Duration
RH: relative humidity; SBP: systolic blood pressure; DBP: diastolic blood pressure; EEG: electroencephalography; EDA: electrodermal activity; EMG: electromyography; BVP: blood volume pulse; ECG: electrocardiography; GSR: galvanic skin response; RCT: randomized controlled trial; non-RCT: not randomized controlled trial.
Statistics of experimental conditions.
Experimental Condition | Maximum | Minimum | Number of Records | |
---|---|---|---|---|
1 year | 15 s. | 34 | ||
[ ] | [ ] | |||
Floor area | 1260 m | 7.26 m | 19 | |
[ ] | [ ] | |||
Volume | 675 m | 14.52 m | 14 | |
[ ] | [ ] | |||
3 m | 0.38 m | 13 | ||
[ ] | [ ] | |||
27 °C | 20 °C | 19 | ||
[ ] | [ ] | |||
70% | 34% | 13 | ||
[ ] | [ ] | |||
0.2 m·s | 1 | |||
[ ] | ||||
Illuminance | 1365.5 lux | 300 lux | 11 | |
[ ] | [ ] | |||
Quantum | 10.6 μmol·m ·s | 1 | ||
[ ] |
A total of 34 papers recorded the time during which participants were exposed to indoor plants. Among these, the longest exposure time was one year [ 76 ] and the shortest was 15 s [ 72 ]. Thirty-three papers reported the room size. The experiment room used by Toyoda et al. [ 59 ] was the largest in terms of its floor area (1260 m 2 ), and that used by Genjo et al. [ 57 ] was the largest in terms of its volume (675 m 3 ). By contrast, the room used by Kim et al. [ 77 ] was the smallest in both floor area (7.26 m 2 ) and volume (14.52 m 3 ). Among the records, only 13 reported the participant–plant distance in a room, with the greatest distance being 3 m [ 72 ] and the smallest being 0.38 m [ 60 ] ( Table 3 ).
Some records also provided data on the ambient environment in which the plants were placed. Specifically, 19 papers recorded the room temperature, with the highest being 27 °C [ 78 ] and the lowest 20 °C [ 59 ]. Humidity was reported in 13 papers, with the highest value at 70% [ 79 ] and the lowest 34% [ 80 ]. Only one record measured wind speed (0.2 m·s −1 ; [ 81 ]). Twelve records indicated lighting, of which only one adopted the quantum as the lighting unit (10.6 μmol m −2 ·s −1 ; [ 69 ]), whereas the remaining 11 used illuminance as the unit. The most intense lighting was 1365.5 lux [ 82 ], while the least intense lighting was 300 lux [ 56 ] ( Table 3 ).
Among the 42 records, only 18 indicated their funding sources. Most of the funding sources were in governmental sectors, while only two may be from stakeholders ([ 83 ], American Horticultural Therapy Association; [ 68 ], The Swedish Flower Corporations) ( Table 4 ). Funding from stakeholders might cause a conflict of interest.
Most of the included studies (90.5%) applied quasi-experimental or experimental methods. Control and experimental groups were therefore involved. In quasi-experimental research, particularly field research (11.9%), researchers were unable to assign interventions randomly to participants as is the case in clinical trials. Surveys, field quasi-experiments, and quasi-experiments, therefore, could not achieve sequence generation, which reduces the risk of bias. In addition, concealing the intervention assignment from participants was difficult because indoor plants were easily noticed in a room, resulting in lower allocation concealment ability. Similarly, blinding participants concerning their intervention was also challenging. Furthermore, the risk of incomplete data on outcomes caused by participant attrition and exclusion might exist because the included studies seldom mentioned participant attrition or exclusion.
The mean quality appraisal score of the 42 records was 17.2 points out of a possible 38, i.e., 45.3% (17.2/38 = 45.3%) of the total, indicating moderate research quality (high: 67–100%, moderate: 34–66%, low: 0–33%; [ 19 ]). The five items (of a total of 19) in the quality appraisal system for which the records included scored lowest are discussed next. First, none of the 42 papers complied with the intention-to-treat (ITT) analysis (0%) (i.e., all data were included after allocation). Additionally, the participants were not sufficiently representative because most were students (17 studies included college students, 1 study included high school students, and 2 studies included junior high school students). Only 5 papers involved general adult participants, whereas the remaining papers involved patients or office workers. The second lowest score regarding the quality appraisal system was found in the only 1 paper (2%) in which the outcome assessors were completely unaware of participant allocation. The third lowest scores were observed in the following two items of the quality appraisal system: only 2 papers (5%) reported statistical power and randomization procedure, respectively ( Table 5 and Table 6 respectively). The records exhibited desirable quality in the following items of the appraisal system: (1) all the papers (100%) included individual level analyses, (2) data collection in 39 studies (95%) was consistent, (3) a total of 37 studies (90%) provided a clear description of interventions and control, and (4) 32 papers (78%) accounted for all participants and applied statistical analysis methods appropriate for study design.
Quality appraisal of records in this study.
Quality Indicators | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | |
---|---|---|---|---|---|---|---|---|
Power calculation reported | No | No | No | No | No | No | No | |
Inclusion/exclusion criteria reported | No | No | No | No | No | No | No | |
Individual level allocation | No | Yes | NA | Yes | Yes | Yes | Yes | |
Random allocation to groups/condition/order | Yes | NA | Yes | Yes | Yes | Yes | ||
Randomization procedure appropriate | Unclear | NA | Unclear | Unclear | Unclear | Unclear | ||
Groups similar (sociodemographic) | Unclear | Unclear | Unclear | Yes | Yes | Unclear | Yes | |
Group balanced at baseline | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | Yes | |
Participants blind to research question | Yes | Unclear | Unclear | Unclear | Unclear | |||
Clear description of intervention and control | Yes | Yes | NA | Yes | Yes | Yes | Yes | |
Consistency of intervention (within and between groups) | Yes | No | NA | Yes | Yes | Yes | No | |
Outcome assessors blind to group allocation | Unclear | Unclear | Unclear | Unclear | ||||
Baseline measures taken before the intervention | Yes | Unclear | NA | Yes | Yes | No | Yes | |
Consistency of data collection | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
All outcomes reported (means and SD/SE) | No | Yes | No | No | No | Yes | No | |
All participants accounted for (i.e., losses/exclusions) | Yes | Yes | Yes | Yes | Yes | No | Yes | |
ITT analysis conducted (all data included after allocation) | Unclear | Unclear | NA | Unclear | Unclear | No | Unclear | |
Individual level analysis | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Sample representative of target population | No | No | No | No | No | No | No | |
Total number of points (out of possible 38) | 20 | 18 | 8 | 20 | 20 | 16 | 22 | |
Quality rating as percent | 52.6 (M) | 47.4 (M) | 21.1 (L) | 52.6 (M) | 52.6 (M) | 42.1 (M) | 57.9 (M) | |
Responded to query about “uncertain” ratings | Yes | Yes | NA | No | NA | Yes | ||
] | ] | ] | ] | ] | ] | ] | ||
Power calculation reported | No | No | No | No | No | No | No | |
Inclusion/exclusion criteria reported | No | No | Yes | No | No | Yes | No | |
Individual level allocation | Yes | Yes | Yes | NA | Yes | Yes | No | |
Random allocation to groups/condition/order | Yes | Yes | Unclear | NA | Yes | Yes | No | |
Randomization procedure appropriate | Unclear | Unclear | Unclear | NA | Unclear | Unclear | NA | |
Groups similar (sociodemographic) | Yes | Unclear | Yes | Unclear | Unclear | Unclear | Yes | |
Group balanced at baseline | Unclear | Unclear | Yes | Unclear | Unclear | Unclear | Yes | |
Participants blind to research question | Unclear | Unclear | Yes | Unclear | Yes | Unclear | ||
Clear description of intervention and control | Yes | Yes | Yes | NA | Yes | Yes | Partial | |
Consistency of intervention (within and between groups) | No | No | No | NA | Yes | Yes | No | |
Outcome assessors blind to group allocation | Unclear | Unclear | NA | Unclear | Unclear | Unclear | ||
Baseline measures taken before the intervention | Yes | Yes | No | NA | Yes | No | Yes | |
Consistency of data collection | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
All outcomes reported (means and SD/SE) | No | Yes | Yes | No | Yes | No | No | |
All participants accounted for (i.e., losses/exclusions) | Yes | Yes | Yes | No | Yes | Yes | No | |
ITT analysis conducted (all data included after allocation) | Unclear | Unclear | Unclear | NA | Unclear | Unclear | No | |
Individual level analysis | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | Yes | Yes | No | Yes | Yes | Yes | No | |
Sample representative of target population | No | No | No | No | No | No | No | |
Total number of points (out of possible 38) | 18 | 20 | 18 | 8 | 20 | 20 | 11 | |
Quality rating as percent | 47.4 (M) | 52.6 (M) | 47.4 (M) | 21.1 (L) | 52.6 (M) | 52.6 (M) | 28.9 (L) | |
Responded to query about “uncertain” ratings | NA | Yes | No | No | ||||
] | ] | ] | ] | ] | ] | ] | ||
Power calculation reported | No | No | No | No | No | No | No | |
Inclusion/exclusion criteria reported | No | Yes | Yes | No | No | Yes | Yes | |
Individual level allocation | No | No | Yes | Yes | Yes | Yes | Yes | |
Random allocation to groups/condition/order | No | No | Yes | Yes | Yes | Yes | Yes | |
Randomization procedure appropriate | NA | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | |
Groups similar (sociodemographic) | Partial | Partial | Unclear | Unclear | Yes | Yes | Yes | |
Group balanced at baseline | Unclear | Unclear | Unclear | Partial | Unclear | Yes | Yes | |
Participants blind to research question | Unclear | Yes | Yes | Yes | Yes | Unclear | Unclear | |
Clear description of intervention and control | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Consistency of intervention (within and between groups) | Yes | Yes | Yes | Yes | No | No | No | |
Outcome assessors blind to group allocation | Unclear | No | Unclear | Unclear | No | Unclear | Unclear | |
Baseline measures taken before the intervention | No | Yes | No | Yes | Yes | Yes | Yes | |
Consistency of data collection | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
All outcomes reported (means and SD/SE) | Yes | No | No | No | No | Yes | Yes | |
All participants accounted for (i.e., losses/exclusions) | No | Yes | Yes | Yes | Yes | Yes | Yes | |
ITT analysis conducted (all data included after allocation) | No | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | |
Individual level analysis | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Sample representative of target population | No | No | No | No | No | No | No | |
Total number of points (out of possible 38) | 13 | 19 | 20 | 21 | 20 | 24 | 24 | |
Quality rating as percent | 34.2 (M) | 50.0 (M) | 52.6 (M) | 55.3 (M) | 52.6 (M) | 63.2 (M) | 63.2 (M) | |
Responded to query about “uncertain” ratings | No | No | No | |||||
] | ] | ] | ] | ] | ] | ] | ||
Power calculation reported | No | No | No | Study 3: No | Yes | No | No | |
Inclusion/exclusion criteria reported | Yes | Yes | Yes | Study 3: No | Yes | Yes | Yes | |
Individual level allocation | Yes | Yes | Yes | Study 3: No | No | Yes | NA | |
Random allocation to groups/condition/order | Yes | Yes | Yes | Study 3: Yes | Unclear | Yes | NA | |
Randomization procedure appropriate | Unclear | Unclear | Unclear | Study 3: Unclear | Unclear | Unclear | NA | |
Groups similar (sociodemographic) | Yes | Yes | Yes | Study 3: Unclear | Yes | Yes | Unclear | |
Group balanced at baseline | Yes | Yes | Yes | Study 3: Unclear | Yes | Yes | Unclear | |
Participants blind to research question | Unclear | Unclear | Study 3: | Unclear | No | Unclear | ||
Clear description of intervention and control | Yes | Yes | Yes | Study 3: Yes | Yes | Yes | NA | |
Consistency of intervention (within and between groups) | No | No | No | Study 3: No | No | Yes | NA | |
Outcome assessors blind to group allocation | Unclear | Unclear | Study 3: | Unclear | Unclear | Unclear | ||
Baseline measures taken before the intervention | No | No | No | Study 3: No | No | Yes | NA | |
Consistency of data collection | Yes | Yes | Yes | Study 3: Yes | Yes | Yes | Yes | |
All outcomes reported (means and SD/SE) | No | No | Yes | Study 3: No | No | No | No | |
All participants accounted for (i.e., losses/exclusions) | Yes | Yes | Yes | Study 3: Yes | Yes | Yes | No | |
ITT analysis conducted (all data included after allocation) | Unclear | Unclear | Unclear | Study 3: Unclear | Unclear | Unclear | NA | |
Individual level analysis | Yes | Yes | Yes | Study 3: Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | Yes | Yes | No | Study 3: Yes | No | Yes | Yes | |
Sample representative of target population | No | No | No | Study 3: No | No | No | No | |
Total number of points (out of possible 38) | 20 | 20 | 20 | Study 3: 14 | 16 | 24 | 8 | |
Quality rating as percent | 52.6 (M) | 52.6 (M) | 52.6 (M) | Study 3: 36.8 (M) | 42.1 (M) | 63.2 (M) | 21.1 (L) | |
Responded to query about “uncertain” ratings | Yes | No | No | Yes | ||||
] | ] | ] | ] | ] | ] | ] | ||
Power calculation reported | No | No | No | No | No | No | No | |
Inclusion/exclusion criteria reported | Yes | Yes | No | No | Yes | No | Yes | |
Individual level allocation | Yes | Yes | Unclear | Yes | Yes | No | Yes | |
Random allocation to groups/condition/order | Yes | Yes | Unclear | Unclear | Yes | No | Yes | |
Randomization procedure appropriate | Unclear | Yes | Unclear | Unclear | Unclear | NA | Unclear | |
Groups similar (sociodemographic) | Unclear | Unclear | Yes | Unclear | Yes | Unclear | Unclear | |
Group balanced at baseline | Unclear | Unclear | Yes | Unclear | Yes | Unclear | Unclear | |
Participants blind to research question | Unclear | No | Unclear | Unclear | Unclear | Unclear | Unclear | |
Clear description of intervention and control | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Consistency of intervention (within and between groups) | Yes | No | No | No | Yes | No | Yes | |
Outcome assessors blind to group allocation | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | |
Baseline measures taken before the intervention | No | No | No | Yes | Yes | Yes | Partial | |
Consistency of data collection | Yes | Yes | Yes | Yes | Yes | No | Yes | |
All outcomes reported (means and SD/SE) | No | No | No | No | No | No | No | |
All participants accounted for (i.e., losses/exclusions) | Yes | Yes | Yes | Yes | No | No | Yes | |
ITT analysis conducted (all data included after allocation) | Unclear | Unclear | Unclear | Unclear | No | Unclear | Unclear | |
Individual level analysis | Yes | Yes | Unclear | Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | No | No | Unclear | Yes | Yes | No | Yes | |
Sample representative of target population | No | No | No | No | No | No | No | |
Total number of points (out of possible 38) | 16 | 16 | 10 | 14 | 22 | 6 | 19 | |
Quality rating as percent | 42.1 (M) | 42.1 (M) | 26.3 (L) | 36.8 (M) | 58.9 (M) | 15.8 (L) | 50.0 (M) | |
Responded to query about “uncertain” ratings | ||||||||
] | ] | ] | ] | ] | ] | ] | ||
Power calculation reported | No | No | No | No | No | No | Yes | |
Inclusion/exclusion criteria reported | Yes | No | Yes | Yes | No | Yes | No | |
Individual level allocation | NA | No | Yes | No | Unclear | Unclear | Yes | |
Random allocation to groups/condition/order | NA | No | No | Yes | Unclear | Unclear | Yes | |
Randomization procedure appropriate | NA | NA | NA | Unclear | Unclear | Unclear | Unclear | |
Groups similar (sociodemographic) | Unclear | Yes | Yes | Unclear | Yes | Unclear | Unclear | |
Group balanced at baseline | Unclear | Yes | Yes | Unclear | Yes | Unclear | Unclear | |
Participants blind to research question | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | Yes | |
Clear description of intervention and control | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Consistency of intervention (within and between groups) | Yes | No | No | Yes | No | No | No | |
Outcome assessors blind to group allocation | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | Unclear | |
Baseline measures taken before the intervention | No | Yes | Yes | Yes | Yes | Yes | No | |
Consistency of data collection | Yes | No | Yes | Yes | Yes | Yes | Yes | |
All outcomes reported (means and SD/SE) | Yes | No | No | Yes | Yes | Yes | Yes | |
All participants accounted for (i.e., losses/exclusions) | Yes | Yes | Yes | No | Yes | No | Yes | |
ITT analysis conducted (all data included after allocation) | NA | Unclear | Unclear | No | Unclear | No | Unclear | |
Individual level analysis | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Statistical analysis methods appropriate for study design | Yes | No | Yes | Yes | Yes | Yes | Yes | |
Sample representative of target population | No | No | No | No | No | No | No | |
Total number of points (out of possible 38) | 16 | 12 | 20 | 18 | 18 | 14 | 20 | |
Quality rating as percent | 42.1 (M) | 31.6 (L) | 52.6 (M) | 47.4 (M) | 47.4 (M) | 36.8 (M) | 52.6 (M) | |
Responded to query about “uncertain” ratings |
ITT: intention to treatment; Yes = 2; Partial (Pa.) = 1; No = 0; Unclear (Un) = 0; NA = criterion inapplicable to this study design; any changes made after consultation with study authors are highlighted in boldface. Appraisal quality: High (H): 67–100%, Moderate (M): 34–66%, Low (L): 0–33% [ 19 ].
Statistics of quality appraisal of records in this study.
Yes | Partial | No | Unclear | NA | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Frequency | (%) | Frequency | (%) | Frequency | (%) | Frequency | (%) | Frequency | (%) | |
Power Calculation Reported | 2 | 5 | 0 | 0 | 39 | 95 | 0 | 0 | 0 | 0 |
Inclusion/exclusion Criteria Reported | 20 | 49 | 0 | 0 | 21 | 51 | 0 | 0 | 0 | 0 |
Individual Level Allocation | 26 | 63 | 0 | 0 | 8 | 20 | 3 | 7 | 4 | 10 |
Random Allocation to Groups/Condition/Order | 25 | 61 | 0 | 0 | 6 | 15 | 6 | 15 | 4 | 10 |
Randomization Procedure Appropriate | 2 | 5 | 0 | 0 | 0 | 0 | 30 | 73 | 9 | 22 |
Groups Similar (Sociodemographic) | 19 | 46 | 2 | 5 | 0 | 0 | 20 | 49 | 0 | 0 |
Group Balanced at Baseline | 15 | 37 | 1 | 2 | 0 | 0 | 25 | 61 | 0 | 0 |
Participants Blind to Research Question | 11 | 27 | 0 | 0 | 3 | 7 | 27 | 66 | 0 | 0 |
Clear Description of Intervention and Control | 37 | 90 | 1 | 2 | 0 | 0 | 0 | 0 | 3 | 7 |
Consistency of Intervention (within and between groups) | 16 | 39 | 0 | 0 | 22 | 54 | 0 | 0 | 3 | 7 |
Outcome Assessors Blind to Group Allocation | 1 | 2 | 0 | 0 | 6 | 15 | 33 | 80 | 1 | 2 |
Baseline Measures Taken before the Intervention | 22 | 54 | 1 | 2 | 14 | 34 | 1 | 2 | 3 | 7 |
Consistency of Data Collection | 39 | 95 | 0 | 0 | 2 | 5 | 0 | 0 | 0 | 0 |
All Outcomes Reported (Means and SD/SE) | 14 | 34 | 0 | 0 | 27 | 66 | 0 | 0 | 0 | 0 |
All Participants Accounted for (i.e., losses/exclusions) | 32 | 78 | 0 | 0 | 9 | 22 | 0 | 0 | 0 | 0 |
ITT Analysis Conducted (all data included after allocation) | 0 | 0 | 0 | 0 | 6 | 15 | 31 | 76 | 4 | 10 |
Individual Level Analysis | 40 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Statistical Analysis Methods Appropriate for Study Design | 32 | 78 | 0 | 0 | 8 | 20 | 1 | 2 | 0 | 0 |
Sample Representative of Target Population | 0 | 0 | 0 | 0 | 41 | 100 | 0 | 0 | 0 | 0 |
The research outcomes of each study for the systematic review are summarized in Table 7 . In brief, the systematic review concluded that indoor plants, in general, affect participants’ functions positively, particularly their physiology and cognition. Regarding physiological functions, participants exhibited greater benefits in a room with plants than in a room without plants in relation to lower blood pressure [ 60 , 61 , 63 , 76 , 78 , 82 ], lower electrodermal activity (EDA) [ 69 , 83 , 85 ], lower electroencephalography (EEG) α and β waves [ 56 , 69 , 72 , 81 , 83 ], lower heart rate [ 59 , 61 , 62 , 63 , 68 , 76 , 91 , 93 ], and lower respiration rate and body temperature [ 61 ].
Summary of the outcomes of the records.
Source | Outcomes |
---|---|
[ ] | When conducting a computer task, participants had a smaller SBP increase with the presence of plants than without plants. After accomplishing the task, the participants also exhibited a faster SBP decrease when plants were present than when plants were absent. Participants’ reaction time was 12% faster when plants were present than when they were absent. |
[ ] | Participants had the lowest productivity when the office was furnished with 22 potted plants, whereas the highest productivity was observed when no plants were present. |
[ ] | Participants had a significantly lower search error rate with indoor greening than without indoor greening. |
[ ] | The percentage of participants putting their hands in ice water for more than 5 min was higher with the presence of plants than without plants. |
[ ] | Female participants’ decreases in EEG β waves and EDA were significantly faster when red-flowering geraniums were present than when flowerless geraniums were present and when plants were absent. |
[ ] | Male participants had a lower score in the association task than their female counterparts when plants were absent, whereas female participants had higher scores on the sorting task regardless of the presence or absence of plants. |
[ ] | Female participants’ EEG β waves and EDA were significantly lower when flower arrangements were present than when flower arrangements were absent. |
[ ] | Participants’ time of hand immersion in ice water was significantly longer when green-leaf and flowering plants were simultaneously present than when only green-leaf plants or flowering plants were in the room and when plants were not in the room. Participants’ EDA was significantly lower when the plants were in the room than when the plants were not in the room. |
[ ] | Female participants showed significantly higher scores of the association task than male participants in the three interventions. Female participants had significantly higher scores of the association task when plants were present than when the magazine-rack was present. |
[ ] | Participants had the greatest effect of EEG β waves when viewing the slide of the office with a nature window view and indoor plants than other slides. |
[ ] | A weak but significant correlation was observed between the number of potted plants and sick leave days in the workplace. |
[ ] | The increased humidity of the indoor potted plants improved the vagus-induced sympathovagal balance of the heart of the participant. |
[ ] | Participants’ frequency of pain killer consumption, SBP, and heart rate were significantly lower when plants were in the room than when plants were not in the room. |
[ ] | Participants’ frequency of visiting the school infirmary was significantly lower when plants were in the room than when plants were not in the room. |
[ ] | Participants’ grade point averages wer significantly higher when plants were present than when plants were absent. |
[ ] | Participants’ sick leave hours and misconduct were significantly less when plants were present than when plants were absent. |
[ ] | Participants’ frequency of pain killer use and hospitalization days were significantly lower when plants were in the room than when plants were not in the room. |
[ ] | Participants’ attention improved significantly from the baseline to after the proofreading task was completed when plants were present, whereas no improvement was noted when plants were absent. |
[ ] | Participants who took care of plants had greater academic achievement than those who did not. |
[ ] | Red, yellow, and green plants significantly reduced participants’ DBP and fingertip pulse. Red, purple, and yellow plants significantly reduced participants’ fingertip pulse. Changes in fingertip pulse were more significant in male participants than in female participants. |
[ ] | Except for yellow African daisies, the other flowers significantly reduced participants’ SBP. Pink and white African daisies, pink and white carnations, and pink and white roses significantly reduced participants’ DBP. |
[ ] | Male participants spent significantly more time looking at white L. than at the dark green variety. Female participants had a greater frequency of looking at yellow-green plants than looking at dark green and green-white plants. |
[ ] | Male participants spent significantly more time looking at green plants than at red-green ones. The number of fixings at red–green plants was greater than at green and white–green plants. Female participants spent significantly more time looking at green and red–green plants and with greater frequency than green–white plants. |
[ ] | Relative to green plants with white, yellow, pink, and red flowers, green-leaf plants resulted in a greater increase in participants’ relative slow α power, relative fast α power, relative low β power, and relative moderate β power spectra. By contrast, green-leaf plants with yellow flowers increased participants’ relative θ power spectrum. |
[ ] | Participants spent less time completing the vigilance and information processing tasks when plants were present than when plants were absent. |
[ ] | Participants had a significantly higher δ waves and significantly lower α and β waves when plants were present than when plants were absent. |
[ ] | After transplanting plants, participants had a significantly lower DBP than their counterparts did after a computer operation task. |
[ ] | The indoor nature contact during work was significantly negatively correlated with sick leave days. |
[ ] | The percentage of patients with stable blood pressure, heart rate, respiration rate, and body temperature was significantly higher in the ward with plants than in the one without plants. These patients also received a significantly lower dose of pain killers and had significantly shorter hospitalization. |
[ ] | Yellow–green L. received more attention than did the plants of other colors. |
[ ] | Participants had lower heart rate in the room when the plants were present than when the plants were not present. |
[ ] | Participants had a significantly faster reaction rate when plants were present than when plants were absent. |
[ ] | In both the actual and virtual environments with plants, participants exhibited greater changes in SBP, DBP, and EDA than in the plantless environment. They also had greater performance in the visual backward digit span task in the plant setting. |
[ ] | Participants had the least flicker fusion frequency (eye fatigue) when flowering plants were provided than with other plants and controls. |
[ ] | Participants had significantly lower SBP and a significant increase in the amplitude of high β waves when plants were present than when plants were absent. |
[ ] | Participants without houseplants had significantly higher SBP and heart rate than those with houseplants. |
[ ] | Participants had a significantly greater proportion of significantly decreased pulse rate when the plant was present than when the plant was absent. |
[ ] | Participants had a significant increase in α relative waves in the prefrontal and occipital lobes and in parasympathetic nervous activity when the plant was present than when the plant was absent. |
[ ] | There were significant differences between the two horticultural activities and between the pretest and the posttest. |
[ ] | There were significant differences between the experimental and the control groups in heart rate variability (standard deviation of the NN intervals, root mean square of the successive differences, low frequency, high frequency, and low frequency/high frequency). Within the treatment, male participants’ standard deviation of the NN intervals was significantly different between sowing and transplanting seedlings. |
[ ] | Participants had a significantly lower heart rate after sowing, transplanting seedlings, and potting succulents. Among the four kinds of horticultural activities, sowing yielded the greatest heart rate reduction while herbal flower potting was the worst. |
[ ] | Participants had significantly fewer errors and faster time of task completion when the plants and pictures were present than when they were absent. |
SBP: systolic blood pressure; DBP: diastolic blood pressure; EEG: electroencephalography; EDA: electrodermal activity.
Regarding cognitive functions, when indoor plants were present, participants exhibited higher academic achievement [ 66 , 86 ] and better performance in various cognitive tasks [ 58 , 71 , 75 , 77 , 78 , 84 , 87 , 94 ]. In health-related functions, with exposure to indoor plants, participants less frequently took sick leave [ 54 , 55 , 65 , 67 ], consumed fewer pain killers [ 61 , 63 , 64 ], and had fewer hospitalization days [ 64 ] than participants in environments where indoor plants were absent. In behavioral functions, participants presented greater pain tolerance of putting hands in cold water [ 80 , 85 ] and less misconduct [ 65 ] when indoor plants were in the room than when indoor plants were not in the room.
The data for the meta-analyses included only the participants’ physiological functions (i.e., diastolic blood pressure (DBP), EEG α and β waves) and cognitive functions (i.e., attention, academic achievement, and response time) because at least two studies are needed to conduct the meta-analyses. Given that the number of the records of each of the function categories was small, randomized control trials and non-randomized studies of interventions were included for the meta-analyses. Moreover, various interventions of indoor plants regardless of species, type, quantity, exposure time, and distance to participants were dichotomized as groups with plants and groups without plants.
Three papers examining the influence of indoor plants on DBP, which was measured by sphygmomanometers measured in mmHg, were included for the meta-analysis ( Table 8 ). In total, 248 participants were evenly exposed to conditions either with plants or without plants. Lee et al. [ 82 ] recruited only male adults in South Korea, whereas Hassan et al. [ 60 ] recruited only female older adults with high blood pressure in China. Chen et al. [ 76 ] surveyed male and female elders in Taiwan six times over one year. Both Lee et al. [ 82 ] and Hassan et al. [ 60 ] randomly assigned their participants to different groups, while Chen et al. [ 76 ] did not. All three papers were appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on DBP.
Study | Study Design | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ] | Experiment (RCT) | Moderate | 24 | 71.75 | 0.78 | 24 | 65.26 | 0.69 |
[ ] | Experiment (RCT) | Moderate | 50 | 68.2 | 5.77 | 50 | 67.3 | 9.05 |
[ ] | Survey (non-RCT) | Moderate | 300 | 74.20 | 6.20 | 300 | 70.10 | 6.00 |
The heterogeneity test of the three studies focusing on DBP revealed a significant difference ( p < 0.05) with I 2 = 97.554%, confirming high heterogeneity among the studies. A random-effect model was therefore applied. Given that the standard deviation (SD) of one study was much smaller than that of the other two, SMD, rather than MD, was adopted here. The pooled effect size (SMD) was −2.526 with a 95% confidence interval ranging between −4.142 and −0.909. The results indicated that the group with plants had significantly ( p = 0.002) lower DBP values than the group without plants ( Table 9 ). The relative weight of both the Hassan et al. [ 60 ] and Chen et al. [ 76 ] studies was about 37.00%, and that of Lee et al. [ 82 ] was 25.29% ( Figure 2 ).
Forest plot of studies on the influence of indoor plants on DBP [ 60 , 76 , 82 ].
Heterogeneity test results of studies on the influence of indoor plants on DBP.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 3 | −0.644 | 0.077 | <0.001 | 81.782 | 2 | <0.001 | 97.554 |
Random | 3 | −2.526 | 0.825 | 0.002 |
Three papers examining the influence of indoor plants on EEG α waves, which was measured by brain activity instruments with Hertz as the unit of measurement, were included for the meta-analysis ( Table 10 ). The studies had a total of 200 participants. Among them, 85 were in the control group (without plants) and 115 in the experimental group (with plants). Chang and Chen [ 72 ] recruited college students in Taiwan and Qin et al. [ 81 ] recruited college students in China, whereas Elasdek and Liu [ 56 ] recruited only female office workers in China. Chang and Chen [ 72 ] and Elasdek and Liu [ 56 ] did not randomly assign their participants to different groups, while Qin et al. [ 81 ] did. These three papers were appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on EEG α waves.
Study | Study Design | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ] | Experiment (non-RCT) | Moderate | 38 | 0.130 | 0.210 | 38 | 0.090 | 0.170 |
[ ] | Experiment (RCT) | Moderate | 17 | 0.043 | 0.020 | 17 | 0.112 | 0.027 |
[ ] | Field quasi- experiment (non-RCT) | Moderate | 30 | 0.160 | 0.054 | 60 | 0.210 | 0.054 |
The heterogeneity test of the three studies investigating the influence of indoor plants on EEG α waves revealed a significant difference ( p < 0.05), with I 2 = 94.488%, confirming high heterogeneity among the studies. A random-effect model was therefore adopted. The pooled effect size (MD) was 1.140, and the 95% confidence interval ranged from −0.260 to 2.540. The results indicated that the group with plants had greater EEG α waves than the group without plants, but the difference was nonsignificant ( p = 0.110) ( Table 11 ). The relative weight of both the Chang and Chen [ 72 ] and Elasdek and Liu [ 56 ] studies was about 34.6%, and that of Qin et al. [ 81 ] was 30.72% ( Figure 3 ).
Forest plot of studies on the influence of indoor plants on EEG α waves [ 56 , 72 , 81 ].
Heterogeneity test results of studies on the influence of indoor plants on EEG α waves.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 3 | 0.605 | 0.156 | <0.001 | 36.285 | 2 | <0.001 | 94.488 |
Random | 3 | 1.140 | 0.714 | 0.110 |
Only two papers examining the influence of indoor plants on EEG β waves, which was measured in Hertz by brain activity instruments, were included in this meta-analysis ( Table 12 ). In total, 110 participants were evenly assigned to groups either with plants or without plants. Chang and Chen [ 72 ] recruited college students in Taiwan and Qin et al. [ 81 ] recruited college students in China. Chang and Chen [ 72 ] did not randomly assign their participants to different groups, while Qin et al. [ 81 ] did. Both papers were appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on EEG β waves.
Study | Study Design | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ] | Experiment (non-RCT) | Moderate | 38 | 0.160 | 0.240 | 38 | 0.120 | 0.220 |
[ ] | Experiment (RCT) | Moderate | 17 | 0.051 | 0.046 | 17 | 0.214 | 0.057 |
The heterogeneity test of the two studies investigating the influence of indoor plants on EEG β waves revealed a significant difference ( p < 0.05), with I 2 = 97.133%, confirming high heterogeneity between the studies. A random-effect model was therefore adopted. The pooled effect size (MD) was 1.455, and the 95% confidence interval ranged from −1.799 to 4.709. Though the results indicated that the group with plants had greater EEG β waves than the group without plants, the difference was not significant ( p = 0.381) ( Table 13 ). The relative weight of both the Chang and Chen [ 72 ] and Qin et al. [ 81 ] studies was about equal, at 50.95% and 49.05%, respectively ( Figure 4 ).
Forest plot of studies on the influence of indoor plants on EEG β waves [ 72 , 81 ].
Heterogeneity test results of studies on the influence of indoor plants on EEG β waves.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 2 | 0.381 | 0.210 | 0.069 | 34.885 | 1 | <0.001 | 97.133 |
Random | 2 | 1.455 | 1.660 | 0.381 |
Three papers examining the influence of indoor plants on attention, which was measured by various cognitive tasks with the unit of measurement as performance scores, were included for the meta-analysis ( Table 14 ). In total, 177 participants were randomly assigned to different groups. Because Larsen et al. [ 53 ] divided the participants into two experimental groups (with a high or moderate number of plants) and one control group (without plants), there were 76 participants and 101 participants in the control and experimental groups, respectively. Larsen et al. [ 53 ] recruited participants in the United States, Yin et al. [ 75 ] recruited adults in the United States, and Shibata and Suzuki [ 71 ] recruited college students in Japan. All three papers were appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on attention.
Study | StudyDesign | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ]_1 | Experiment (RCT) | Moderate | 28 | 43.55 | 6.76 | 27 | 40.28 | 6.94 |
[ ]_2 | Experiment (RCT) | Moderate | 28 | 43.55 | 6.76 | 26 | 38.24 | 8.64 |
[ ] | Experiment (RCT) | Moderate | 18 | 64.67 | 20.08 | 18 | 78.77 | 21.89 |
[ ] | Experiment (RCT) | Moderate | 30 | 4.69 | 1.18 | 30 | 5.29 | 1.13 |
The heterogeneity test of the three studies (one with two experimental groups) investigating the influence of indoor plants on attention revealed a significant difference ( p < 0.05), with I 2 = 82.088%, confirming high heterogeneity among the studies. A random-effect model was therefore adopted. The pooled effect size (SMD) was −0.005, and the 95% confidence interval ranged from −0.671 to 0.661. The results indicated that the group with plants had lower attention than the group without plants. The difference, however, was not significant ( p = 0.988) ( Table 15 ). The relative weight of the three studies was relatively similar, ranging from 25.85% to 23.32% ( Figure 5 ).
Forest plot of studies on the influence of indoor plants on attention [ 53 , 71 , 75 ].
Heterogeneity test results of studies on the influence of indoor plants on attention.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 4 | −0.038 | 0.143 | 0.789 | 16.749 | 3 | 0.001 | 82.088 |
Random | 4 | −0.005 | 0.340 | 0.988 |
Only two papers examining the influence of indoor plants on academic achievement, which was measured by course grades and examination scores, were included for the meta-analysis ( Table 16 ). The studies had a total of 119 participants. Among these, 58 were in the control group (without plants) and 61 in the experimental group (with plants). Doxey et al. [ 86 ] recruited sophomores in the United States, who were not randomly assigned to groups. Han and Hung [ 66 ] recruited students from a junior high school in Taiwan, who were randomly assigned to groups. The study of Doxey et al. [ 86 ] was appraised as having low research quality, while that of Han and Hung [ 66 ] was appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on academic achievement.
Study | Study Design | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ] | Field quasi-experiment (non-RCT) | Low | 39 | 2.62 | 0.847 | 44 | 3.14 | 0.795 |
[ ] | Field experiment (RCT) | Moderate | 19 | 0.133 | 0.009 | 17 | 0.154 | 0.098 |
The heterogeneity test of the two studies investigating the influence of indoor plants on academic achievement revealed no significant difference ( p > 0.05), with I 2 = 0%, confirming low heterogeneity between the studies. A fixed-effect model was therefore applied. The pooled effect size (SMD) was 0.534, and the 95% confidence interval ranged from 0.167 to 0.901. The results indicated that the group with plants had significantly higher academic achievement ( p = 0.004) than the group without plants ( Table 17 ). The relative weight of Doxey et al. [ 86 ] was 68.95% and that of Han and Hung [ 66 ] was 31.05% ( Figure 6 ).
Forest plot of studies on the influence of indoor plants on academic achievement [ 66 , 86 ].
Heterogeneity test results of studies on the influence of indoor plants on academic achievement.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 2 | 0.534 | 0.187 | 0.004 | 0.639 | 1 | 0.424 | 0.000 |
Random | 2 | 0.534 | 0.187 | 0.004 |
Three papers examining the influence of indoor plants on response time, which was measured by various tasks with the unit of measurement as seconds or milliseconds, were included for the meta-analysis ( Table 18 ). These studies had a total of 749 participants. Among them, 374 participants were in the control group (without plants) and 375 in the experimental group (with plants). Nieuwenhuis et al. [ 58 ] recruited adult office workers in the United Kingdom, Kim et al. [ 77 ] recruited college students in Hong Kong, and Thatcher et al. [ 94 ] recruited adults in South Africa. Nieuwenhuis et al. [ 58 ] and Thatcher et al. [ 94 ] randomly assigned their participants to different groups, while Kim et al. [ 77 ] did not. All three papers were appraised as having moderate research quality.
Original data of the studies examining the influence of indoor plants on response time.
Study | Study Design | Appraisal Quality | Without Plant | With Plant | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||||
[ ] | Field experiment (RCT) | Moderate | 17 | 20.390 | 5.870 | 16 | 17.390 | 3.850 |
[ ] | Experiment (non-RCT) | Moderate | 317 | 289.900 | 51.115 | 319 | 286.100 | 40.377 |
[ ] | Experiment (RCT) | Moderate | 40 | 1228.000 | 258.720 | 40 | 738.650 | 186.180 |
The heterogeneity test of the three studies investigating the influence of indoor plants on response time revealed a significant difference ( p < 0.05), with I 2 = 96.144%, confirming high heterogeneity among the studies. A random-effect model was therefore adopted. Given that great differences existed between the original data, SMD, rather than MD, was adopted. The pooled effect size (SMD) was −0.939, and the 95% confidence interval ranged from −2.208 to 0.401. The results indicated that the group with plants had less response time than did the group without plants. However, the difference was not significant ( p = 0.170) ( Table 19 ). The relative weight of the three studies was relatively similar, ranging from 34.89% to 32.02% ( Figure 7 ).
Forest plot of studies on the influence of indoor plants on response time [ 58 , 77 , 94 ].
Heterogeneity test results of studies on the influence of indoor plants on response time.
Model | Number of Studies | Pooled Effect Size | Heterogeneity | |||||
---|---|---|---|---|---|---|---|---|
Effect Size | Standard Error | -Value | Q-Value | df (Q) | -Value | I-Squared | ||
Fixed | 3 | −0.252 | 0.075 | 0.001 | 51.872 | 2 | <0.001 | 96.144 |
Random | 3 | −0.939 | 0.684 | 0.170 |
Because at least three records are required for the evaluation of publication bias, only the studies investigating the effects on DBP, EEG α waves, attention, and response time were suitable for testing the risk of bias across records in the meta-analyses. All funnel plots of these studies ( Figure 8 ) revealed a symmetric funnel, confirming the absence of publication bias. Furthermore, the linear Egger’s regressions all indicated no evidence of publication bias ( p > 0.374) ( Table 20 ).
Funnel plots. ( a ) DBP; ( b ) EEG α waves; ( c ) attention; ( d ) response time.
Results of linear Egger’s regressions test.
Egger’s Regression Test | ||
---|---|---|
Effect | Intercept | -Value |
DBP | −5.892 | 0.527 |
EEG α waves | 10.005 | 0.374 |
attention | 7.251 | 0.656 |
response time | −5.679 | 0.424 |
Sensitivity analysis was separately performed on records investigating the effects of indoor plants on physiological functions, including DBP and EEG α waves, and those on cognitive functions, including attention and response time, because at least three records are required. None of the pooled effect sizes changed notably when any of the studies was removed ( Figure 9 ). In summary, none of the pooled effect size values in the forest plots exceeded the 95% confidence interval of overall pooled effect size [ 95 ]. The results of the aforementioned four meta-analyses were therefore not sensitive; i.e., the results were stable and did not lead to a different conclusion if any of the included studies was deleted.
Forest plots of sensitivity analyses. ( a ) DBP [ 60 , 76 , 82 ]; ( b ) EEG α waves [ 56 , 72 , 81 ]; ( c ) attention [ 53 , 71 , 75 ]; ( d ) response time [ 58 , 77 , 94 ].
The 42 records in the present systematic review provide a comprehensive perspective on the topic under investigation. Overall, the review suggests that indoor plants exerted a positive effect on objective functions in participants. Since 90.5% of the records are experiments, the above findings generally support a cause-and-effect relationship [ 49 ]. The findings on such matters, such as improved stress-reduction, increased task performance, and improved health, are in accordance with those of the previous reviews [ 31 , 36 , 40 , 45 ]. These various reviews together provide converging evidence that indoor plants are beneficial to humans, even though some reviews focused on self-reports, some on objective functions, and some did not distinguish subjective or objective responses. These findings, however, contrast with findings of no improvements in performance and productivity [ 41 ] and of no influences of indoor nature on adolescents [ 35 ]. This may be because of the differences in the measured outcomes of performance and/or functions and in the ages of the participants (cf. [ 17 ]). More studies of the effects of indoor plants on people are needed because only three systematic reviews and one meta-analysis are insufficient to draw conclusive evidence. Moreover, there are some overlapping studies between these reviews, which is not uncommon in reviews. This is also because some studies collected data on both self-reported perceptions and objectively measured responses.
The meta-analyses covered only 16 records, consequently providing a more limited perspective than the systematic review. Nevertheless, it should be noted that synthesis findings are likely to be more reliable than those of single studies. Regarding the physiological functions, the meta-analyses further provided evidence synthesis that (1) participants exposed to indoor plants had significantly lower DBP values, which is related to excitement and arousal [ 96 ], than their counterparts exposed to no indoor plants; (2) participants exposed to indoor plants had greater EEG α waves, which is related to relaxation [ 97 ], than their counterparts, though the difference was not significant; and (3) participants exposed to indoor plants had greater EEG β waves, which is related to anxiety [ 69 ] and attention [ 98 ], than their counterparts. This difference was also not significant. It should be noted that whether the EEG wave patterns is a beneficial or an adverse function depends on the context [ 99 ]. Regarding cognitive functions, the meta-analyses further provided evidence synthesis that (1) participants exposed to indoor plants had lower attention than their counterparts, though the difference was not significant; (2) participants exposed to indoor plants had significantly higher academic achievement than their counterparts; and (3) participants exposed to indoor plants responded more quickly than their counterparts, though the difference was not significant.
Given that the pooled effect sizes of the records of DBP, EEG α waves, attention, and response time did not change notably when any record was deleted, the meta-analyses had high stability results; i.e., the removal of no study led to a different conclusion. Furthermore, the perfect homogeneity of the two studies on academic achievement provided reliable meta-analysis results (cf. [ 20 ]), although one of the included studies had low research quality, which was associated with risks of bias. Some of the results of the meta-analyses, however, were inconsistent, regardless of whether they reached significance. These included greater EEG α and β waves, and lower attention but higher academic achievement and quicker responses when exposed to indoor plants. Since there are three kinds of attention—working memory, cognitive flexibility, and attentional control—researchers should reach a consensus on which task to use to measure attention in order to have a more reliable evidence synthesis [ 19 , 20 ]. More studies of these subjects are needed.
The evidence synthesis of the relaxed physiology, as indicated by significantly lower DBP values when the participants were exposed to indoor plants than their counterparts, provided partial support to the SRT, which proposes that natural environment is helpful for recovery from stress [ 3 ], while that of the enhanced cognition, as indicated by significantly higher academic achievement when the participants exposed to indoor plants than their counterparts, provided partial support to the ART, which claims that the natural environment is beneficial to the restoration of directed attention [ 7 ]. Although different cultures may influence people’s perceptions of plants and even their functions in relation to plants (cf. [ 3 ]), there appears to be no research on these issues. Nevertheless, the evidence synthesis regarding human functions of this study seems not to be influenced by cultures. The evidence synthesis of relaxed physiology comes from the studies recruiting participants in the South Korea [ 82 ], China [ 60 ], and Taiwan [ 76 ]. Although these three studies had a significant heterogeneity (I 2 = 97.554%), the removal of any study did not change the results. Moreover, the evidence synthesis of enhanced cognition comes from the studies recruiting participants in the US [ 86 ] and Taiwan [ 66 ] but had a perfect homogeneity (I 2 = 0%). Nevertheless, more studies are needed to explore the influences of different cultures on peoples’ perceptions and functions with respect to plants.
As mentioned in the previous section concerning the risk of bias within studies, the records suffered, in general, five major risks of bias. First, noncompliance with an ITT analysis might result in unduly liberal estimate of the treatment effect [ 100 ]. Second, results obtained from unrepresentative participants might prevent observed effects from being generalizable to a larger population [ 49 ], but generalizability is improved more by many heterogeneous small experiments than by only a few large experiments [ 50 ]. Third, when outcome assessors were aware of participant allocation, outcomes might be assessed differently [ 101 ]. Fourth, statistical power not being reported might increase Type II errors: the acceptance of a null hypothesis that is actually false [ 102 ]. Fifth, the lack of appropriate randomization procedures and random allocation to groups might introduce bias [ 103 ].
Moreover, the records on the physiological and cognitive functions for the meta-analyses were susceptible to other risks of bias. Inclusion and/or exclusion criteria of participants not being reported [ 53 , 58 , 66 , 71 , 77 , 86 , 94 ] might miss the target population and/or might bias the research results [ 104 ]. Baseline measures not taken before the intervention [ 58 , 72 , 76 , 81 , 86 , 94 ] lacked a point of reference to gauge how effective the intervention is [ 49 ]. Inappropriate statistical analysis methods for study design, such as repeated-measures or within-subjects design not using repeated-measures or dependent-sample analyses [ 72 , 81 ], led to incorrect results. Not blinding participants to research questions [ 82 ] might affect their responses [ 105 ]. Lack of individual level allocation [ 58 , 81 , 86 ], in which each participant did not have an equal opportunity of being assigned to groups, might result in incomparable groups before intervention [ 50 ]. Inconsistency of intervention (within and between groups) was an issue in several studies as the intervention included more than one treatment [ 53 , 56 , 58 , 66 , 71 , 72 , 77 , 81 , 94 ], such as various plant colors.
Some studies found gender differences regarding physiological mobilization [ 57 , 62 , 69 , 83 ] and cognitive functions [ 70 , 71 ]. Such findings suggest that taking gender into consideration when investigating the effects of indoor plants is important, since males and females may have differing physiological and psychological responses (cf. [ 24 ]). Some of the records also showed different effects of plants with flowers and without flowers on physiology [ 57 , 69 , 83 ] and behavior [ 85 ]. Taking flowers and their colors and even leaf colors into account, therefore, when examining the effects of indoor plants is necessary. Moreover, most of the studies investigated the effect of only single exposure to indoor plants. Although a few studies examined the long-term effects [ 57 , 65 , 66 , 67 , 76 , 86 ], they did not scrutinize the specific effect of exposure time and/or frequency, nor did they include studies considering the influence of distance between plant and participant.
Only journal articles were included in the review and meta-analyses, whereas grey literature was excluded. Therefore, some publication bias may have been involved [ 43 ]. There was a chance of positive [ 86 ] and/or small [ 75 , 81 , 82 ] studies being overrepresented, thus biasing the evidence synthesis. In general, studies with negative findings are less published than positive findings [ 106 ], which may give a distorted image of what is really known about a subject [ 107 , 108 ]. However, the results of DBP, EEG α waves, attention, and response time all indicated no evidence of publication bias. Furthermore, only a few records were included for the meta-analyses. Though conducting a meta-analysis with two or three studies is acceptable, it is not ideal. Since some of the 42 papers were published a long time ago, their authors could not locate the original data on means and standard deviations. Some authors could not even be reached. Additionally, five of the six meta-analyses had a very high heterogeneity (I 2 > 82%), which is associated with low reliability results [ 109 ]. This may be because of the diversity in the recruited participants, applied interventions, measured outcomes, and adopted study designs (cf. [ 109 ]). Additionally, because there were only two or three records for each of the meta-analyses, subgroup analyses, meta-regression analyses, moderating factors (gender, plant quantity, exposure duration, distance to plants, room climate, and room size), and further analyses for the risk of bias could not be conducted. Nevertheless, the results of DBP, EEG α waves, attention, and response time showed no publication bias. Moreover, because of the lack of original data on means and standard deviations or the insufficient number of studies, a meta-analysis on the effects of indoor plants on objective functions in behavior (e.g., pain tolerance and misconduct), health (sick leave, pain killer consumption, and hospitalizations), physiology (EDA, heart rate, respiration rate, and body temperature), and cognition (productivity and reaction) could not be performed. Finally, the studies included for the systematic review and those for the meta-analyses, in general, had moderate research quality (45.3% for those in the review, and 48.0% for those in the meta-analyses; [ 19 ]). Thus, high-quality research was lacking ( Table 5 and Table 6 ).
Future studies should recruit more people living in the equatorial area and the Global South in general and Africans in specific, preferably not college students ( Table 2 ). Background information of the participants, such as gender, age, occupation, ethnicity, health status, and number before, during, and after the research, should be provided. Study designs should use more field experiments conducted in real-world indoor environments rather than laboratories in order to improve ecological validity and still maintain sound internal validity [ 50 ]. More high-quality research is required, such as research involving experiments that follow the Consolidated Standards of Reporting Trials (CONSORT; [ 110 ]), nonrandom experiments that follow the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND; [ 111 ]), and, in general, the Publication Manual of the American Psychological Association [ 112 ].
Given that indoor plants are the intervention itself, indoor plants are associated with the construct validity of the research [ 31 ] in which plant quantity, plant–participant distance, exposure time, and exposure frequency all affect the dose–response relationship (cf. [ 113 , 114 , 115 ]). Accordingly, we suggest that future studies adopt standardized measurements of the plant quantity, such as the volume percentage of the plants in an indoor environment or the visible greenness rate. The volume percentage of the plants has been used in the included studies [ 53 , 67 ], while the visible greenness rate has also been used in previous studies [ 38 ]. The visible greenness rate concerns the percentage of the plants seen by human eyes, which is an objective measurement of plants in a three-dimensional space in the field of vision [ 116 ]. Consideration of plant quantity, exposure time, frequency, and distance may assist researchers to examine rigorously how exposure to indoor plants in terms of one event or short-term period or multiple events or long-term periods affects the objective functions of individuals by means of a dose–response or exposure–outcome relationship.
In addition to the dose of and/or exposure to the indoor plants, gender difference, flower colors, flower shapes, plant colors, plant shapes [ 57 , 62 , 69 , 70 , 71 , 83 , 85 , 88 , 89 ], and cultural influences should also be considered. Furthermore, the physiology of plants, including such factors as their roots and microorganisms [ 117 , 118 ], photosynthesis, adsorption, respiration, and evapotranspiration, which are helpful for air quality and microclimate [ 40 , 47 , 119 ], may need to be considered. Similarly, researchers should also report more detailed data on room climate, room size, light condition ( Table 3 and Table 4 ), and seasonal condition, because air quality, temperature, relative humidity, light, and season also affect human comfort, performance, and health [ 120 ]. The mechanisms of and/or pathways to the effects of indoor plants on human functions also await exploration. Furthermore, indoor plants are mostly studied for their individual performances rather than as a combination. The research into the effect of plants usually focuses on the effects of single plants of different species in different conditions. Attention should further be placed on species that can cohabitate together, thus compensating each other’s needs and recreating the basic forms of symbiosis [ 121 ].
Finally, if the number of studies remains inadequate during future analyses, various aspects of human functions may be integrated into physiology (with respect to the sympathetic nervous system or parasympathetic nervous system), cognition (regarding participants’ reaction time and accuracy rate), health (in terms of illness and recovery), and behavior (either positive or negative). In that manner, the standardized mean differences (SMDs) of the function data could be adopted to conduct more rigorous meta-analyses, subgroup analyses, meta-regression analyses, and moderating factors. In contrast to self-reported measures, objective outcome measures lead to fewer reliability and validity concerns (cf. [ 122 ]) and risk of bias [ 123 ]. Nevertheless, compare and contrast of self-reported measures and objective outcome measures can provide interesting results and can be an advantage of such endeavor (c.f. [ 124 , 125 , 126 ]).
The systematic review of 42 records showed that indoor plants affect participants’ objective functions positively, particularly in terms of relaxed physiology and improved cognition. The meta-analyses further provided the evidence synthesis that indoor plants could significantly benefit participants’ SBP and academic achievement, which supported the SRT and ART. The records for the abovementioned meta-analyses, however, were limited, at only three studies for the SBP and two studies for the academic achievement. The evidence synthesis should be interpreted with caution. In brief, the systematic review concluded that, in general, people have better functions with the presence of indoor plants than the absence of indoor plants, and the meta-analyses concluded that, in specific, people have significantly lower SBP and significantly greater academic achievement when indoor plants are present than when indoor plants are not present, though with limited evidence synthesis. Since this study was the first meta-analyses of the effects of indoor plants on people’s functions, however, the findings may help the general public, environmental designers, and planners and policy makers to conduct appropriate assessments and to implement measures to improve psycho-physiological health and productivity (i.e., relaxed physiology and enhanced cognition) of habitants. The estimated productivity decrease caused by sick building syndrome, which is “a medical condition in which people in a building suffer from symptoms of illness or feeling unwell for no apparent reason” [ 127 ], in American office workers, for example, was 2%, for an annual cost of roughly 60 billion USD [ 128 ]. Furthermore, poor indoor air quality decreases workplace productivity by 10–15% [ 129 ]. The integration of plants as a building service is viable. A combination of indoor plants and ventilation technology provides enhanced efficiency and effectiveness of air purification [ 130 , 131 ]. Not only are green spaces needed in cities, but also plants are needed in buildings for people’s health and well-being. For the sake of people’s effective daily functions, indoor plants should be among the important elements of the healthy city, particularly in terms of their easy applicability and accessibility.
The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/ijerph19127454/s1 , Table S1: The full search strings; Table S2: Full-text excluded, with reason for exclusion.
This research was funded by the Ministry of Science and Technology, grant number MOST 107-2410-H-167-008-MY2.
Conceptualization, K.-T.H.; methodology, K.-T.H.; validation, K.-T.H.; formal analysis, K.-T.H. and L.-W.R.; investigation, K.-T.H. and L.-W.R.; resources, K.-T.H.; data curation, K.-T.H., L.-W.R. and L.-S.L.; writing—original draft preparation, K.-T.H.; writing—review and editing, K.-T.H.; visualization, L.-W.R. and L.-S.L.; supervision, K.-T.H.; project administration, K.-T.H.; funding acquisition, K.-T.H. All authors have read and agreed to the published version of the manuscript.
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The authors declare no conflict of interest.
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Part of the book series: Methods in Molecular Biology ((MIMB,volume 2222))
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Taxonomy is the science that explores, describes, names, and classifies all organisms. In this introductory chapter, we highlight the major historical steps in the elaboration of this science, which provides baseline data for all fields of biology and plays a vital role for society but is also an independent, complex, and sound hypothesis-driven scientific discipline.
In a first part, we underline that plant taxonomy is one of the earliest scientific disciplines that emerged thousands of years ago, even before the important contributions of the Greeks and Romans (e.g., Theophrastus, Pliny the Elder, and Dioscorides). In the fifteenth–sixteenth centuries, plant taxonomy benefited from the Great Navigations, the invention of the printing press, the creation of botanic gardens, and the use of the drying technique to preserve plant specimens. In parallel with the growing body of morpho-anatomical data, subsequent major steps in the history of plant taxonomy include the emergence of the concept of natural classification , the adoption of the binomial naming system (with the major role of Linnaeus) and other universal rules for the naming of plants, the formulation of the principle of subordination of characters, and the advent of the evolutionary thought. More recently, the cladistic theory (initiated by Hennig) and the rapid advances in DNA technologies allowed to infer phylogenies and to propose true natural, genealogy-based classifications.
In a second part, we put the emphasis on the challenges that plant taxonomy faces nowadays. The still very incomplete taxonomic knowledge of the worldwide flora (the so-called taxonomic impediment) is seriously hampering conservation efforts that are especially crucial as biodiversity has entered its sixth extinction crisis. It appears mainly due to insufficient funding, lack of taxonomic expertise, and lack of communication and coordination. We then review recent initiatives to overcome these limitations and to anticipate how taxonomy should and could evolve. In particular, the use of molecular data has been era-splitting for taxonomy and may allow an accelerated pace of species discovery. We examine both strengths and limitations of such techniques in comparison to morphology-based investigations, we give broad recommendations on the use of molecular tools for plant taxonomy, and we highlight the need for an integrative taxonomy based on evidence from multiple sources.
Taxonomy can justly be called the pioneering exploration of life on a little known planet. —Wilson (2004). The goal of discovering, describing, and classifying the species of our planet assuredly qualifies as big science . —Wheeler et al. (2004).
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Authors and affiliations.
Institut de Systématique, Evolution, Biodiversité (ISYEB), Muséum national d’Histoire naturelle, Sorbonne Université, Ecole Pratique des Hautes Etudes, Université des Antilles, CNRS, Paris, France
Germinal Rouhan & Myriam Gaudeul
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Correspondence to Germinal Rouhan .
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UMR PVBMT, Universite de la Reunion, St Pierre, Réunion, France
Pascale Besse
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© 2021 Springer Science+Business Media, LLC, part of Springer Nature
Rouhan, G., Gaudeul, M. (2021). Plant Taxonomy: A Historical Perspective, Current Challenges, and Perspectives. In: Besse, P. (eds) Molecular Plant Taxonomy. Methods in Molecular Biology, vol 2222. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0997-2_1
DOI : https://doi.org/10.1007/978-1-0716-0997-2_1
Published : 11 December 2020
Publisher Name : Humana, New York, NY
Print ISBN : 978-1-0716-0996-5
Online ISBN : 978-1-0716-0997-2
eBook Packages : Springer Protocols
Policies and ethics
Tom Michaels, Saint Paul, MN
Emily Hoover, Saint Paul, MN
Laura Irish, Saint Paul, MN
Copyright Year: 2022
ISBN 13: 9781946135872
Publisher: University of Minnesota Libraries Publishing
Language: English
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Learn more about reviews.
Reviewed by Paula Mejia Velasquez, Adjunct Professor, Leeward Community College on 12/8/22
This book is a great resource for an introductory-level class on Horticulture or botany, covering most of the topics usually addressed in a class at the undergrad level. Some topics are explained in more detail than others, but all the topics... read more
Comprehensiveness rating: 4 see less
This book is a great resource for an introductory-level class on Horticulture or botany, covering most of the topics usually addressed in a class at the undergrad level. Some topics are explained in more detail than others, but all the topics presented in the book are well explained. An important topic that is not included in the book is ecology, explaining different ways that plants interact with other organisms (e.g. animals, plants, fungi).
Content Accuracy rating: 5
The content of the book appears accurate, and the topics are presented in a neutral, not biased way.
Relevance/Longevity rating: 5
The topics covered in the book are relevant for an introductory plant science class at an undergrad level. In terms of longevity, most of the material should still be relevant in the long term, but other topics, like taxonomy, would probably need to be updated every so often.
Clarity rating: 5
The book is easy to follow and read, at a level that is accessible and understandable for undergrad students. A list of terms or glossary is included in each chapter and at the end of the book, this helps students that need more explanation on a term.
Consistency rating: 5
The book is consistent from beginning to end, presenting a similar writing style and format.
Modularity rating: 5
The organization of the chapters and the subunits is clear and consistent. Individual chapters or subunits can be found easily on the chapter outline, making it easy to alter the order of the book content based on teaching preferences.
Organization/Structure/Flow rating: 2
Each chapter consists of a brief introduction, learning objectives, the topic per se, and a glossary. This structure is similar to most textbooks and I think it works great. However, I had a hard time with the order that the topics are presented in this book. In my opinion, the organization of the chapters could follow a different order to improve the flow of the book. There are several concepts/topics in the book that are grouped with concepts/topics that do not seem to be closely related, and that maybe would fit better under other more related chapters. For example, flower morphology is grouped in a chapter with meristems, plant taxonomy is grouped with seed germination, and plant growth is grouped with inflorescences. It would probably make more sense to group flower morphology with inflorescences, and meristems with plant growth. In a specific example, seed germination is presented in Chapter 2 as section 2.2, but a more comprehensive chapter on seeds is included in Chapter 9. I think the seed germination section would be a better fit for Chapter 9, and leave Chapter 2 as a taxonomic chapter.
Interface rating: 4
The textbook is available in different formats, including pdf, word, xml, ebook, and online. I explored the online and pdf versions and found them easy to navigate. The online version includes short videos that expand on some topics, as well as embedded h5p interactive activities to test comprehension and increase student engagement. The pdf version on the other hand does not have the videos or interactive activities embedded, instead, it provides links to them. However, some of the links provided do not work (e.g. links on pages 12 -13). I would recommend using the online version of the book.
Grammatical Errors rating: 5
The text contains no significant amount of grammatical errors.
Cultural Relevance rating: 5
I did not find the book to be culturally insensitive or offensive. It is mainly focused on plants found in northern temperate areas. Including some tropical examples could make this book more attractive to a wider audience.
This book does a great job of covering and explaining basic plant and horticultural science concepts that are typically included in an introductory-level botany or horticulture class. I really liked that it includes videos, a glossary, interactive activities (i.e. h5p), and other supplementary materials (i.e. review questions and Quizlet flashcards), as I think they are great tools to complement the content of the book and engage students. The book is easy to read, each chapter includes specific learning outcomes, a chapter outline, a summary, and review questions. I disagree with the order the topics are presented, but each instructor could easily address this by assigning the chapters in a different order.
Chapter 1: Plants in our Lives
1.1 What is horticulture?
1.2 Science and Experimentation
1.3 Plant Parts we Eat
Chapter 1: Terms
Chapter 2: Taxonomy and Seed Germination
2.1 Plant Taxonomy
2.2 Introduction to Seed Germination
Chapter 2: Terms
Chapter 3: How Plants Grow, Part 1
Chapter 3: Terms
Chapter 4: How Plants Grow, Part 2
4.1 Growth Patterns and Inflorescences
4.2 Plant Hormones
Chapter 4: Terms
Chapter 5: Inside Plants
5.1 Inside Leaves
5.2 Inside Stems
5.3 Inside Roots
Chapter 5: Terms
Chapter 6: Cells, Tissues, and Woody Growth
6.1 Plant Cells and Tissues
6.2 Woody Growth
Chapter 6: Terms
Chapter 7: Meristems and Flowers
7.1 Meristem Morphology
7.2 Flower Morphology
Chapter 7: Terms
Chapter 8: Fruit
8.1 Fruit Morphology
Chapter 8: Terms
Chapter 9: Seeds
9.1 Seed Morphology
9.2 Seed Physiology
Chapter 9: Terms
Chapter 10: Grafting
10.1 Grafts and Wounds
10.2 Unique Storage Organs
Chapter 10: Terms
Chapter 11: Water and Light
11.1 Plants and Water
11.2 Light and Photosynthesis
Chapter 11: Terms
Chapter 12: Soils, Fertility, and Plant Growth
12.1 Soils, Fertility, and Plant Growth
Chapter 12: Terms
Chapter 13: Sexual Reproduction
13.2 Mitosis
13.3 Meiosis
Chapter 13: Terms
Chapter 14: Variation and Plant Breeding
14.1 Gametogenesis
14.2 Inheritance of Big Differences
14.3 Linkage and Inheritance of Small Differences
14.4 Plant Breeding
Chapter 14: Terms
Chapter 15: Invasive plants and GMOs
15.1 Invasive plants
Chapter 15: Terms
Glossary of Terms
About the book.
An approachable guide to the fundamentals of plant science. Created for horticulture students, gardeners, science teachers, and anyone interested in understanding plants and how they grow. This is the required text for HORT 1001/6001 Plant Propagation at the University of Minnesota Department of Horticultural Science.
Dr. Michaels enjoys investigating phenotypic variations among plants, determining whether they have a genetic basis, and using them to select for improved cultivars. His current work focuses on dry edible beans, industrial hemp, sweet sorghum, and lettuce for organic and small farm production systems. He is passionate about developing and delivering effective undergraduate learning experiences for his students in face-to-face and online formats.
Dr. Hoover’s research examines production methodologies for producing fruit crops with sustainable methods, emphasizing practices that are gentle on the environment. She and her colleagues have developed systems for minimizing weed pressure in June- bearing strawberries and for producing day-neutral strawberries in cold climates. She is also part of the international research group NC140 , which studies the winter hardiness of apple rootstocks. She was appointed Head of the Department of Horticultural Science at the University of Minnesota (UMN) in 2009, and leads a diverse group of faculty and staff who work to produce knowledge on a wide range of plant species, including traditional horticultural plants, fruits, vegetables, and flowers
Ms. Irish received her BS in Horticulture, with an emphasis in public horticulture, in 2015. She went directly into her master’s program, working on a collaboration between the Iowa SNAP-Ed and Master Gardener programs that involved working with master gardeners on food security projects across the state. As both an undergrad and a graduate student she served as a teaching assistant for the introductory horticulture course labs, the hands-on horticulture lab, and the upper-level plant propagation course. She teaches the plant propagation labs at UMN and advises the Horticulture Club.
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