Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study.

IF 1.1 4区 医学 Q3 REHABILITATION Turkish Journal of Physical Medicine and Rehabilitation Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI:10.5606/tftrd.2024.12956
Nesrin Demirsoy, Özden Özyemisci Taşkıran, Tuğba Atan, Dilek Durmuş, Birkan Sonel Tur, Gülin Fındıkoğlu, Rengin Güzel, Hale Üzümcügil, Emel Ekşioğlu, Selda Sarıkaya, Feray Soyupek, Fikriye Figen Ayhan, Derya Demirbağ Kabayel, Hande Özdemir, Ümmügülsüm Doğan Duran, Koray Aydemir, Özgür Karaahmet, Serap Sütbeyaz, Yeşim Kurtaiş Aytür, Deniz Dülgeroğlu
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Abstract

Objectives: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship.

Patients and methods: One hundred ninety-seven patients (145 males, 52 females; mean age: 56.3±10.8 years; range, 22 to 80 years) with a diagnosis of CAD or cardiac event in the previous one to 60 months were enrolled in this cross-sectional multicenter study between November 2015 and February 2017. Demographic and clinical features were recorded. Fear of activity was assessed by the fear of activity scale in patients with CAD (FactCAD). A 6-min walk test was used to assess exercise capacity.

Results: Female participants were older, less educated, and less employed (p=0.045, p=0.048, and p<0.001, respectively) than males. Prevalence of myocardial infarction was higher in males. Comorbidities were higher in females. Multiple linear regression predicted 6-min walk distance (6MWD) based on FactCAD, sex, and education level with an r-squared of 0.321 (p<0.001). Fear of activity had an effect on walking distance in males (each additional score of FactCAD predicts a decrease of 1.3 m in 6MWD), together with disease duration, presence of chronic pulmonary disease, and low back pain, whereas fear of activity was not a predicting factor on walking distance in females. Age, education, and presence of angina predicted 6MWD in females.

Conclusion: This study emphasizes that fear of activity is one of the predictors of 6MWD in males with CAD, and its assessment is recommended as a possible barrier to rehabilitation.

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对活动的恐惧能否预测男女冠心病患者的运动能力?一项横断面多中心研究。
研究目的本研究旨在确定对活动的恐惧是否能预测冠状动脉疾病(CAD)患者的运动能力,以及这种关系在性别上是否存在差异:2015年11月至2017年2月期间,这项横断面多中心研究共招募了177名患者(145名男性,52名女性;平均年龄为(56.3±10.8)岁;年龄范围为22至80岁),这些患者在之前的1至60个月内被诊断出患有冠状动脉疾病或发生过心脏事件。研究人员记录了他们的人口统计学特征和临床特征。活动恐惧通过 CAD 患者活动恐惧量表(FactCAD)进行评估。6分钟步行测试用于评估运动能力:结果:女性参与者年龄较大、受教育程度较低且就业率较低(p=0.045、p=0.048 和 p):本研究强调,对活动的恐惧是预测男性 CAD 患者 6MWD 的因素之一,建议将其作为康复的一个可能障碍进行评估。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
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0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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