Key Laboratory of Physical Fitness Evaluation and Motor Function Monitoring, College of Physical Education, Southwest University, Tiansheng Road No.2, Beibei District, Chongqing, 400715, China.
Institute of Physical Education, Southwest Petroleum University, Sichuan, China.
BMC Public Health. 2024 Sep 19;24(1):2557. doi: 10.1186/s12889-024-19953-1.
This study aimed to investigate the relationship between childhood physical activity enjoyment and current kinesiophobia among individuals with chronic low back pain (CLBP), considering the mediating influence of adult physical activity.
We recruited 648 adults (474 males, 174 females) with CLBP through an online platform. Of these, 99.1% (n = 642) were aged 18-60 years, and 0.9% (n = 6) were older than 60 years. Childhood physical activity enjoyment was retrospectively assessed using a single-item question to gauge participants' enjoyment during primary school. Kinesiophobia was measured with the 11-item Tampa Scale for Kinesiophobia (TSK-11), and physical activity was assessed focusing on walking, moderate, and vigorous physical activities. Age, sex, education, and income served as control variables in the analysis.
A significant negative association was found between childhood physical activity enjoyment and adult kinesiophobia. Additionally, childhood physical activity enjoyment was positively associated with adult physical activity across the three types of physical activities. In the adjusted mediation model, walking was identified as the only statistically significant partial mediator.
The findings highlight the long-term protective role of childhood physical activity enjoyment against the development of kinesiophobia in adulthood. Walking, in particular, holds unique therapeutic potential, emphasizing the importance of fostering physical activity enjoyment early in life for sustained physical activity and reduced risk of kinesiophobia among CLBP patients.
本研究旨在探讨慢性下背痛（CLBP）患者童年期身体活动享受与当前运动恐惧之间的关系，同时考虑了成人身体活动的中介作用。
我们通过在线平台招募了 648 名患有 CLBP 的成年人（474 名男性，174 名女性）。其中，99.1%（n=642）年龄在 18-60 岁之间，0.9%（n=6）年龄大于 60 岁。童年期身体活动享受采用单项目问题进行回顾性评估，以衡量参与者在小学期间的享受程度。运动恐惧采用 11 项坦帕运动恐惧量表（TSK-11）进行测量，身体活动重点评估步行、适度和剧烈身体活动。年龄、性别、教育和收入是分析中的控制变量。
童年期身体活动享受与成人运动恐惧之间存在显著负相关。此外，童年期身体活动享受与三种类型的身体活动中的成人身体活动呈正相关。在调整后的中介模型中，步行被确定为唯一具有统计学意义的部分中介变量。
研究结果强调了童年期身体活动享受对成年后运动恐惧发展的长期保护作用。特别是步行具有独特的治疗潜力，强调了在生命早期培养身体活动享受的重要性，以促进持续的身体活动并降低 CLBP 患者运动恐惧的风险。
