Viewing Nature Scenes Positively Affects Recovery of Autonomic Function Following Acute-Mental Stress
Abstract

A randomized crossover study explored whether viewing different scenes prior to a stressor altered autonomic function during the recovery from the stressor. The two scenes were (a) nature (composed of trees, grass, fields) or (b) built (composed of man-made, urban scenes lacking natural characteristics) environments. Autonomic function was assessed using noninvasive techniques of heart rate variability; in particular, time domain analyses evaluated parasympathetic activity, using root-mean-square of successive differences (RMSSD). During stress, secondary cardiovascular markers (heart rate, systolic and diastolic blood pressure) showed significant increases from baseline which did not differ between the two viewing conditions. Parasympathetic activity, however, was significantly higher in recovery following the stressor in the viewing scenes of nature condition compared to viewing scenes depicting built environments (RMSSD; 50.0 ± 31.3 vs 34.8 ± 14.8 ms). Thus, viewing nature scenes prior to a stressor alters autonomic activity in the recovery period. The secondary aim was to examine autonomic function during viewing of the two scenes. Standard deviation of R-R intervals (SDRR), as change from baseline, during the first 5 min of viewing nature scenes was greater than during built scenes. Overall, this suggests that nature can elicit improvements in the recovery process following a stressor.
Introduction
Materials and Methods
Participants and Design
Protocol
Scenes of Nature and Built Environments
Figure 1

Figure 1. Examples of images used in the slideshows to depict scenes of nature environments (A and B) and scenes of built environments (C and D). Copyright Jules Pretty (Photographs A and C).
Mental Stressor
Physiological Measures
Heart Rate
Blood Pressure
Respiration
Heart Rate Variability Measures
Psychological Questionnaires
Statistical Analysis
Results
Baseline Measurements
nature | built | |||
---|---|---|---|---|
mean | SD | mean | SD | |
cardiovascular measures | ||||
heart rate, bpm | 67.5 | 9.6 | 68.0 | 8.7 |
systolic blood pressure, mmHg | 117.0 | 13.9 | 118.3 | 14.8 |
diastolic blood pressure, mmHg | 59.8 | 8.6 | 60.4 | 7.6 |
heart rate variability measures | ||||
RMSSD, ms2 | 39.7 | 19.7 | 37.9 | 15.8 |
SDRR, ms2 | 48.6 | 18.5 | 43.8 | 15.2 |
psychological measures | ||||
self-esteem | 19.4 | 5.1 | 19.8 | 4.4 |
negative mood | 12.2 | 3.9 | 12.5 | 2.6 |
positive mood | 27.7 | 6.4 | 28.2 | 7.3 |
RMSSD, root mean square of successive differences; SDRR, standard deviation of R-R intervals; self-esteem quantified using Rosenberg’s self-esteem, low scores = low self-esteem, range 0–30; negative and positive mood taken from the positive and negative affect scale (PANAS), low scores = low negative or positive mood, range 0–40.
Effect of Nature Views on Recovery
Figure 2

Figure 2. Mean (±SD) heart rate and heart rate variability recovery from stress compared to baseline: ∗, main effect for time (p < 0.05); †, interaction effect (p < 0.05); ∗∗, main effect for view (p < 0.05).
During Views
Figure 3

Figure 3. Heart rate and heart rate variability means ± SD as change from baseline for the first 5 min and last 5 min of viewing: ∗, significant difference between conditions.
During Mental Stress Task
Self-Esteem and Mood
nature | built | |||||||
---|---|---|---|---|---|---|---|---|
pre | post | pre | post | |||||
mean | SD | mean | SD | mean | SD | mean | SD | |
self-esteemb | 19.4 | 5.1 | 19.8 | 5.1 | 19.8 | 4.4 | 19.5 | 4.9 |
positive mood | 27.7 | 6.4 | 27.0 | 7.4 | 28.2 | 7.3 | 27.5 | 7.2 |
negative moodc | 12.2 | 3.9 | 11.0 | 1.7 | 12.5 | 2.6 | 11.9 | 2.4 |
Self-esteem, quantified using Rosenberg’s self-esteem, low scores = low self-esteem, range 0–30; both positive and negative mood quantified using positive and negative affect scale (PANAS), low scores = low positive or negative mood, range 10–50.
Significant interaction effect (p < 0.05).
Significant main effect for time, pre to post (p < 0.05).
Discussion
Acknowledgment
This work was supported by a British Heart Foundation Non-clinical PhD Studentship (FS/10/32/28204) and an ESRC research fellowship (project number RES-064-27-0019).
ANS | autonomic nervous system |
HR | heart rate |
SBP | systolic blood pressure |
DBP | diastolic blood pressure |
HRV | heart rate variability |
SDRR | standard deviation of R-R intervals |
RMSSD | root-mean-square of successive differences |
References
This article references 47 other publications.
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Abstract
Figure 1
Figure 1. Examples of images used in the slideshows to depict scenes of nature environments (A and B) and scenes of built environments (C and D). Copyright Jules Pretty (Photographs A and C).
Figure 2
Figure 2. Mean (±SD) heart rate and heart rate variability recovery from stress compared to baseline: ∗, main effect for time (p < 0.05); †, interaction effect (p < 0.05); ∗∗, main effect for view (p < 0.05).
Figure 3
Figure 3. Heart rate and heart rate variability means ± SD as change from baseline for the first 5 min and last 5 min of viewing: ∗, significant difference between conditions.
References
ARTICLE SECTIONSThis article references 47 other publications.
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- 40Kim, G. W.; Jeong, G. W.; Kim, T. H.; Baek, H. S.; Oh, S. K.; Kang, H. K.; Lee, S. G.; Kim, Y. S.; Song, J. K. Functional neuroanatomy associated with natural and urban scenic views in the human brain: 3.0T functional MR imaging Korean J. Radiol. 2010, 11 (5) 507– 513[Crossref], [PubMed], [CAS], Google Scholar40https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A280%3ADC%252BC3cjptVOntA%253D%253D&md5=421b0c5779ae776d344754ab2f09b48aFunctional neuroanatomy associated with natural and urban scenic views in the human brain: 3.0T functional MR imagingKim Gwang-Won; Jeong Gwang-Woo; Kim Tae-Hoon; Baek Han-Su; Oh Seok-Kyun; Kang Heoung-Keun; Lee Sam-Gyu; Kim Yoon Soo; Song Jin-KyuKorean journal of radiology : official journal of the Korean Radiological Society (2010), 11 (5), 507-13 ISSN:.OBJECTIVE: By using a functional magnetic resonance imaging (fMRI) technique we assessed brain activation patterns while subjects were viewing the living environments representing natural and urban scenery. MATERIALS AND METHODS: A total of 28 healthy right-handed subjects underwent an fMRI on a 3.0 Tesla MRI scanner. The stimulation paradigm consisted of three times the rest condition and two times the activation condition, each of which lasted for 30 and 120 seconds, respectively. During the activation period, each subject viewed natural and urban scenery, respectively. RESULTS: The predominant brain activation areas observed following exposure to natural scenic views in contrast with urban views included the superior and middle frontal gyri, superior parietal gyrus, precuneus, basal ganglia, superior occipital gyrus, anterior cingulate gyrus, superior temporal gyrus, and insula. On the other hand, the predominant brain activation areas following exposure to urban scenic views in contrast with natural scenes included the middle and inferior occipital gyri, parahippocampal gyrus, hippocampus, amygdala, anterior temporal pole, and inferior frontal gyrus. CONCLUSION: Our findings support the idea that the differential functional neuroanatomies for each scenic view are presumably related with subjects' emotional responses to the natural and urban environment, and thus the differential functional neuroanatomy can be utilized as a neural index for the evaluation of friendliness in ecological housing.
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