28-06-2025
Nieman: Pediatrician prescribes healthy dose of outdoor play
A few days ago, I learned a new word: petrichor.
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I was part of a group of men who enjoyed a meal together in a rural area close to Calgary. The dinner was nourishing, and as we transitioned from inside the restaurant to fresh air outside, I noticed a pleasant scent, made possible by soft rain that had fallen moments before we stepped outside.
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Petrichor is the early scent generated by rain falling upon the soil: a compound, geosmin, found in soil bacteria, is involved in generating the pleasant smell. In addition, oils from plants also release a scent secondary to being exposed to rain.
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This reminded me of another term I learned a few years ago at a pediatric conference, where the keynote speaker, Richard Louv, introduced me to the idea of NDD (nature-deficient disorder). I often refer families to Louv's national best-selling book, Last Child in the Woods.
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One of my favourite questions to families who come to see me in June is, 'What are your plans this summer?' Very often, I hear about camping trips or hikes in the mountains close by. I make a point to affirm the parents for their efforts to allow their children to gain first-hand experience of the mental and physical health benefits of nature.
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The list of benefits of being outdoors is quite long: better physical fitness; improved motor skills; reduced stress; better focus (attention); less anxiety; improved moods; enhanced cognitive skills; better self-esteem; improved sleep, and possibly a reduced risk of nearsightedness (myopia).
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Getting children's hands dirty by allowing them to play in soil and making mud pies can be a very good thing. When a grandparent accompanied one of my patients not so long ago, we had fun reminiscing in a rather nostalgic way about our childhoods – a time when there were no cellphones, laptops, personal computers or video games. Instead, we got dirty and played in the mud.
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Exposure to dirt ironically improves our gut microbiome and leads to a better immune system. The hygiene hypothesis suggests that when children are not exposed to dirt, they have a higher risk of allergies later in life. (For parents who are keen to get more information on this, I suggest a report by the Wild Life Federation, The Dirt on Dirt; How getting dirty outdoors benefits kids, which can be found at