature mortality, or more than 5·3 million of the 57 million deaths that occurred worldwide in 2008. If inactivity were not eliminated, but decreased instead by 10% or 25%, more than 533 000 and more than 1·3 million deaths, respectively, could be averted every year. We estimated that elimination of physical inactivity would increase the life expectancy of the world's population by 0·68 (range 0·41-0·95) years. Physical inactivity has a major health eff ect worldwide. Decrease in or removal of this unhealthy behaviour could improve health substantially. None.
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            The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants.

            N E Klepeis, W C Nelson, W R Ott … (2001)
            Because human activities impact the timing, location, and degree of pollutant exposure, they play a key role in explaining exposure variation. This fact has motivated the collection of activity pattern data for their specific use in exposure assessments. The largest of these recent efforts is the National Human Activity Pattern Survey (NHAPS), a 2-year probability-based telephone survey (n=9386) of exposure-related human activities in the United States (U.S.) sponsored by the U.S. Environmental Protection Agency (EPA). The primary purpose of NHAPS was to provide comprehensive and current exposure information over broad geographical and temporal scales, particularly for use in probabilistic population exposure models. NHAPS was conducted on a virtually daily basis from late September 1992 through September 1994 by the University of Maryland's Survey Research Center using a computer-assisted telephone interview instrument (CATI) to collect 24-h retrospective diaries and answers to a number of personal and exposure-related questions from each respondent. The resulting diary records contain beginning and ending times for each distinct combination of location and activity occurring on the diary day (i.e., each microenvironment). Between 340 and 1713 respondents of all ages were interviewed in each of the 10 EPA regions across the 48 contiguous states. Interviews were completed in 63% of the households contacted. NHAPS respondents reported spending an average of 87% of their time in enclosed buildings and about 6% of their time in enclosed vehicles. These proportions are fairly constant across the various regions of the U.S. and Canada and for the California population between the late 1980s, when the California Air Resources Board (CARB) sponsored a state-wide activity pattern study, and the mid-1990s, when NHAPS was conducted. However, the number of people exposed to environmental tobacco smoke (ETS) in California seems to have decreased over the same time period, where exposure is determined by the reported time spent with a smoker. In both California and the entire nation, the most time spent exposed to ETS was reported to take place in residential locations.
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              The restorative benefits of nature: Toward an integrative framework

              Stephen Kaplan (1995)
              Article 0 comments Cited 779 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Environmental Health Perspectives
                Abbreviated Title: Environ Health Perspect
                Publisher: Environmental Health Perspectives
                ISSN (Print): 0091-6765
                ISSN (Electronic): 1552-9924
                Publication date Created: July 24 2017
                Publication date (Print): July 24 2017
                Volume: 125
                Issue: 7
                Page: 075001
                Affiliations
                [1 ]Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington, USA
                [2 ]Center for Conservation Biology, Stanford University, Stanford, California, USA
                [3 ]Center for Creative Conservation, University of Washington, Seattle, Washington, USA
                [4 ]School of Environmental and Forest Sciences, University of Washington, Seattle, Washington, USA
                [5 ]Willamette Partnership, Portland, Oregon, USA
                [6 ]Department of Psychology, University of Washington, Seattle, Washington, USA
                [7 ]The Nature Conservancy, Seattle, Washington, USA
                [8 ]Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA
                [9 ]Seattle Children’s Hospital, Seattle, Washington, USA
                [10 ]School of Aquatic and Fishery Sciences, University of Washington, Seattle, Washington, USA
                [11 ]Department of Chemistry, University of Washington, Seattle, Washington, USA
                [12 ]Pacific Northwest Research Station, USDA Forest Service, Seattle, Washington, USA
                [13 ]The Natural Capital Project, Stanford University, Stanford, California, USA
                Article
                DOI: 10.1289/EHP1663
                SO-VID: 3a0ca7d3-9ff0-4280-8739-ca41642d024d
                Copyright © © 2017
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