Evidence map›Paper›PMID 33070170›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2021

Horticultural Therapy Reduces Biomarkers of Immunosenescence and Inflammaging in Community-Dwelling Older Adults: A Feasibility Pilot Randomized Controlled Trial.

Glenn Choon Lim Wong, Ted Kheng Siang Ng, Jia Le Lee, Pei Yi Lim, Sean Kai Jie Chua, Crystal Tan, Michelle Chua, Janice Tan, Samantha Lee, Angelia Sia and 5 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  8. Chronic Kidney Disease and Cellular Senescence.International journal of molecular sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Glenn Choon Lim WongSingapore Immunology Network, Agency for Science, Technology and Research.
Ted Kheng Siang NgDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
Jia Le LeeSingapore Immunology Network, Agency for Science, Technology and Research.
Pei Yi LimDepartment of Biological Sciences, Singapore Polytechnic.
Sean Kai Jie ChuaDepartment of Biological Sciences, Singapore Polytechnic.
Crystal TanSingapore Immunology Network, Agency for Science, Technology and Research.
Michelle ChuaSingapore Immunology Network, Agency for Science, Technology and Research.
Janice TanSingapore Immunology Network, Agency for Science, Technology and Research.
Samantha LeeDepartment of Biological Sciences, Singapore Polytechnic.
Angelia SiaCentre for Urban Greenery and Ecology Research, National Parks Board, Singapore.
Maxel K W NgHorticulture & Community Gardening Division, National Parks Board, Singapore.
Rathi MahendranDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
Ee Heok KuaDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
Roger C M HoDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
Anis LarbiSingapore Immunology Network, Agency for Science, Technology and Research.
Agency for Science, Technology and Research · SGNational University of Singapore · SGSingapore Polytechnic · SGNational Parks Board · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the challenges that aging populations pose to health care, interventions that facilitate alleviation of age-related morbidities are imperative. A prominent risk factor for developing age-related morbidities is immunosenescence, characterized by increased chronic low-grade inflammation, resulting in T-cell exhaustion and senescence. Contact with nature and associated physical activities have been shown to boost immunity in older adults and may be promoted in the form of horticultural therapy (HT). We aimed to examine the effects of HT on immunosenescence.

methodWe conducted a randomized controlled trial with 59 older adults assigned to either the HT intervention or waitlist control group. Older adults in the HT intervention group underwent HT intervention program over 6 months. Venous blood was drawn at baseline and at the third and sixth month from the commencement of this study. For participants who attended all 3 blood collection time points (HT: n = 22; waitlist: n = 24), flow cytometry analysis was performed on whole blood samples to evaluate the kinetics of lymphocyte subsets over the intervention period, revealing the composition of CD4+ and CD8+ subsets expressing exhaustion markers-CD57, CTLA4, and KLRG1. Enzyme-linked immunosorbent assays were employed to measure changes in plasma IL-6 levels.

resultsHT is associated with increased numbers of naive CD8+ T cells and fewer CTLA4-expressing terminally differentiated effector CD4+ and CD8+ memory T cells re-expressing CD45RA (TEMRA). Furthermore, IL-6 levels were reduced during HT, and the frequencies of naive and TEMRA CD8+ T cells were found to be associated with IL-6 levels.

conclusionHT is associated with a reduction in the levels of biomarkers that measure the extent of T-cell exhaustion and inflammaging in older adults. The positive effects of HT on T-cell exhaustion were associated with the reduction of IL-6 levels.

Indexed as

Horticultural TherapyImmunosenescenceAgedAged, 80 and overAgingBiomarkersCTLA-4 AntigenCytokinesFeasibility StudiesFemaleHumansImmunologic MemoryIndependent LivingInflammation MediatorsInterleukin-6MaleBiomarkersCTLA-4 AntigenCTLA4 protein, humanCytokinesIL6 protein, humanInflammation MediatorsInterleukin-6CTLA4GeroscienceIL-6ImmunosenescenceInflammaging

Identifiers

PMID33070170
PMCPMC7812436
OpenAlexW3093445082

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.