Nature prescription for patients with chronic respiratory diseases

Nature prescription is a relatively new clinical approach consisting of recommendations of exposure to natural environments as a complementary intervention to support health. Especially in the treatment of asthma and chronic obstructive pulmonary disease (COPD), increased connection to wider nature appears useful. Nature prescription integrates green space practices such as outdoor walks, other low-grade exercise, contemplation, and mindfulness. We have prepared a scoping review of the relevant literature on nature prescription for patients with chronic respiratory diseases, considering population studies but also clinical experience. The results indicate that regular exposure to green space contributes to increased physical activity, reduced stress and anxiety, improved lung function, reduced need for rescue medication, and better adherence to treatment. A protocol is also proposed to evaluate these outcomes. We conclude that integrating the use of green space and natural outdoor elements into multidisciplinary care represents an accessible, safe enough, and potentially effective strategy to promote respiratory health.