Playing through the greenery and litter of a mini forest's undergrowth for just one month may be enough to change a child's immune system, according to an experiment in Finland.

When daycare workers rolled out a lawn, planted forest undergrowth (such as dwarf heather and blueberries), and allowed children to care for crops in planter boxes, the diversity of microbes in the guts and on the skin of the young kids appeared healthier in a very short space of time.

Compared to other city kids who play in standard urban daycares with yards of pavement, tile, and gravel, 3-, 4-, and 5-year-olds at these greened-up daycare centers in Finland showed increased T-cells and other important immune markers in their blood within 28 days.

"We also found that the intestinal microbiota of children who received greenery was similar to the intestinal microbiota of children visiting the forest every day," explained environmental scientist Marja Roslund from the University of Helsinki in 2020, when the research was published.

paivakodin pihatOne daycare before (left) and after introducing grass and planters (right). (University of Helsinki)

Prior research has shown early exposure to green space is somehow linked to a well-functioning immune system, but it's still not entirely clear whether that relationship is causal or not.

The experiment in Finland was the first to explicitly manipulate a child's urban environment and then test for changes in their microbiome and, in turn, a child's immune system.

While the findings don't hold all the answers, they do support a leading idea – namely that a change in environmental microbes can relatively easily affect a well-established microbiome in children, giving their immune system a helping hand in the process.

The notion that an environment rich in living things impacts on our immunity is known as the 'biodiversity hypothesis'. Based on that hypothesis, a loss of biodiversity in urban areas could be at least partially responsible for the recent rise in immune-related illnesses.

"The results of this study support the biodiversity hypothesis and the concept that low biodiversity in the modern living environment may lead to an un-educated immune system and consequently increase the prevalence of immune-mediated diseases," the authors explained in the 2020 study.

The study compared the environmental microbes found in the yards of 10 different urban daycares, looking after a total of 75 kids between the ages of three and five.

Some of these daycares contained standard urban yards with concrete and gravel, while others took kids out for daily nature time, and four had their yards updated with grass and forest undergrowth.

Over the proceeding 28 days, kids in these last four daycares were given time to play in their new backyard five times a week.

When researchers tested the microbiota of their skin and gut before and after the trial, they found improved results compared to the first group of kids that played in daycares with less greenery for the same amount of time.

Even in that short duration of the study, researchers found microbes on the skin and guts of children who regularly played in green spaces had increased in diversity – a feature which is tied to an overall healthier immune system.

Their results largely matched the second group of kids at daycares who had outings for daily nature time.

Among kids who got outside – playing in the dirt, the grass, and among the trees – an increase in a microbe called gammaproteobacteria appeared to boost the skin's immune defense, as well as increase helpful immune secretions in the blood and reduce the content of interleukin-17A, which is connected to immune-transmitted diseases.

"This supports the assumption that contact with nature prevents disorders in the immune system, such as autoimmune diseases and allergies," said Sinkkonen.

The results aren't fully conclusive of the causal effects of nature on children, and they will need to be verified among larger studies around the world. Still, the benefits of green spaces appear to go beyond our immune systems.

Research shows getting outside is also good for a child's eyesight, and being in nature as a kid is linked to better mental health. Some recent studies have even shown green spaces are linked to structural changes in the brains of children.

What's driving these incredible results is not yet clear. It could be linked to changes to the immune system, or something about breathing healthy air, soaking in the sun, exercising more, or having greater peace of mind.

Given the complexities of the real world, it's really hard to control for all the environmental factors that impact our health in studies.

While rural children tend to have fewer cases of asthma and allergies, the available literature on the link between green spaces and these immune disorders is inconsistent.

The research here had a small sample size, only found a correlation, and can't account for what children were doing outside daycare hours, but the positive changes seen were enough for scientists in Finland to offer some advice.

"It would be best if children could play in puddles and everyone could dig organic soil," explained environmental ecologist Aki Sinkkonen, also from the University of Helsinki.

"We could take our children out to nature five times a week to have an impact on microbes."

The changes are simple, the harms low, and the potential benefits widespread.

Bonding with nature as a kid is also good for the future of our planet's ecosystems. Studies show kids who spend time outdoors are more likely to want to become environmentalists as adults, and in a rapidly changing world, that's more important than ever.

Just make sure everyone's up to date on their tetanus vaccinations, Sinkkonen said.

The study was published in Science Advances.

An earlier version of this article was published in October 2020.