Journal article

Changes in outcomes immediately after outdoor exercise in people with musculoskeletal diseases: The OUTdoor Physical ACtivity (OUTPAC) study

JR Ahler, ST Skou, PM Holm, A Harrison, DV Poulsen, RS Hinman, T Haber, LH Tang

Annals of Physical and Rehabilitation Medicine | Elsevier BV | Published : 2026

Abstract

Background: Chronic musculoskeletal diseases (MSD) are a leading cause of disability, and outdoor physical activity (PA) has been proposed as a setting that may facilitate PA engagement. Objective: To report immediate changes in health-related quality of life (HRQOL), pain, physical function, physical activity, and mental well-being following an outdoor PA intervention in people with MSD, and to explore whether changes vary depending on the underlying MSD. Methods: This prospective cohort study included 925 adults (mean age: 65 years; 93% female) with MSD who participated in a 12-week, once weekly, 60-min outdoor group-based PA program in Denmark. Sessions were led by trained volunteer instr..

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University of Melbourne Researchers