Kinesiophobia and associated variables in patients with heart failure.

Autores de IIS La Fe

• Luis Almenar Bonet

  Autor

• Raquel López Vilella

  Autor

• Elena Marqués Sulé

  Autor

Participantes ajenos a IIS La Fe

• Sentandreu-Mano, Trinidad
• Deka, Pallav
• Tomas, Jose M
• Ferrer-Sargues, Francisco-Jose
• Klompstra, Leonie

Grupos

• Grupo de Investigación Clínica y Traslacional en Cardiología

Abstract

AIM: Patients with heart failure (HF) can exhibit kinesiophobia, an excessive, debilitating, and irrational fear of movement. The study aimed to enhance the understanding of kinesiophobia in patients with HF by analyzing associations with the following variables: musculoskeletal pain, quality of life, quality of sleep, functional capacity, disability, frailty, sex and age. METHODS AND RESULTS: In this cross-sectional study, 107 participants were included, with ages ranging from 28 to 97 years [57% men, mean age 73.18±12.68 years]. Multiple regression analyses were performed with all variables, including polynomial regressions for variables with a non-linear relationship. Kinesiophobia was significantly correlated (p<.01) with musculoskeletal pain, quality of life, quality of sleep, functional capacity, disability and being at risk of frailty, while age and sex were not statistically significant. Frailty disability and musculoskeletal pain intensity were variables linearly associated with kinesiophobia, whilst quality of sleep and disability had a non-linear relationship with kinesiophobia. CONCLUSIONS: Kinesiophobia needs to be evaluated and better understood in patients with HF to improve physical activity and exercise adherence. This study found that musculoskeletal pain intensity, quality of sleep, disability and frailty risk have a significant association with kinesiophobia in patients with HF. Our results suggest multidimensional associations of kinesiophobia in patients with HF which require further examination and understanding.

© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Keywords

• fear of movement; frailty; heart failure; kinesiophobia; musculoskeletal pain; sleep quality