A virtual nature-enhanced stationary bike program was associated with more favorable changes in vigorous-intensity physical activity, perceived stress, muscle mass, and body fat compared to a traditional stationary bike program, though findings should be interpreted cautiously due to baseline group differences.
Key Findings
Results
Participants in the experimental group showed improved light-intensity physical activity after the virtual nature-enhanced stationary bike program.
The experimental group rode a stationary bike while wearing a head-mounted display headset delivering virtual nature environments.
The intervention was 30 minutes per session, once a week for 12 weeks.
The experimental group had 40 participants; the control group had 31 participants.
This improvement was observed within the experimental group comparison over time.
Results
Participants in the experimental group showed improved positive affects after the virtual nature-enhanced stationary bike program.
Positive affect improvement was observed within the experimental group.
The control group rode a stationary bike without any virtual reality component.
The study was a non-randomized controlled trial conducted between September 2021 and June 2022.
Participants were described as healthy adults.
Results
The experimental group was associated with more favorable changes in vigorous-intensity physical activity compared to the control group.
This was a between-group comparison favoring the virtual nature-enhanced stationary bike condition.
The experimental group used a head-mounted display headset delivering virtual nature during stationary biking.
The authors noted these findings should be interpreted cautiously due to baseline group differences.
The study was non-randomized, which is a potential source of confounding.
Results
The experimental group was associated with more favorable changes in perceived stress compared to the control group.
Perceived stress was one of several outcomes showing between-group differences favoring the virtual reality condition.
The intervention lasted 12 weeks with sessions of 30 minutes once per week.
The authors interpreted this as a potential mental health benefit of virtual reality nature experiences.
Results should be interpreted cautiously due to baseline group differences in this non-randomized design.
Results
The experimental group was associated with more favorable changes in muscle mass and body fat compared to the control group.
Both muscle mass and body fat showed between-group differences favoring the virtual nature-enhanced stationary bike program.
The experimental group included 40 participants and the control group included 31 participants.
This was a preliminary study with a non-randomized controlled trial design.
Baseline group differences were noted as a limitation requiring cautious interpretation of all findings.
Methods
The study design was a non-randomized controlled trial with baseline group differences that limit interpretation of findings.
Participants were assigned (not randomized) to experimental (n=40) or control (n=31) groups.
The trial was conducted between September 2021 and June 2022.
The authors explicitly stated findings 'should be interpreted cautiously due to baseline group differences.'
Hong H, Yen H, Huang H. (2026). Effects of a virtual nature-enhanced stationary bike on stress reduction and health promotion.. Archives of psychiatric nursing. https://doi.org/10.1016/j.apnu.2026.152057