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Meta-Analysis
. 2022 Feb 10;17(2):e0263598.
doi: 10.1371/journal.pone.0263598. eCollection 2022.

Horticultural therapy for general health in the older adults: A systematic review and meta-analysis

Zhijie Wang  1 , Yu Zhang  2 , Shanshan Lu  3 , Linlin Tan  1 , Wei Guo  4 , Mark Lown  5 , Xiaoyang Hu  5 , Jianping Liu  6
Affiliations
Meta-Analysis

Horticultural therapy for general health in the older adults: A systematic review and meta-analysis

Zhijie Wang et al. PLoS One. .

Abstract

Background: With a pronounced and historically unprecedented tendency of population ageing, research on ageing and related disorders has been increasingly brought into focus. Horticultural therapy (HT), as an important role of social prescribing, has been an integrative for decades. This systematic review and meta-analysis aimed to evaluate HT for general health in older adults.

Methods: Electronic databases including PubMed, Web of Science, ScienceDirect, the Cochrane Library, MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCO), China National Knowledge Infrastructure (CNKI), and the Wanfang database, grey literature databases and clinical trials registers were searched from inception to March 2021. Randomized controlled trials (RCTs), quasi-RCTs (QRCTs) and the cohort studies about HT for adults aged over 60 were included in this study. Outcome measures were physical function, quality of life, BMI, mood tested by self-reported questionnaire and the expression of the immune cells. The study was registered under PROSPERO (CRD42019146184).

Results: Totally, fifteen studies (thirteen RCTs and two cohort studies) involving 1046 older participants were included. Meta-analysis showed that HT resulted in better quality of life (MD 2.09, 95% CI [1.33, 2.85], P<0. 01) and physical function (SMD 0.82, 95% [0.36, 1.29], P<0.01) compared with no-gardener; the similar findings showed in BMI (SMD -0.30, 95% [-0.57, -0.04], P = 0.02) and mood tested by self-reported questionnaire (SMD 2.80, 95% CI [1.82, 3.79], P<0. 01). And HT might be conducive on blood pressure and immunity, while all the evidence were moderate-quality judged by GRADE.

Conclusions: HT may improve physical function and quality of life in older adults, reduce BMI and enhance positive mood. A suitable duration of HT may be between 60 to 120 minutes per week lasting 1.5 to 12 months. However, it remains unclear as to what constitutes an optimal recommendation.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Literature screening process and results.
Fig 2
Fig 2. Risk of bias of RCTs on horticultural therapy.
Fig 3
Fig 3. Meta-analysis of physical function of the included RCTs.
Fig 4
Fig 4. Meta-analysis for mood tests of the included RCTs.
See this image and copyright information in PMC

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