Department of Horticulture and Landscape, University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca, Cluj-Napoca-Napoca, Romania.
Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.
Syst Rev. 2024 Jan 29;13(1):45. doi: 10.1186/s13643-024-02457-9.
Gardening and horticultural therapy (HT) has been widely recognised as a multicomponent approach that has affected a broad range of health and well-being outcomes. The aim of this umbrella review and meta-analysis was to compare the findings of previous reviews on the impact of multiple gardening interventions and gardening attributes on different well-being constructs.
Electronic databases including PubMed, Web of Science, Science Direct, the Cochrane Library, and Google Scholar were searched from inception to December 2022. Interventional and observational reviews were eligible for inclusion in this umbrella review. Outcome measures included mental well-being, health status and quality of life. The key exposure variables were gardening and horticultural therapy. Narrative synthesis was used to evaluate the overall impact of gardening and HT on study outcomes. For a subsample of studies with available quantitative data, a random effect meta-analysis was conducted.
This umbrella review included 40 studies (10 interventional studies, 2 observational studies, and 28 mixed interventional and observational studies). The reviewed studies reported an overall positive impact of gardening activities on several measures of mental well-being, quality of life, and health status. Meta-analysis showed a significant and positive effect of gardening and HT activities on well-being (effect size (ES) 0.55, 95% confidence interval (CI) 0.23, 0.87, p < 0.001).
Evidence from observational and interventional studies supports a positive role for gardening and HT activities on well-being and general health. Interventional studies with horticultural-based therapies were effective in improving well-being and quality of life both in the general population and vulnerable subgroups. The high degree of heterogeneity in the included studies cautions against any direct clinical implications of the study findings.
园艺和园艺疗法（HT）已被广泛认为是一种多组分方法，可影响广泛的健康和福祉结果。本综述和荟萃分析的目的是比较以前关于多种园艺干预措施和园艺属性对不同福祉结构影响的综述的结果。
从开始到 2022 年 12 月，电子数据库包括 PubMed、Web of Science、Science Direct、Cochrane 图书馆和 Google Scholar 进行了搜索。干预性和观察性综述有资格纳入本综述。结果测量包括心理健康、健康状况和生活质量。主要暴露变量是园艺和园艺疗法。采用叙述性综合评估园艺和 HT 对研究结果的总体影响。对于具有可用定量数据的研究亚样本，进行了随机效应荟萃分析。
本综述包括 40 项研究（10 项干预性研究、2 项观察性研究和 28 项混合干预性和观察性研究）。综述研究报告了园艺活动对几种心理健康、生活质量和健康状况衡量标准的总体积极影响。荟萃分析显示园艺和 HT 活动对幸福感有显著积极影响（效应大小（ES）0.55，95%置信区间（CI）0.23，0.87，p<0.001）。
来自观察性和干预性研究的证据支持园艺和 HT 活动对幸福感和整体健康的积极作用。以园艺为基础的疗法的干预性研究在普通人群和弱势群体中均有效改善幸福感和生活质量。纳入研究的高度异质性告诫不要直接将研究结果用于临床。
