What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Coronary artery disease (n=52). Intervention: Kinesiophobia vs. Low kinesiophobia. Primary outcome: 6-Minute Walk Test (6-MWT) distance (B = -9.93, 95% CI -13.60 to -6.30, p=<0.001).

January 1, 2022Open Access

Kinesiophobia, physical performance, and health-related quality of life in patients with coronary artery disease

Q: What are the key findings of this study?

High levels of kinesiophobia were present in 87.2% of patients with coronary artery disease and were a significant predictor of reduced physical performance, including decreased 6-Minute Walk Test distance.

BÇBeyza ÇakalDokuz Eylül University MYMeriç YıldırımDokuz Eylül University SESadık EmrenIzmir Kâtip Çelebi University

Key Result

High levels of kinesiophobia were present in 87.2% of patients with coronary artery disease and were a significant predictor of reduced physical performance, including decreased 6-Minute Walk Test distance.

Study Design

Type

Cross-Sectional (n=52)

Multicenter

Structured PICO

Population

52 physiologically and clinically stable inpatients with coronary artery disease, median age 58 years, evaluated for kinesiophobia and physical performance.

Outcome

Kinesiophobia (assessed via Tampa Scale of Kinesiophobia for Heart), physical performance (5-STST, TUGT, 6-MWT), and health-related quality of life (Cardiovascular Limitations and Symptoms Profile)patient reported

Kinesiophobia is highly prevalent in patients with coronary artery disease, particularly those with a history of myocardial infarction, and is a significant predictor of reduced physical performance and health-related quality of life.

Main Result

Effect estimate: B = -9.93 (95% CI -13.60 to -6.30)

p-value: p=<0.001

Limitations

Relatively small sample size
Lack of objective physical activity level measurement (e.g., accelerometers)
Inability to explore the effect of treatment methods due to the majority of the population having undergone percutaneous coronary intervention

Abstract

Introduction: Kinesiophobia is an important risk factor for physical activity and exercise restrictions. It is important to assess kinesiophobia and identify high-risk patients to help prevent sedentary behaviour and increase exercise participation among cardiac patients. Aim: To evaluate kinesiophobia and its association with physical performance, health-related quality of life (HRQOL), patients' limitations and symptoms, and disease history in patients with coronary artery disease (CAD). Material and methods: Fifty-two patients diagnosed with CAD were enrolled in this study. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia for Heart. The 5× Sit-to-Stand Test (5-STST), the Timed Up and Go Test (TUGT), and the 6-Minute Walk Test (6-MWT) were used to assess physical performance. Patients' limitations and symptoms and HRQOL were evaluated with the Cardiovascular Limitations and Symptoms Profile. CAD duration and history of myocardial infarction (MI) were also recorded. Results: < 0.05). Conclusions: Levels of kinesiophobia are high in patients with CAD, especially in those with a history of MI. Angina is a predictor of kinesiophobia while kinesiophobia is a predictor of both physical performance and HRQOL in CAD patients.

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Cite This Study

Çakal et al. (Sat,) conducted a cross-sectional in Coronary artery disease (n=52). Kinesiophobia vs. Low kinesiophobia was evaluated on 6-Minute Walk Test (6-MWT) distance (B = -9.93, 95% CI -13.60 to -6.30, p=<0.001). High levels of kinesiophobia were present in 87.2% of patients with coronary artery disease and were a significant predictor of reduced physical performance, including decreased 6-Minute Walk Test distance.

synapsesocial.com/papers/6a3f137dbf5b3ee37a7f0b59 https://doi.org/https://doi.org/10.5114/aic.2022.122892

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