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OBJECTIVES: To examine the association between barriers in the outdoor environment and perceived quality of life (QoL) in old age and to assess whether fear of moving outdoors and unmet physical activity need contribute to this association.

DESIGN: Crosssectional.

SETTING: Community and research center.

PARTICIPANTS: Five hundred eightynine, communitydwelling people aged 75 to 81 took part in facetoface homeinterviews and examinations in the research center.

MEASUREMENTS: QoL was assessed using the LEIPAD questionnaire. Environmental barriers were studied based on selfreports of lack of resting places or long distances (distances), noisy traffic or dangerous crossroads (traffic), and hilly terrain or poor street condition (terrain). Fear of moving outdoors and unmet physical activity need were selfreported, and maximal walking speed was measured over 10 m. A path analyses …