Humans and microbial communities in nature have been evolving together for billions of years, but how connected are we, truly, to the landscape outside of our bodies? Can urbanized lifestyles, exposure to pollution, and the consumption of nutrient-depleted and synthetic foods contribute to unbalanced health patterns? These are just some of the questions scientists are beginning to explore as they expand their understanding of the environment-microbiome health connection and examine what happens inside the body when humans are disconnected from their natural surroundings.
Microbioscape research is a developing field of study that examines the crossover between microbiome science and landscape research.1 How can “getting out in nature” potentially impact the gut microbiome and the immune system?
Greenspaces, Health, & Nature-Based Interventions
Recent research suggests that growing up or living in microbe-rich environments, such as traditional farms, may impact the diversity of beneficial bacteria in the gut.2,3 Interventional studies evaluating the effects of nature-related educational programs and soil exposure on gut microbial diversity in children suggest that exposure to natural environments has the potential to increase gut microbe diversity over a short period of time.4-6 Nature-based interventions may also impact immune regulation,5,7 and researchers theorize that regular exposure to natural environments, especially in early life, may help to prevent or lessen the impact of atopic diseases,4,5,8 but this research continues.
People who live in cities may be less exposed to diverse microbiota from natural environments due to a range of socioeconomic factors. Accessibility to green spaces, for example, has been shown to benefit health and lower all-cause mortality risk,9 yet studies indicate that access to urban green spaces within under-resourced US neighborhoods is limited.10
As literature supporting the beneficial relationship between humans, biodiverse environments, and microbial communities continues to grow, so too do strategies designed to benefit people and nature.1,11 For example, there is an interest in the role of nature-based health interventions like “green prescriptions,” which can include:12,13
- Therapeutic horticulture
- Biodiversity conservation activities
- Exercise in greenspaces
It is important to note that many factors influence both the effectiveness and success of nature-based health interventions, and further studies are needed.12,13 In addition, some researchers are looking at whether green infrastructure, like urban parks and community allotments, could be designed and managed to generate microbiome-associated health benefits. Others are examining the possibility of “rewilding” environmental microbiomes by restoring urban ecosystems and their microbial communities to a state that benefits human health.1
Functional Medicine Approach
Today, over half the world's population lives in an urban setting; the United Nations projects that 66% of us will live in a built city environment within two decades.14 How will this shape and contribute to immune and overall health? As our understanding of the connection between humans, their microbes, and the environment continues to evolve, functional medicine understands that many components contribute to health and well-being and takes a comprehensive, whole health approach to prevention and treatment.
Within the functional medicine framework, practitioners consider how a patient’s physical environment and neighborhood health may impact health outcomes. These practitioners also collaborate with patients to develop personalized therapeutic strategies that are most beneficial to their current conditions and concerns. Click below to find a functional medicine practitioner near you to learn more about how lifestyle-based interventions can support your immune system and health.
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REFERENCES
- Robinson JM, Jorgensen A. Rekindling old friendships in new landscapes: the environment-microbiome-health axis in the realms of landscape research. People Nat. 2020;2:339-349. doi:10.1002/pan3.10082
- Tasnim N, Abulizi N, Pither J, Hart MM, Gibson DL. Linking the gut microbial ecosystem with the environment: does gut health depend on where we live? Front Microbiol. 2017;8:1935. doi:10.3389/fmicb.2017.01935
- Vinogradova E, Mukhanbetzhanov N, Nurgaziyev M, et al. Impact of urbanization on gut microbiome mosaics across geographic and dietary contexts. mSystems. 2024;9(10):e0058524. doi:10.1128/msystems.00585-24
- Tischer C, Kirjavainen P, Matterne U, et al. Interplay between natural environment, human microbiota and immune system: a scoping review of interventions and future perspectives towards allergy prevention. Sci Total Environ. 2022;821:153422. doi:10.1016/j.scitotenv.2022.153422
- Roslund MI, Puhakka R, Grönroos M, et al. Biodiversity intervention enhances immune regulation and health-associated commensal microbiota among daycare children. Sci Adv. 2020;6(42):eaba2578. doi:10.1126/sciadv.aba2578
- Sobko T, Liang S, Cheng WHG, Tun HM. Impact of outdoor nature-related activities on gut microbiota, fecal serotonin, and perceived stress in preschool children: the Play&Grow randomized controlled trial. Sci Rep. 2020;10(1):21993. doi:10.1038/s41598-020-78642-2
- Nurminen N, Lin J, Grönroos M, et al. Nature-derived microbiota exposure as a novel immunomodulatory approach. Future Microbiol. 2018;13:737-744. doi:10.2217/fmb-2017-0286
- Ruokolainen L, von Hertzen L, Fyhrquist N, et al. Green areas around homes reduce atopic sensitization in children. Allergy. 2015;70(2):196-202. doi:10.1111/all.12545
- Rojas-Rueda D, Nieuwenhuijsen MJ, Gascon M, Perez-Leon D, Mudu P. Green spaces and mortality: a systematic review and meta-analysis of cohort studies. Lancet Planet Health. 2019;3(11):E469-E477. doi:10.1016/s2542-5196(19)30215-3
- Klompmaker JO, Hart JE, Bailey CR, et al. Racial, ethnic, and socioeconomic disparities in multiple measures of blue and green spaces in the United States. Environ Health Perspect. 2023;131(1):17007. doi:10.1289/ehp11164
- Robinson JM, Mills JG, Breed MF. Walking ecosystems in microbiome-inspired green infrastructure: an ecological perspective on enhancing personal and planetary health. Challenges. 2018;9(2):40. doi:10.3390/challe9020040
- Robinson JM, Breed MF. Green prescriptions and their co-benefits: integrative strategies for public and environmental health. Challenges. 2019;10(1):9. doi:10.3390/challe10010009
- Shanahan DF, Astell-Burt T, Barber EA, et al. Nature-based interventions for improving health and wellbeing: the purpose, the people and the outcomes. Sports. 2019;7(6):141. doi:10.3390/sports7060141
- Lucas G. Gut thinking: the gut microbiome and mental health beyond the head. Microb Ecol Health Dis. 2018;29(2):1548250. doi:10.1080/16512235.2018.1548250