Li Hansen, Browning Matthew H E M, Tian Haodong, Huang Li, Zhang Xing, Yin Mingyue, Liu Haowei
College of Physical Education, Southwest University, China.
Virtual Reality & Nature Lab, Department of Parks, Recreation and Tourism Management, Clemson University, USA.
J Health Psychol. 2025 Jul;30(8):1825-1838. doi: 10.1177/13591053241241413. Epub 2024 Mar 28.
To test the mediatory role of kinesiophobia between greenspace and physical activity, we conducted a cross-sectional survey and recruited 801 participants with chronic low back pain. The level of greenspace was assessed using both perceived greenspace and the Normalized Difference Vegetation Index (NDVI). The frequency of walking and moderate and vigorous physical activities was measured using a brief assessment, while kinesiophobia was evaluated using the 11-item Tampa Scale for Kinesiophobia (TSK-11). The results revealed that perceived greenspace was positively associated with all measured physical activities, and was negatively associated with kinesiophobia. Meanwhile, NDVI was only positively associated with moderate and vigorous physical activity. Kinesiophobia played a marginal but significant mediating role in the association of perceived greenspace with walking, moderate physical activity, and vigorous physical activity. In conclusion, our findings offer early evidence of associations and pathways between greenspace and physical activity among individuals with chronic low back pain.
为了检验运动恐惧在绿地空间与身体活动之间的中介作用，我们开展了一项横断面调查，招募了801名患有慢性下腰痛的参与者。使用感知绿地空间和归一化植被指数（NDVI）评估绿地空间水平。通过简短评估测量步行以及中度和剧烈身体活动的频率，同时使用11项坦帕运动恐惧量表（TSK - 11）评估运动恐惧。结果显示，感知绿地空间与所有测量的身体活动呈正相关，与运动恐惧呈负相关。同时，NDVI仅与中度和剧烈身体活动呈正相关。运动恐惧在感知绿地空间与步行、中度身体活动和剧烈身体活动的关联中起边缘但显著的中介作用。总之，我们的研究结果为慢性下腰痛患者中绿地空间与身体活动之间的关联和途径提供了早期证据。
