Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity

Abstract Scientific research on forest therapy’s preventive medical and mental health effects has advanced, but the need for clear evidence for practical applications remains. We conducted an unblinded randomized controlled trial involving healthy men aged 40–70 to compare the physiological and psyc...

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Main Authors: Hiroko Ochiai, Shigeru Inoue, Gaku Masuda, Shiho Amagasa, Tomohiko Sugishita, Toshiya Ochiai, Naoko Yanagisawa, Yoshio Nakata, Michiko Imai
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87704-2
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author Hiroko Ochiai
Shigeru Inoue
Gaku Masuda
Shiho Amagasa
Tomohiko Sugishita
Toshiya Ochiai
Naoko Yanagisawa
Yoshio Nakata
Michiko Imai
author_facet Hiroko Ochiai
Shigeru Inoue
Gaku Masuda
Shiho Amagasa
Tomohiko Sugishita
Toshiya Ochiai
Naoko Yanagisawa
Yoshio Nakata
Michiko Imai
author_sort Hiroko Ochiai
collection DOAJ
description Abstract Scientific research on forest therapy’s preventive medical and mental health effects has advanced, but the need for clear evidence for practical applications remains. We conducted an unblinded randomized controlled trial involving healthy men aged 40–70 to compare the physiological and psychological effects of forest and urban walking. Eighty-four participants were randomly assigned to either the forest or urban group, with 78 completing 90-min walks and analysis. The primary outcome measured was the change in saliva-secreted immunoglobulin A (sIgA) levels. Evaluating researchers were blinded to the groups, but participants and on-site staff were not. Here, we demonstrate a significant increase in saliva-secreted immunoglobulin A (sIgA) levels in the forest group. Furthermore, forest walking resulted in improved mood, including a reduction in stress hormone levels. In conclusion, mindful forest walking has the potential to enhance immunity and promote health. Clinical trial registration: University Hospital Medical Information Network. Trail registration number: UMIN000045851. Approval date: 25/10/2021.
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institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-ea995c9c43ae4675998bcaff5331872d2025-01-26T12:34:22ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-025-87704-2Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunityHiroko Ochiai0Shigeru Inoue1Gaku Masuda2Shiho Amagasa3Tomohiko Sugishita4Toshiya Ochiai5Naoko Yanagisawa6Yoshio Nakata7Michiko Imai8Laboratory of Regenerative Medicine, Division of Hearing and Balance Disorder, National Institute of Sensory Organs, NHO Tokyo Medical CenterDepartment of Preventive Medicine and Public Health, Tokyo Medical UniversityThe Section of Global Health, Department of Hygiene and Public Health, Tokyo Women’s Medical UniversityDepartment of Preventive Medicine and Public Health, Tokyo Medical UniversityThe Section of Global Health, Department of Hygiene and Public Health, Tokyo Women’s Medical UniversityForest Baubiologie Studio Inc.Department of Microbiology and Immunology, Tokyo Women’s Medical UniversityInstitute of Health and Sport Sciences, University of TsukubaLe Verseau Inc.Abstract Scientific research on forest therapy’s preventive medical and mental health effects has advanced, but the need for clear evidence for practical applications remains. We conducted an unblinded randomized controlled trial involving healthy men aged 40–70 to compare the physiological and psychological effects of forest and urban walking. Eighty-four participants were randomly assigned to either the forest or urban group, with 78 completing 90-min walks and analysis. The primary outcome measured was the change in saliva-secreted immunoglobulin A (sIgA) levels. Evaluating researchers were blinded to the groups, but participants and on-site staff were not. Here, we demonstrate a significant increase in saliva-secreted immunoglobulin A (sIgA) levels in the forest group. Furthermore, forest walking resulted in improved mood, including a reduction in stress hormone levels. In conclusion, mindful forest walking has the potential to enhance immunity and promote health. Clinical trial registration: University Hospital Medical Information Network. Trail registration number: UMIN000045851. Approval date: 25/10/2021.https://doi.org/10.1038/s41598-025-87704-2Forest walkingForest therapyMental healthMucosal immunityRandomized controlled trialSaliva-secreted immunoglobulin A
spellingShingle Hiroko Ochiai
Shigeru Inoue
Gaku Masuda
Shiho Amagasa
Tomohiko Sugishita
Toshiya Ochiai
Naoko Yanagisawa
Yoshio Nakata
Michiko Imai
Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
Scientific Reports
Forest walking
Forest therapy
Mental health
Mucosal immunity
Randomized controlled trial
Saliva-secreted immunoglobulin A
title Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
title_full Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
title_fullStr Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
title_full_unstemmed Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
title_short Randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
title_sort randomized controlled trial on the efficacy of forest walking compared to urban walking in enhancing mucosal immunity
topic Forest walking
Forest therapy
Mental health
Mucosal immunity
Randomized controlled trial
Saliva-secreted immunoglobulin A
url https://doi.org/10.1038/s41598-025-87704-2
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