TIME FOR YOUR VITAMIN 'N': Ten great ways pediatricians and other health professionals can promote health and wellness

About the Author

Richard Louv is Co-Founder and Chairman Emeritus of the Children & Nature Network, an organization supporting the international movement to connect children, their families and their communities to the natural world. He is the author of ten books, including "Last Child in the Woods: Saving Our Children from Nature-Deficit Disorder," "The Nature Principle," and "Vitamin N." His newest book is "Our Wild Calling: How Connecting to Animals Can Transform Our Lives — and Save Theirs." In 2008, he was awarded the Audubon Medal. He speaks frequently around the country and internationally.

Time spent in nature isn’t a panacea, but as therapy and prevention, it’s gaining respect among health professionals.

“Connecting with nature has always been an important part of my life and now I encourage my patients to do the same,” says Stephen Pont, M.D., chair of the American Academy of Pediatrics (AAP) Section on Obesity.

“Now, for my patients I look for any way to help them adopt healthier habits, and that often is by finding a non-traditional, stealth-health approach,” he adds. “Getting kids excited about nature is a natural fit. And the more nature experiences they have the more healthy habits they adopt.”

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Mary Brown, M.D., a past member of the AAP board of directors, concurs: “Vitamin ‘N’ (the health benefits of time spent in nature) should find its place in the list of Essential Vitamins! If we stress a connection to the natural environment … we can lessen the lifelong effects of a stressful childhood including depression, obesity, behavior problems, drug use and risk-taking behavior.”

Why the growing interest in the mind-body-nature connection?

Lawrence Rosen, M.D., a founding member and past chair of the American Academy of Pediatrics Section on Integrative Medicine, says part of the reason is the “mounting number of research studies [that] highlight the positive impact of free outdoor play on children’s emotional and physical health.”

It also makes common sense.

Here are 10 ways that pediatricians and other health and wellness professionals can encourage the nature connection:

1. Learn more about the research on the restorative power of nature, and promote additional, needed research. Within the health care and wellness community, growing interest in the benefits of nature for children and adults is based on a growing body of scientific research (though more is needed), and alarm about what some medical experts call the pandemic of inactivity.

2. Prescribe nature. Recommend green exercise in nearby nature to your patients and their families. Use one of several nature-prescription pads supplied by different organizations, including C&NN. (Note: some health providers prefer the word “recommend” to “prescribe.”) Attend one of the Nature Champion training sessions offered by the National Environmental Education Foundation (NEEF). See C&NN’s suggested prescription form below.

3. Educate parents and kids. In your office, offer brochures and display posters about the health benefits of outdoor play in nature. Provide information on where parents, grandparents and other caregivers can get outdoors. NEEF offers reproducible brochures for your office and other useful resources and information.

4. Go a step further. On their first visit, send families home with a picnic or gardening basket or daypack filled with a guide to local trails, maps, a compass, a magnifying lens, a trowel. Enlist local outdoor gear shops and bookstores to donate the gear and reap the praise. (Send out a press release; this would be a good story for a local TV station and a great way to educate the public.)

5.  Provide outdoor safety information: For example, provide Web site addresses or printed material on how to avoid ticks, noxious plants and other risks of nature, including the use of pesticides and herbicides on lawns. Parents have valid concerns about dangers outside, so they need knowledge about how to reduce those risks. At the same time, they need your help understanding the great risks of a sedentary lifestyle.

6. Suggest nature as an added strategy to reduce ADHD symptoms in some children. Researchers at the University of Illinois suggest nature time as an added or alternative therapy for some children diagnosed with ADHD and other, similar conditions. Also, let parents know how nature can help many children without attention difficulties do better in school.

7. Encourage family bonding and community-building, through shared nature experiences. Many of the health issues facing young people today are rooted in their family and community lives and in accumulated toxic stress. Suggest nature time as a cost-effective bonding agent for parents, children, grandchildren and friends. Hand out C&NN’s family nature club toolkits, encouraging multiple families to head outside together.  See C&NN’s resources including Together in Nature: Pathways to a Stronger, Closer Family.

8. Create a nature-smart office environment for your patients, your staff and yourself. Use biophilic design principles in your office, clinic or hospital. Create an outdoor play and learning space on the grounds of your practice, and encourage families to create natural play spaces in their own yards and neighborhoods – urban, suburban and rural. Set an example for your patients’ homes and gardens.

9. Spread the word. Help organize your community to confront the pandemic of inactivity and connect kids and families to green exercise. Get involved with or help start a regional campaign. More than 100 already exist in North America; these groups are your nearby allies. Dr. Rosen writes, “We must be willing, as a health-care profession, to leave our silos and work together with those colleagues in education, government, and environmental planning who value nature as a key to optimal health.” Here is more information on existing campaigns and how to help start one.

10. Physician, hike thyself. Be restored in nature.


Richard Louv is chairman emeritus of the Children & Nature Network. He is the author of “Last Child in the Woods: Saving Our Children from Nature-Deficit Disorder” and “The Nature Principle: Reconnecting With Life in a Virtual Age.”

Photo © R.L.

Resources and other reading:

For information about research see C&NN’s research summaries.

VITAMIN “N” and the American Academy of Pediatrics

THE WHOLE CHILD: A Pediatrician Recommends the Nature Prescription

GROW OUTSIDE! Keynote Address to the American Academy of Pediatrics National Conference

THE “VITAMIN N” PRESCRIPTION – Some Health Professionals Now Recommending Nature Time for Children and Adults

“SITTING IS THE NEW SMOKING” — What We Can Do About Killer Couches, Sedentary Schools, and the Pandemic of Inactivity

ALARMING LACK OF PLAY for Pre-School Children

RESTORING PEACE: Six Ways Nature in Our Lives Can Reduce the Violence in Our World

THE POWERFUL LINK Between Conserving Land and Preserving Human Health

MUD IS GOOD! Ten Easy Ways to Connect Your Family to the Joy of Nature

CHILDREN AND NATURE INITIATIVE: Rx for Outdoor Activity, National Environmental Education Foundation (NEEF); offers a patient brochure, prescription form, fact sheet and other valuable resources.



C&NN Nature Play Prescription: download and print

physician hike thyself
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  1. I am a teacher of young children. I would like some feedback on something I have thought about. When sitting at a table students will sometimes tip their chairs back so that there are only two chair legs on the ground. Also sometimes while chair is on two legs the student will move so that the chair is tilted closer of farther from the table. Most teachers respond with something along the lines of, ‘all four feet must be on the floor’. But I am thinking that just as an older person practices being off balance and then correcting in order to develop balance so that they are less likely to actually fall, that so too the child is seeking an uneven environment to develop.

    Thanking you in advance for any insights, I am
    Teacher Ron

    • Richard Louv

      Ron, that’s a fascinating idea. I do know that one of the common sense reasons for being outdoors has to do with balance. This was told to me by a physician who specialized in brain injuries: A leading cause of death in older people is falling down. We develop our balancing skills — mental and physical — over a lifetime, by using our senses and building core body strength. For that, frequent walking on sidewalks helps. But walking on trails helps even more — because we’re using our abilities to balance. That starts early, in childhood. Thanks for the comment.


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