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April 28, 2026SHILAP Revista de lepidopterología0 citationsOpen Access

Impact of Kinesiophobia on Physical Activity Levels in Coronary Heart Disease Patients

Effect of kinesiophobia on physical activity level in patients with coronary heart disease

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Why the study?

Physical activity improves cardiovascular disease prognosis but is hindered by exercise-related barriers, and understanding of kinesiophobia in coronary heart disease patients remains inadequate in China.

Population

401 hospitalized CHD patients in China

Comparison

Patients with kinesiophobia vs without kinesiophobia

Design

Quantitative cross-sectional descriptive study

Key result

Kinesiophobia increased the likelihood of low physical activity by 13-fold in patients with coronary heart disease compared to those without kinesiophobia (OR 13.02).

Authors

RWRuo-han WangYWYan Wang

Discussion

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Member takes

Overview

Warrants attention to kinesiophobia when promoting PA in CHD; leaves open causality and benefits of targeted interventions pending higher-level evidence.

Key Points

  • This study aimed to assess kinesiophobia levels and their impact on physical activity in patients with coronary heart disease.
  • Conducted a quantitative, cross-sectional descriptive study with 401 hospitalized CHD patients.
  • Collected data using the Tampa Scale for Kinesiophobia for Heart and the International Physical Activity Questionnaire Short Form.
  • Analyzed the association between kinesiophobia and physical activity levels.
  • 69.08% of CHD patients reported kinesiophobia.
  • Median physical activity level was 924 metabolic equivalent minutes per week.
  • A strong negative correlation was found between TSK scores and physical activity MET values (r = −0.509, P < 0.01).

Study Design

Type

Cross-Sectional (n=401)

Multicenter

Yes

Structured PICO

P
Population
401 hospitalized patients with clinically stable coronary heart disease (CHD), median age 59, 60.60% male, in China. Key inclusion: stable condition (no angina episodes or changes in past month), age ≥18, able to walk independently. Key exclusion: first diagnosed with unstable angina, acute myocardial infarction, mental diseases, cognitive disorders, or lumbar/leg problems unsuitable for exercise.
O
Outcome
Levels of kinesiophobia (measured by TSK-SV Heart) and physical activity (measured by IPAQ-S-C), and their association.patient reported

Kinesiophobia is highly prevalent among patients with coronary heart disease and serves as a strong independent predictor of low physical activity levels.

Main Result

Effect estimate: OR 13.02 (95% CI 4.85-34.97)

p-value: p=<0.001

Limitations

  • Cross-sectional design precludes causal inferences
  • Physical activity assessed using self-report measures subject to recall bias and social desirability
  • Absence of angina assessment which may confound fear perceptions and activity levels
  • Single-center design may limit generalizability to diverse healthcare settings

Cite This Study

Wang et al. (2026) conducted a cross-sectional in Coronary heart disease (n=401). Kinesiophobia vs. No kinesiophobia was evaluated on Low physical activity (< 600 MET-min/week) (OR 13.02, 95% CI 4.85-34.97, p=<0.001). Kinesiophobia increased the likelihood of low physical activity by 13-fold in patients with coronary heart disease compared to those without kinesiophobia (OR 13.02).

synapsesocial.com/papers/69f04d9f727298f751e71e15https://doi.org/10.3389/fresc.2026.1755286
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