{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:31:47Z","timestamp":1792103507557,"version":"4.4.0"},"reference-count":34,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2020,8,23]],"date-time":"2020-08-23T00:00:00Z","timestamp":1598140800000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,6,18]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study examines potential risk and protective factors associated with going outdoors frequently among older persons, and whether these factors vary according to physical limitations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Cross-sectional analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting and participants<\/jats:title>\n                  <jats:p>Community-dwelling participants of the Lausanne cohort Lc65+ in 2016, aged 68\u201382\u2009years (n=3419).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Associations between going outdoors frequently and physical limitations, sociodemographic, health, psychological and social variables were examined using logistic regression models. Subgroup analyses were performed according to the severity of physical limitations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>\u2018Going outdoors frequently\u2019 was defined as going out \u22655\u2009days\/week and not spending most of the time sitting or lying down.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Three in four (73.9%) participants reported going outdoors frequently. Limitations in climbing stairs (adjusted OR (AdjOR) 0.61, 95%\u2009CI 0.47 to 0.80) and walking (AdjOR 0.24, 95%\u2009CI 0.18 to 0.31), as well as depressive symptoms (AdjOR 0.58, 95%\u2009CI 0.47 to 0.70), dyspnoea (AdjOR 0.60, 95%\u2009CI 0.48 to 0.75), age (AdjOR<jats:sub>older age group<\/jats:sub> 0.73, 95%\u2009CI 0.59 to 0.92) and fear of falling (AdjOR 0.75, 95%\u2009CI 0.62 to 0.91) reduced the odds of going outdoors frequently. In contrast, living alone (AdjOR 1.30, 95%\u2009CI 1.08 to 1.56), reporting a dense (AdjOR 1.57, 95%\u2009CI 1.26 to 1.96) and a high-quality (AdjOR 1.28, 95%\u2009CI 1.06 to 1.53) social network increased the odds of going outdoors frequently. Among participants with severe limitations, 44.6% still went outdoors frequently. Among this subgroup, a new emotional relationship (AdjOR 2.52, 95%\u2009CI 1.18 to 5.38) was associated with going outdoors, whereas cognitive complaints (AdjOR 0.66, 95%\u2009CI 0.47 to 0.93), urinary incontinence (AdjOR 0.67, 95%\u2009CI 0.46 to 0.97), dyspnea (AdjOR:0.67, 95%CI:0.48-0.93), and depressive symptoms (AdjOR 0.67, 95%\u2009CI 0.48 to 0.93) lowered the odds of going outdoors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Physical limitations are associated with decreased odds of going outdoors frequently. However, social characteristics appear to mitigate this association, even among older persons with severe limitations. Further studies are needed to determine causality and help guide interventions to promote going outdoors as an important component of active ageing.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-034248","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T03:21:22Z","timestamp":1598325682000},"page":"e034248","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Factors associated with going outdoors frequently: a cross-sectional study among Swiss community-dwelling older adults"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5518-3911","authenticated-orcid":false,"given":"Julia","family":"Spaltenstein","sequence":"first","affiliation":[{"name":"Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Bula","sequence":"additional","affiliation":[{"name":"Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Santos-Eggimann","sequence":"additional","affiliation":[{"name":"Center for Primary Care and Public Health (Unisant\u00e9), University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helene","family":"Krief","sequence":"additional","affiliation":[{"name":"Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Seematter-Bagnoud","sequence":"additional","affiliation":[{"name":"Service of Geriatric Medicine and Geriatric Rehabilitation, University Hospital of Lausanne, Lausanne, Switzerland"},{"name":"Center for Primary Care and Public Health (Unisant\u00e9), University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"2025101814153869000_10.8.e034248.1","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1111\/ggi.12895","article-title":"Objectively-measured outdoor time and physical and psychological function among older adults","volume":"17","author":"Harada","year":"2017","journal-title":"Geriatr Gerontol Int"},{"key":"2025101814153869000_10.8.e034248.2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/ggi.12437","article-title":"Going outdoors and cognitive function among community-dwelling older adults: Moderating role of physical function","volume":"16","author":"Harada","year":"2016","journal-title":"Geriatr Gerontol Int"},{"key":"2025101814153869000_10.8.e034248.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2006.10.013"},{"key":"2025101814153869000_10.8.e034248.4","unstructured":"(WHO), World Health Organization . 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