What is the clinical evidence from this study?

Study design: Systematic Review. Population: Chronic heart failure (n=1923). Intervention: Kinesiophobia. Primary outcome: Incidence of kinesiophobia.

July 31, 2024Open Access

Incidence and influencing factors of kinesiophobia in patients with chronic heart failure: a scoping review

Key Result

Kinesiophobia is highly prevalent (54.4% to 69.5%) among patients with chronic heart failure and is influenced by socio-demographic, psychological, cognitive, disease, treatment, and lifestyle factors.

Study Design

Type

Systematic Review (n=1,923)

Structured PICO

What are the incidence and influencing factors of kinesiophobia in patients with chronic heart failure?

Population

1,923 patients with chronic heart failure across 9 studies evaluating the incidence and influencing factors of kinesiophobia.

Outcome

Incidence and influencing factors of kinesiophobiapatient reported

Kinesiophobia is highly prevalent (54.4-69.5%) among patients with chronic heart failure and is influenced by multiple socio-demographic, psychological, and disease-related factors, highlighting the need for targeted interventions to improve cardiac rehabilitation adherence.

Limitations

Language barriers restricted inclusion to only published Chinese or English studies
Potential selection bias
Did not contact researchers for additional relevant information, potentially leading to missing data
Methodological quality of the included studies was not systematically evaluated
Assessment instruments consisted of self-report questionnaires and lacked objective measures of kinesiophobia

Abstract

Introduction: Kinesiophobia denotes an excessive and irrational apprehension towards physical activity or exercise among patients, stemming from a perception of susceptibility to painful injury or re-injury. Cardiac rehabilitation stands pivotal in the secondary prevention spectrum for individuals with cardiovascular ailments, with exercise constituting a cornerstone of this regimen. However, the emergence of kinesiophobia poses a formidable challenge, diminishing patient adherence to cardiac rehabilitation protocols, particularly among those grappling with chronic heart failure. To bolster exercise-based rehabilitation initiatives in this cohort, a thorough comprehension of the multifaceted factors precipitating kinesiophobia is imperative. This review endeavors to delineate prevailing evidence and prevalence concerning kinesiophobia triggers in chronic heart failure patients, while pinpointing research lacunae for future exploration. Methods: Employing a scoping review methodology, our investigation culled data from diverse scholarly databases, including Embase, PubMed, Scopus, CINAHL, Web of Science, Medline, Sinomed, CNKI, Wangfan, and VIP. Results: After thorough evaluation, 9 studies that met the inclusion criteria were ultimately incorporated. Discussion: Our findings underscore a notable prevalence of kinesiophobia in chronic heart failure patients, predominantly influenced by socio-demographic factors, psychological and cognitive factors, disease and treatment factors, as well as lifestyle and behavior. Armed with these insights, future interventions can be tailored to mitigate kinesiophobia levels, fostering enhanced engagement in exercise-centric cardiac rehabilitation endeavors among patients grappling with chronic heart failure.

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