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February 26, 2026Journal of Applied Gerontology0 citationsOpen Access

The Association Between Exposure to Blue Spaces and Multidimensional Frailty in Community-Dwelling Older Adults: A Cross-Sectional Study

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TCTiago CoelhoDLDiana LeiteDMDaniela Maciel

Key Points

  • To investigate the association between exposure to blue spaces and multidimensional frailty in older adults.
  • Cross-sectional study design
  • Sample of 189 community-dwelling individuals aged ≥65 years in Portugal
  • Measured frailty with the Tilburg Frailty Indicator
  • Assessed exposure to blue spaces using questionnaires and Geographic Information System data.
  • Visits to blue spaces once or twice a month linked to lower physical frailty
  • Incidental exposure to blue spaces during commutes associated with lower total and physical frailty
  • Walking travel times <20 minutes related to lower total, physical, and social frailty.

Abstract

Contact with blue spaces appears to benefit older adults’ health and well-being, but evidence on its relationship with frailty is scarce. This cross-sectional study investigated associations between exposure to blue spaces and multidimensional frailty in 189 community-dwelling people aged ≥65 years (Portugal). Measurements included the Tilburg Frailty Indicator, questionnaire regarding exposure, and Geographic Information System data for proximity. Purposeful visits once or twice a month were associated with lower physical frailty, as were visits with pets, engaging in physical activity, and spending 1–2 hours or >2 hours in these environments. Visiting with others was associated with lower social frailty. Incidental exposure—passing by visible blue spaces during daily commutes—was linked to lower total and physical frailty. Walking travel times <20 minutes were associated with lower total, physical, and social frailty, with different distances within this range showing domain-specific associations. Results suggest blue spaces may promote healthy aging.

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Cite This Study

Coelho et al. (2026) studied this question.

synapsesocial.com/papers/699fe44895ddcd3a253e8788https://doi.org/10.1177/07334648261429150
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