Key result
Kinesiophobia affects up to ~70% of patients with chronic heart failure.
Why the study?
Kinesiophobia diminishes adherence to cardiac rehabilitation in chronic heart failure, making a thorough understanding of its prevalence and precipitating factors imperative.
What are the incidence and influencing factors of kinesiophobia in patients with chronic heart failure?
Systematic Review (n=1,923)
What are the incidence and influencing factors of kinesiophobia in patients with chronic heart failure?
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.
Kinesiophobia screening warrants integration into chronic heart failure management to improve rehabilitation adherence; extends prior data by quantifying prevalence and modifiable factors.
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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Xiang et al. (2024) conducted a systematic review in Chronic heart failure (n=1,923). Kinesiophobia was evaluated on Incidence of kinesiophobia. 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.
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