Tag: Forest

  • How Is Natural Killer Cell Function Boosted by Forest Bathing? 

    How Is Natural Killer Cell Function Boosted by Forest Bathing? 

    Can the aroma of wood essential oils replicate the immune-boosting effects of walking in a forest?

    Studies on the effects of “forest bathing,” or shinrin-yoku in Japanese, “a traditional practice characterized by visiting a forest and breathing its air,” have found it “can induce a significant increase in the number and activity of natural killer (NK) cells” that can last as long as a month. And because natural killer cells are one of the ways our body fights cancer by killing off tumor cells, the “findings suggest that visiting forest parks may have a preventive effect on cancer generation and progression.” How? “Why did the forest environment increase human NK activity? What kind of factors in the forest environment activated human NK cells?” What is it about the forest environment?

    One thought is that the boost may be related to a reduction in stress. If you measure the amount of adrenaline flowing through people’s systems, did spending time in a forest—but not in a city—lower adrenaline levels? Yes, as you can see at 0:58 in my video Why Does Forest Bathing Boost Natural Killer Cell Function?

    However, if you drip some adrenaline on human blood cells in a petri dish, there does not appear to be any effect on NK cells. The stress hormone cortisol, on the other hand, dramatically suppresses natural killer cell activity, as shown below and at 1:09 in my video. So, might being in the forest lead to less stress and less cortisol, which releases the natural killer cells under its thumb, giving us a boost?

    We know being surrounded by nature can decrease levels of cortisol in our saliva, but what about our bloodstream? Researchers found a significant drop in the stress hormone after a single-day trip to the forest. A week later, cortisol was normalizing, as you can see here and at 1:30 in my video, but the forest’s effects sometimes appeared to last an entire month. Anything else that could cause a longer-term immune system change?

    Maybe we’ve been missing some of our “Old Friends.” If you sample outdoor air, you can pick up an abundance of microorganisms from the soil and water that float around—but are absent from indoor air. (Indoor air is dominated by organisms that either live on us or try to attack us.) So, on a day-to-day basis, in terms of keeping our immune system on ready alert, it “might not be sufficient to encounter only the biased microbiota of the modern synthetic indoor environment that lacks some of the Old Friends and probably bears little resemblance to the microbiota we encountered throughout our evolutionary history,” the microbes we evolved to live with over millions of years.

    Or perhaps it’s the plants themselves. Maybe it’s the aroma of the forest. Trees produce aromatic volatile compounds called phytoncides, like pinene, which we can breathe into our lungs when we’re in the forest. Do these compounds actually get into our bloodstream? Indeed, after spending one hour in the woods, we get about a sixfold increase in pinene levels circulating throughout our system. To fully connect all the dots, phytoncides like pinene—those essential oils from wood—would then have to induce human natural killer cell activity. And guess what? The study title gives it away: “Phytoncides (Wood Essential Oils) Induce Human Natural Killer Cell Activity.” If you put natural killer cells in a petri dish with leukemia cells, our NK cells can wipe out some of the cancer cells. But, if you add a whiff of cypress, white cedar, eucalyptus, or pine, the cancer cells don’t stand a chance, as shown below and at 3:14 in my video

    A combination of wood aromas improved the recovery of mice put through the wringer, but this is the study I was looking for: “Effect of Phytoncide from Trees on Human Natural Killer Cell Function.” If we want to know if the magic ingredient is the fragrance of the forest, then let’s see if we can get that same boost in natural killer cell activity by just vaporizing some essential oil from one of the trees into a hotel room overnight. It worked! There was a significant boost in natural killer cell activity, as seen here, and a 3:40 in my video.

    Only NK activity was boosted, though, rather than the number of the natural killer cells, and being in an actual forest can elevate both. So, perhaps it’s a combination of the tree fragrance and the lower cortisol levels working together.

    Ironically, these phytoncide compounds are part of the tree’s own immune system, which we may be able to commandeer. As you can see at 4:05 in my video, researchers speculate that these compounds may be playing a role in the fact that more heavily forested regions in Japan appear to have lower death rates from breast cancer and prostate cancer. Indeed, being in nature has been found to be an “important coping strategy among cancer patients,” but it may help us cope better, thanks to the fragrance of trees. 

    Spending time in a forest significantly increases NK cell activity. In my previous blog, I discussed Boosting Anticancer Immunity with Forest Bathing.

    You may recall that I’ve touched on this topic before. See Are There Health Benefits of Spending Time in Nature?.

    For more on aromatherapy, check out the related posts below.



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  • Forest Bathing to Boost Anticancer Immunity 

    Forest Bathing to Boost Anticancer Immunity 

    Natural killer cells are one of the ways our body fights off cancer, and visiting a forest can induce a significant increase in both their numbers and their activity.

    I’ve previously shown how exposure to nature can have self-reported psychological benefits, but there was a dearth of data on changes in objective measurements, so I was excited to see this paper on the effects of forest bathing, “a traditional practice characterized by visiting a forest and breathing its air,” on levels of the stress hormone cortisol in the participants’ saliva.

    The level of cortisol in our saliva is considered an indicator of our stress level, and study participants’ salivary cortisol levels were significantly lower after walking in a forest or even just hanging out in one (“forest watching”), compared to walking or just being in a city, as you can see at 0:49 in my video Boosting Anticancer Immunity with Forest Bathing

    However, the same effect was found before they went to the forest, too. Indeed, “forest bathing, in particular forest watching, was associated with significantly lower cortisol levels both before and after this practice if compared with visiting an urban area.” Therefore, it appears that just the thought of spending time in a forest relieves stress. So, “when comparing the effects of forest bathing versus urban visiting, the anticipated placebo effect…may play a more important role in influencing cortisol [stress] levels than the actual experience” of being in the forest. I was ready to dismiss this as just another nebulous psychological effect until I read this: “Studies on the effects of ‘Shinrin-yoku’ [forest bathing] on the immune function showed that visiting a forest can induce a significant increase in the number and activity of natural killer (NK) cells,” one of the ways our body fights off cancer. That got my attention. 

    It all started with this study: Twelve men were taken on a long weekend trip to walk in the forest, and nearly all of them (11 out of 12) showed higher natural killer cell activity afterward. It wasn’t just a little increase either; they had about a 50 percent increase in NK cell activity after the trip compared to before they went to the forest, as you can see at 2:00 in my video.

    Now, exercise alone can affect immune function, but “there were no significant differences in walking steps before and during the trip.” The study participants were just walking in a forest instead. However, they were taken on a trip somewhere, which introduced other variables, so what about randomizing them to go on a city trip versus a forest trip? If there were some special forest effect, how long would it last? Do you have to walk in the forest every day? Before jumping into all that, let’s first see if it works in women, too.

    This study had the same kind of set-up, and the same kind of results: a significant boost in natural killer cell activity from walking in the woods. What’s more, this time, the participants were retested a week later, and their natural killer cell activity was still up. When they were retested a month after the trip their levels were back to baseline, as you can see at 2:45 in my video

    So, walking in the woods once a week should do it, but the study involved a multi-day trip. Who can go to the forest all weekend, every weekend? How about just a day trip? The title gives it all away: “A Day Trip to a Forest Park Increases Human Natural Killer Activity and the Expression of Anti-Cancer Proteins in Male Subjects.” The same results and the same big jump measured the day after the trip compared to before and with the same staying power, as you can see at 3:08 in my video. And, natural killer cell activity was still boosted a week later. “This suggests that if people visit a suburban forest park once a week on a day trip, they may be able to maintain increased NK activity” and a boost in anticancer immune function. 

    I’m still not convinced, though. How can you attribute the benefit to the forest itself, when all you have are before and after data? To make the case that nature had anything to do with it, you’d need a control group of study participants who took the same kind of trip but went somewhere else instead. And here we go. Again, the study title says it all: “Visiting a Forest, but Not a City, Increases Human Natural Killer Activity and Expression of Anti-Cancer Proteins.” By the end of the forest trip, the participants experienced a boost of 80 percent in NK activity after forest bathing, compared to only a 10 percent bump for the city walkers, as shown below and at 3:58 in my video

    Both trips were matched for physical activity, alcohol, and sleep, too—other factors and behaviors that can affect immune function. So, we’ve got confirmation of boosted immunity, but only on the forest trip, “indicating that forest bathing does indeed enhance human NK activity.” Moreover, the researchers found that “the increased NK activity and numbers of NK cells induced by a forest bathing trip lasted more than 7 days, even 30 days, after the trip.” As you can see below and at 4:26 in my video, NK activity was still up a week later and even a bit up a month later. “This suggests that if people visit a forest once a month, they may be able to maintain increased NK activity. This may be important in health promotion and preventive medicine.” 

    Now that we know that forest bathing induces a real effect, the next question is, Why? What is it about forests that give us the boost? (You can imagine Big Pharma wondering if it can be made into a pill.) We’ll find out next.

    The video I mentioned at the start is Are There Health Benefits of Spending Time in Nature?.

    Stay tuned for the follow-up post: Why Does Forest Bathing Boost Natural Killer Cell Function?.

    For other ways to improve immune function, check out related posts below.



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