An ongoing discussion is a debate about the benefits of outdoor activities for health, where a narrowness regarding the benefits as a matter of curing or preventing disease has been questioned. Hence, there is an urgent need to theorize further the relationship between outdoor activities and health with robust theoretical frameworks that can guide research and practice, taking different aspects of human-nature relations into account. In the paper, a critique of pathogenic perspectives of health is forwarded, as well as a critique of an anthropocentric human centeredness of health. Instead, a salutogenic model and the metaphor of the swimmer in the river is used to discuss the relation without being restricted to health as the absence of disease or to human health and wellbeing. In the paper, seven different relations, or salutogenic questions, are provided, moving from the swimmer in the foreground, to swimmers in the river to finally foregrounding the river.