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April 18, 2026npj Urban Sustainability0 citationsOpen Access

Everyday movement through nature linked to nighttime cardiac regulation

KSKarl SamuelssonMGMatteo GiustiDHDavid M. Hallman

Key Points

  • This research aims to understand how daily nature exposure influences nighttime cardiac regulation through heart rate metrics.
  • Analyzed GPS and heart rate data from 45 individuals over 10 months.

Structured PICO

Does daily active movement in nature improve nighttime resting heart rate and heart rate variability in healthy individuals?

P
Population
45 individuals (18 males, 27 females) in Gävle, Sweden, aged 15-79 years (mean age 47.5), without dementia or cardiovascular disease, and no mobility limitations.
I
Intervention
Daily variation in nature exposure, active and passive movement, and stationary time or active movement in nature vs. non-natural environments, measured via GPS and smartwatch over 10 months.
C
Comparator
Within-person comparison (days with more-than-usual vs. less-than-usual exposure).
O
Outcome
Nighttime (01:00-04:00) resting heart rate (RHR) and heart rate variability (SDNN and RMSSD).surrogate

Active movement in nature is associated with improved nighttime cardiac autonomic regulation, particularly in females, suggesting potential stress-recovery benefits.

Limitations

  • Small sample size, particularly for males
  • Income imbalance between sexes
  • Data quality challenges inherent in smartphone-based exposure assessment
  • Uncertainty about the timing of exposure

Abstract

Abstract Amid escalating chronic stress in urbanising societies, understanding nature’s role in recovery from stress is critical. Here, we relate daily variation in nature exposure to nighttime activation of the autonomic nervous system, a key stress regulatory system, using 10 months of Global Position Systems and heart rate data from 45 individuals in Gävle, Sweden (3224 person-days). We examined within-person associations of (1) time in nature, (2) active and passive movement, and (3) stationary time or active movement in nature vs. non-natural environments with resting heart rate (RHR) and heart rate variability (HRV), and their moderation by sex. We further explored cumulative exposure associations over different timescales (day, week, and month). Active movement in nature was associated with lower-than-usual RHR and higher-than-usual HRV in the full sample and in females (but not males). We provide within-person real-world evidence that active movement in nature may support nighttime cardiac regulation, which may be beneficial for health.

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Cite This Study

Samuelsson et al. (2026) studied this question.

synapsesocial.com/papers/69e3201440886becb653f221https://doi.org/10.1038/s42949-026-00387-0
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