Key result
Latent profile analysis identified three kinesiophobia groups among post-TAVR patients: high (7.2%), moderate (65.2%), and low (27.6%), with higher levels significantly associated with lower education, low-gradient aortic stenosis, and multiple comorbidities.
Why the study?
Kinesiophobia may contribute to adverse outcomes in patients following TAVR, but its prevalence and associated factors were not well established.
Cross-Sectional (n=290)
No
Over 70% of patients exhibit moderate to high levels of kinesiophobia at discharge after TAVR, which is strongly associated with lower education, low-gradient aortic stenosis, multiple comorbidities, and lower exercise self-efficacy.
Should not yet change post-TAVR practice; hypothesis-generating for kinesiophobia's prognostic role.
BACKGROUND: Kinesiophobia, a significant barrier to daily activities, may contribute to adverse outcomes in patients following transcatheter aortic valve replacement (TAVR). This study aimed to assess the prevalence and identify factors associated with kinesiophobia in post-TAVR patients. METHODS: From January to December 2023, a cross-sectional survey was conducted using a convenience sampling method, involving patients from the cardiology department of a hospital in China. The study utilized several instruments: a general information questionnaire, the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Lubben Social Network Scale-6 (LSNS-6), the Exercise Social Support Scale (ESSS), the Physical Activity Rank Scale (PARS-3) and the Self-Efficacy for Exercise Scale (SEE). Latent profile analysis (LPA) was performed to classify patients into latent subgroups based on their levels of kinesiophobia. Additionally, multivariate logistic regression analysis was employed to identify the influencing factors of kinesiophobia among patients with varying characteristics. RESULTS: This study included a total of 290 participants. Based on the assessment of kinesiophobia, three profile models were identified by LPA: a high-level kinesiophobia group (21 participants, 7.2%), a moderate-level kinesiophobia group (189 participants, 65.2%), and a low-level kinesiophobia group (80 participants, 27.6%). Factors influencing the levels of kinesiophobia across the three latent profiles included education level, aortic stenosis flow type, number of comorbidities, postoperative NYHA cardiac function classification, preoperative physical activity level, social networks, and exercise self-efficacy. CONCLUSION: Kinesiophobia levels in patients after transcatheter aortic valve replacement exhibit significant heterogeneity, primarily influenced by factors such as education level, aortic stenosis flow type, number of comorbidities, postoperative NYHA cardiac function classification, preoperative physical activity level, social networks, and exercise self-efficacy. In the future, healthcare professionals should identify postoperative patients at risk for kinesiophobia and consider the multifaceted factors affecting this condition. It is essential to encourage and stimulate patients' thoughts about exercise and to provide targeted intervention strategies to reduce their levels of postoperative kinesiophobia.
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Shen et al. (2025) conducted a cross-sectional in Post-transcatheter aortic valve replacement (TAVR) (n=290). Clinical and demographic factors (e.g., education, aortic stenosis flow type, comorbidities) was evaluated on Kinesiophobia levels classified by Latent Profile Analysis. Latent profile analysis identified three kinesiophobia groups among post-TAVR patients: high (7.2%), moderate (65.2%), and low (27.6%), with higher levels significantly associated with lower education, low-gradient aortic stenosis, and multiple comorbidities.
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