PTOTSLPRNSurveyPublic health nursing (Boston, Mass.)2025

Life Satisfaction and Healthy Lifestyle Behaviors of Individuals According to Exercise Preferences of Outdoor and Indoor.

Fatma Avsar, Nildem Kizilaslan

PMID 39910781

WHAT IT FOUND

Adults who exercised both indoors and outdoors reported significantly higher healthy lifestyle behaviors than those who chose only one setting.

Life satisfaction did not differ significantly between the groups. Encouraging patients to mix exercise environments may support broader health habits.

Key findings

01Participants who exercised in both indoor and outdoor settings had significantly higher total Health Promotion Lifestyle Profile scores than those who exercised in only one setting.

02There was no statistically significant difference in life satisfaction scores between adults who preferred indoor exercise, outdoor exercise, or both.

03Stress management scores did not differ significantly between the exercise location preference groups.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs

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What it does not show

The study design is cross-sectional, so it cannot determine if exercising in both locations causes better lifestyle behaviors, or if people with better lifestyle habits are simply more likely to exercise in both places. The sample was drawn from specific settings (one gym and one outdoor group), which may not represent the general population. There was a significant imbalance in group sizes, with many more participants in the 'both' group compared to 'indoor only' or 'outdoor only' groups. The mean age of participants was 25.87 years, with most being students or young adults, limiting generalizability to older adults or those with chronic conditions.

Declared interests

The authors declared no conflict of interest.

The easy way to misread this

Do not interpret the higher lifestyle scores in the 'both' group as evidence that mixing exercise locations improves health outcomes. This is an association in a cross-sectional survey, not a result from a controlled trial. People who already have healthier habits may simply be more motivated to use multiple exercise settings.

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