Natural environments, psychosocial health, and health behaviors in a crisis - A scoping review of the literature in the COVID-19 context.

The COVID-19 outbreak led to major restrictions globally, affecting people's psychosocial health and their health behaviors. Thus, the purpose of this scoping review was to summarize the available research regarding nature and health in the COVID-19 context. Keywords relating to natural environments and COVID-19 were combined to conduct a systematic online search in six major databases. Eligibility criteria were a) published since 2020 with data collected in the COVID-19 context b) peer-reviewed, c) original empirical data collected on human participants, d) investigated the association between natural environments and psychosocial health or health behaviors, and e) English, German, or Scandinavian languages. Out of 9126 articles being screened, we identified 188 relevant articles, representing 187 distinct studies. Most research focused on adults in the general population and was predominantly conducted in the USA, Europe, and China. Overall, the findings indicate that nature may mitigate the impact of COVID-19 on psychological health and physical activity. Through a systematic thematic analysis of the extracted data, three primary themes were identified: 1) type of nature assessed, 2) psychosocial health and health behaviors investigated, and 3) heterogeneity in the nature-health relationship. Research gaps in the COVID-19 context were identified regarding I) nature characteristics that promote psychosocial health and health behaviors, II) investigations of digital and virtual nature, III) psychological constructs relating to mental health promotion, IV) health-promoting behaviors other than physical activity, V) underlying mechanisms regarding heterogeneity in the nature-health relationship based on human, nature, and geographic characteristics, and VI) research focusing on vulnerable groups. Overall, natural environments demonstrate considerable potential in buffering the impact of stressful events on a population level on mental health. However, future research is warranted to fill the mentioned research gaps and to examine the long-term effects of nature exposure during COVID-19

Natural environments, psychosocial health, and health behaviors in a crisis – A scoping review of the literature in the COVID-19 context

The COVID-19 outbreak led to major restrictions globally, affecting people\u27s psychosocial health and their health behaviors. Thus, the purpose of this scoping review was to summarize the available research regarding nature and health in the COVID-19 context. Keywords relating to natural environments and COVID-19 were combined to conduct a systematic online search in six major databases. Eligibility criteria were a) published since 2020 with data collected in the COVID-19 context b) peer-reviewed, c) original empirical data collected on human participants, d) investigated the association between natural environments and psychosocial health or health behaviors, and e) English, German, or Scandinavian languages. Out of 9126 articles being screened, we identified 188 relevant articles, representing 187 distinct studies. Most research focused on adults in the general population and was predominantly conducted in the USA, Europe, and China. Overall, the findings indicate that nature may mitigate the impact of COVID-19 on psychological health and physical activity. Through a systematic thematic analysis of the extracted data, three primary themes were identified: 1) type of nature assessed, 2) psychosocial health and health behaviors investigated, and 3) heterogeneity in the nature–health relationship. Research gaps in the COVID-19 context were identified regarding I) nature characteristics that promote psychosocial health and health behaviors, II) investigations of digital and virtual nature, III) psychological constructs relating to mental health promotion, IV) health-promoting behaviors other than physical activity, V) underlying mechanisms regarding heterogeneity in the nature–health relationship based on human, nature, and geographic characteristics, and VI) research focusing on vulnerable groups. Overall, natural environments demonstrate considerable potential in buffering the impact of stressful events on a population level on mental health. However, future research is warranted to fill the mentioned research gaps and to examine the long-term effects of nature exposure during COVID-19

The significance of green exercise for the health and wellbeing of Italian immigrants in Norway: a mixed-methods study

Background Green exercise (physical activity in presence of nature) has beneficial effects for health and wellbeing. Green exercise is a popular form of recreation in the Nordic countries, but participation is lower among the immigrant population from non-Western countries. However, no attention has been given to immigrants from the European Economic Area regarding this topic. Given the cultural and structural differences that surround green exercise in Italy and Norway, the case of the Italian immigrants in Norway is of interest to enrich our understanding of green exercise and its significance for health and wellbeing among immigrants in the Nordic countries. Methods This convergent mixed methods study investigated the pathways that link green exercise to health and wellbeing among Italian immigrants in Norway. Quantitative data were collected through an online survey (n = 321), which was oversampled to better reflect the sociodemographic profile of the reference population. Logistic regression was used to model the association of green exercise with self-rated health (SRH) or satisfaction with life (SWL) before and after controlling for selected confounders (age, gender, educational level, language proficiency, social support, and childhood experiences with green exercise). Qualitative data were collected through semi-structured in-depth interviews (n = 14) and analysed thematically. Merging of the two strands was done using a simultaneous bidirectional approach. Results The logistic regression found a significant bivariate association of green exercise with both SRH and SWL, though the association remained significant only for SWL after controlling for confounders. From the thematic analysis, three themes were identified: Green exercise opportunities contributing to overall satisfaction, Closeness to nature, and Embracing a new lifestyle. The integrated findings indicate that green exercise supported the immigrants’ wellbeing, especially by providing stress relief, though socioeconomic status and acculturation may have a major impact on general health. Familiarity, appreciation of nature benefits, social support, and acculturation were identified as facilitating factors. Conclusions This study provides novel insights into how green exercise supports health, wellbeing, and inclusion among immigrants to the Nordic countries and emphasizes the importance of developing culturally adapted strategies to enhance this health-promoting activity among immigrant populations.The significance of green exercise for the health and wellbeing of Italian immigrants in Norway: a mixed-methods studypublishedVersio

Track E Implementation Science, Health Systems and Economics

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138412/1/jia218443.pd

Walking barefoot vs. with minimalist footwear–influence on gait in younger and older adults

Background: In recent years, minimalist footwear has been increasingly promoted for its use in sportive and recreational activities. These shoes are considered to function naturally like barefoot walking while providing a protective surface. Despite a growing popularity of these shoes in the older population, little is known about the influence of minimalist footwear on gait patterns. This study investigated whether overground walking with minimalist shoes is comparable to barefoot walking regarding gait stability and variability parameters. Methods: In a randomized within-subject study design, 31 healthy younger (29 ± 4 years) and 33 healthy communitydwelling older adults (71 ± 4 years) volunteered. Participants walked on flat ground, once barefoot and once with minimalist shoes. Gait variability of minimum toe clearance (MTC), stride length, stride time, and local dynamic gait stability were analysed. Results: The results for both age groups showed significant condition effects (minimalist shoes vs. barefoot walking) for the outcomes of local dynamic stability (p = .013), MTC variability (p = .018), and stride length variability (p < .001) indicating increased local dynamic stability and decreased gait variability during the minimalist shoe condition. Group effects (young vs. older adults) were detected in all gait outcomes. Conclusion: Walking with minimalist shoes appeared to be associated with better gait performance than walking barefoot in both age groups. Thus, walking with minimalist shoes is not similar to barefoot walking. With respect to reducing the risk of falling, we suggest that minimalist shoes could be an alternative to barefoot walking or a transition option between shoes to barefoot for older adults

Natural Environments, Psychosocial Health, and Health Behaviors during COVID-19 – A Scoping Review

The COVID-19 outbreak has led to major restrictions globally, affecting people’s psychosocial health and their health behaviors. Thus, the purpose of this scoping review was to summarize the available research regarding the nature-health-association in the COVID-19 context. Keywords related to natural environments and COVID-19 were combined to conduct a systematic online search in six major databases. Eligibility criteria were a) published since 2020 with data collected in the COVID-19 context b) peer-reviewed, c) original empirical data collected on human participants, d) investigated the association between natural environments and psychosocial health or health behavior, and e) English, German, or Scandinavian language. Out of 8,568 articles being obtained, we identified 82 relevant articles representing 80 unique studies. Most studies focused on adults in the general population and were predominantly conducted in the USA and Europe. Overall, the findings tentatively indicate that nature mitigates the impact of COVID-19 on psychological health and physical activity. Through thematic analysis of the extracted data, three primary themes were identified: 1) type of nature assessed, 2) psychosocial health and health behaviors investigated, and 3) heterogeneity in the nature-health relationship. Research gaps in the COVID-19 context were identified regarding I) nature characteristics that promote psychosocial health and health behaviors, II) investigations of digital and virtual nature, III) psychological constructs relating to mental health promotion, IV) health behaviors other than physical activity, V) underlying mechanisms regarding heterogeneity in the nature-health relationship based on human, nature, and geographic characteristics, and VI) research focusing on vulnerable groups. Overall, natural environments demonstrate considerable potential in buffering the impact of stressful events on a population level on mental health. However, future research is warranted to fill the mentioned research gaps and to examine the long-term effects of nature exposure during COVID-19

The role of social relational emotions for human-nature connectedness

Little is known about the psychological processes through which people connect to nature. From social psychology, we know that emotions play an essential role when connecting to others. In this article, we argue that social connectedness and connectedness to nature are underpinned by the same emotions. More specifically, we propose that social relational emotions are crucial to understanding the process through which humans connect to nature. Beside other emotions, kama muta (Sanskrit: being moved by love) might play a particular crucial role when connecting to nature. Future research should consider the role of social relational emotions in human-nature relationships

The Role of Social Relational Emotions for Human-Nature Connectedness.

Little is known about the psychological processes through which people connect to nature. From social psychology, we know that emotions play an essential role when connecting to others. In this article, we argue that social connectedness and connectedness to nature are underpinned by the same emotions. More specifically, we propose that social relational emotions are crucial to understanding the process through which humans connect to nature. Beside other emotions, kama muta (Sanskrit: being moved by love) might play a particular crucial role when connecting to nature. Future research should consider the role of social relational emotions in human-nature relationships

Effects of barefoot vs. shod walking during indoor and outdoor conditions in younger and older adults

Background: Gait stability and variability measures in barefoot and shod locomotion are frequently investigated in younger but rarely in older adults. Moreover, most studies examine gait measures in laboratory settings instead of real-life settings. Research questions: How are gait stability and variability parameters affected by footwear compared to barefoot walking in younger and older adults as well as under indoor vs. outdoor conditions? Methods: Healthy younger (65 years) participated in the randomised within- subject study design. Participants conducted consecutive 25 m walking trials barefoot and with standardised footwear inside and outside. Inertial measurement units were mounted on the participant’s foot and used to calculate local dynamic stability (LDS), velocity and minimal toe clearance (MTC), stride length and stride time, including variabilities for these parameters. Linear mixed models were calculated. Results: Data of 32 younger (17 female, 15 male, age: 30±4 years) and 42 older participants (24 female, 18 male, age: 71±4 years) were analysed. MTC variability was higher in shod conditions compared to barefoot (p=0.048) and in outdoor conditions (p<0.001). LDS was different between age groups (p<0.001). Gait velocity and MTC were higher in shod and outdoor conditions (both p<0.001). Stride length and time were higher in shod conditions (both p<0.001) and different between outdoor vs. indoor (longer stride length and shorter stride time outdoor, both (p<0.001) as well as age groups (shorter stride length (p<0.021) and stride time in older adults (p<0.001). Significance: Results suggest that gait stability and variability in older and younger adults are acutely affected by footwear vs. barefoot and indoor vs. outdoor walking conditions, indicating a high adaptiveness of these pa-rameters to different experimental conditions. Consequently, future studies should be careful with generalising results obtained under certain conditions. Findings stress the clinical potential of barefoot walking