Table 1. Characteristics of selected research in systematic review.

No. Author (Year) Participants age(n) Intervention Control Outcome Study design IRB
1 Kim & Koo (2019) E: 78.24±5.32(17) Forest healing programml: Feeling the landscape, walking in the forest, meditation, smell the wildflowers (6 times) None × Depression*(BDI)× Quality of Life *(SF-36)× Cognitive function*(MMSE-K) One group pre-posttest design
2 Kim et al. (2017) 65years of age or older E1: 4 times (9), E2: 8 times (13), E3: 12 times (14), C: (9) Forest healing program (2 hours at a time) Daily routines × Mental-health (SCL-90-R)× Melatonin None-equivalent control group pre-posttest design
3 Kim (2017, degree) E: 79.8±7.3(20)C: 78.6±6.1(20) Forest healing program, Horticulture program (45 minutes, 2 times a week for 6 weeks) Dementia prevention gymnastics video, Clapping hands × Daily life capability*(K-ADL)× Communication ability*(Trower)× Social behavior ability *(Trower)× Cognitive function*(MMSE-K)× Brainwave* None-equivalent control group pre-posttest design
4 Park (2010, degree) E: 67.86±3.29(7)C: 67.29±3.20(7) Forest exercise: walking, muscular exercise (60-80 minutes, 3 times a week for 10 weeks) Walking in-door treadmill × Melatonin* None-equivalent control group pre-posttest design ×
5 Beak et al. (2021) E: 62±1.15(10) Forest Healing Anti-aging programml: warm-up for the brain, memorizing, meditation, association training (1 night 2 days) None × Fitness*× Muscular strength*× Gait pattern*× Balance ability* One group pre-posttest design
6 Wang et al. (2021) E: 60.3±9.4(21)C: 63.6±5.8(12) Forest healing programml: walking, meditation, flower tea, cognition (2 hours, Once a week for 8 weeks) Daily routines × Depression *(GDS)× Burn muscle mass*× Visceral fat* None-equivalent control group pre-posttest design ×
7 Lee et al. (2020) E: 78.40±2.72(10) Forest healing programml: Stretching, Exercise therapy (2 hours, Once a week for 7 weeks) None × Depression *(GDSSF-K)× Memory complaints*(SMCQ) One group pre-posttest design ×
8 Lee et al. (2016) E: 71.37±3.32(15)C: 70.21±4.69(14) Walking in the forest (80minutes, 3 times a week for 10 weeks) Walking in-door treadmill × Muscular strength*× Muscular endurance*× Born mineral density* None-equivalent control group pre-posttest design ×
9 Lim et al. (2014) 50s(3), 60s(8), 70s(17), 80s(31), 90s(5)(E: 22, C1: 21, C2: 21) Forest healing program (30 minutes, Once a week for11weeks) C1: Same Intervention IndoorsC2: Daily routines × Self-esteem*(Rosenberg)× Depression *(GDSSF-K) None-equivalent control group pre-posttest design ×
10 Choi et al. (2010) E1: 66.21±4.16(15)E2: 64.85±3.23(15)C1: 67.44±1.78(15)C2: 65.55±8.21(15) Walking in the forest (50 minutes) Walking on the playground × Blood glucose* None-equivalent control group pre-posttest design ×
11 Choi et al. (2014) E: 66.34±4.31(19)C: 67.18±2.78(18) Walking in the forest (80 minutes, 3 times a week for 12 weeks) Walking in-door treadmill × Functional fitness*× Gait pattern* None-equivalent control group pre-posttest design ×
12 Hwang & Lee (2020) E: 65years of age or older (7) Walking in the forest (9 times for 6 weeks) None × Depression*(CESD-11) One group pre-posttest design ×
13 Han & Koo (2018) E: 71.45±3.11(20) Forest healing programml: Walking in the forest, meditation (90 minutes, 2 times a week for 2 weeks) None × Resilience*(KRQ-53)× Self-regulation ability*(KRQ-53)× Interpersonal ability*(KRQ-53)× Positivity effect*(KRQ-53) One group pre-posttest design
14 Kim & Lee (2017) E: 75(20) Nature-friendly integration programml: Forest healing, Horticulture therapy, paly therapy (2 times a week for 6 weeks) None × Self-Esteem*(Rosenberg)× Depression*(BDI)× Brainwave* One group pre-posttest design ×
15 Lee & Lee (2014) E: 70.19±4.66(43)C: 71.11±5.8(19) Walking in the forest (60 minutes) Walking in the city × Blood pressure *× CAVI*× Pulmonary function* RCT
16 Lee & Son (2018) E: 76.3±4.3(30)C: 77.0±8.0(31) Forest healing programml: Dementia prevention exercise, walking, meditation, traditional play (3 hours, Once a week for 9 weeks) Daily routines × Stress*(SRI)× Depression *(K-BDI)× Weight*× Body mass index*× Fat mass*× Muscle mass None-equivalent control group pre-posttest design ×
17 Mao (2012) E: 65-75(12)C: 65-75(12) Walking in the forest (90minutes, 2 times a day for 7 days) Walking in the city × Profile of Mood States*× Blood pressure*× Bio-Indicators* RCT
18 Mao (2017) E: 78.86±5.85(23)C: 70.70±3.68(10) Walking in the forest (90minutes, 2 times a day for 4 days) Walking in the city × Profile of Mood States*× Bio-Indicators* RCT
19 Regina (2015) E: 62.3±12.6(10)C: 62.3±12.6(10) Walking in the Park (30minutes, a day for 7 days) Walking in the city × Blood pressure*× Heart rate* RCT
20 Sung (2012) E: 66±7(28)C: 63±11(28) Forest healing programml: meditation (8 weeks) Daily routines × Quality of Life*(QoL)× Blood pressure× Cortisol* None-equivalent control group pre-posttest design
21 Yi et al. (2019) E1: 78.5±6.9(29)E2: 72.9±6.2(31)C: 74.4±4.9(28) E1 Breathing programml: Breathing meditation, slow forest walking, muscle training, closing activitiesE2 Walking programml: clapping, walking, muscle training, closing activities (11 times for 11 weeks) Daily routines × EEG*× Bioimpedance*× HRV* None-equivalent control group pre-posttest design
p<0.5; E: Experimental group; C: Control group; BDI: Beck Depression Inventory; SF-36: 36-Item Short-Form health survey; MMSE-K: Mini Mental State Examination; SCL-90-R: Symptom Checklist-90-Revised; K-ADL: Korea Activity of Daily Living; DGS: Geriatric Depression Scale; GDSSF-K: Geriatric Depression Scale From Korea Version; SMCQ: Subjective Memory Complaints Questionnaire; CESD-11: Center for Epidemiological Studies Depression Scale-11; KRQ-53: Korean Resilience Quotient Test; SRI: Stress Response Inventory; K-BDI: Korea Beck Depression Inventory; QoL: Quality of Life; RCT: Randomized Controlled Trial; IRB: Institutional Review Board