Dąbek Józefa, Knapik Andrzej, Gallert-Kopyto Weronika, Brzęk Anna Monika, Piotrkowicz Joanna, Gąsior Zbigniew
School of Health Sciences, Katowice, Department of Cardiology, Medical University of Silesia, Katowice, Poland.
School of Health Sciences, Katowice, Department of Adapted Physical Activity and Sport, Chair of Physiotherapy, Medical University of Silesia, Katowice, Poland.
Ann Agric Environ Med. 2020 Mar 17;27(1):56-60. doi: 10.26444/aaem/106143. Epub 2019 Apr 10.
The importance of the problem of reduced motor activity in the prophylaxis and treatment of many diseases has resulted in numerous adaptations of a diagnostic tool, both for the disease and for linguistic and cultural versions. This also applies to cardiovascular diseases. The significance of the problem, and encouraging results of several studies, have led to a wider use of this tool. This also applies to people suffering cardiologically in Poland, where this problem is poorly understood. This was the inspiration to undertake research on the explanation of the reasons for the limitation in the activation of cardiac patients.
The aim of the study was to determine the level of kinesiophobia in patients with CAD, and to assess its possible association with physical activity (PA), socio-demographic determinants and morbidity.
The study was cross-sectional and included 217 hospitalized patients with CAD: 94 women and 123 men; aged 67.39 years. PA was assessed using the short version of IPAQ, and kinesiophobia was assessed using TSK Heart in Polish adaptation. TSK HeartIPAQ correlations were found.
More than 70% of the patients revealed high levels of kinesiophobia (TSK>37 points). There were no TSK associations with gender, BMI, socio-demographic variables, other conditions and duration of cardiovascular disease. The disease is the main cause of kinesiophobia and regardless of its nature, negatively affects the level of PA.
The quality of life of patients with CAD at various stages and the effectiveness of cardiolog-ical rehabilitation are conditioned by PA.
运动活动减少问题在多种疾病的预防和治疗中具有重要意义，这促使针对该疾病以及不同语言和文化版本的诊断工具进行了大量调整。这同样适用于心血管疾病。该问题的重要性以及多项研究令人鼓舞的结果，使得这一工具得到了更广泛的应用。这在波兰患有心脏病的人群中也同样适用，然而在波兰，这个问题并未得到充分理解。这成为了开展研究以解释心脏病患者活动受限原因的灵感来源。
本研究旨在确定冠心病患者的运动恐惧水平，并评估其与身体活动（PA）、社会人口学决定因素及发病率之间可能存在的关联。
本研究为横断面研究，纳入了217名住院冠心病患者：94名女性和123名男性；年龄为67.39岁。使用国际体力活动问卷简版评估PA，使用波兰语改编的TSK Heart评估运动恐惧。分析TSK Heart与IPAQ之间的相关性。
超过70%的患者表现出较高的运动恐惧水平（TSK>37分）。TSK与性别、体重指数、社会人口学变量、其他疾病及心血管疾病病程之间均无关联。疾病是运动恐惧的主要原因，无论其性质如何，都会对PA水平产生负面影响。
不同阶段冠心病患者的生活质量以及心脏康复的效果均受PA的制约。
