The effects of green exercise on the mental and physical health of people with chronic conditions: a systematic review

Aristi Tsokani, Vasiliki Stefanouli, Nele Adriaenssens, Athanasios Kotsakis, Eleni Kapreli, Nikolaos Strimpakos

Research output: Contribution to journalArticlepeer-review

Abstract

Green exercise, defined as physical activity in natural settings, shows promise for enhancing exercise participation and improving health. This systematic review aimed to assess the effectiveness of green exercise in people with chronic conditions. Seven electronic databases were searched and of the 7801 screened articles, 14 trials met the inclusion criteria. Green exercise was a safe and well-tolerated intervention, with low drop-out levels. It was found to positively affect participants’ quality of life in three studies and mental health in four studies. Compared to non-exercise groups, green exercise significantly improved physical and mental health in patients with breast cancer, COPD, cardiovascular disease risk, chronic low back pain, obesity, and diabetes. However, it had no impact on the physical health of stroke patients or the cognitive performance of those with ADHD. Green exercise appears to be a safe intervention that can improve various chronic health issues.

Original languageEnglish
Pages (from-to)1374-1388
Number of pages15
JournalInternational Journal of Environmental Health Research
Volume35
Issue number5
DOIs
Publication statusPublished - 2025

Bibliographical note

Publisher Copyright:
© 2024 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • chronic diseases
  • exercise engagement
  • exercise in nature
  • green exercise
  • non-communicable diseases

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