Hüzmeli İrem, Akkuş Oğuz, Katayıfçı Nihan, Kara İsmail, Yasdıbaş Ramazan
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey.
Department of Cardiology, Tayfur Ata Sökmen Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.
Postepy Kardiol Interwencyjnej. 2024 Sep;20(3):302-310. doi: 10.5114/aic.2024.142989. Epub 2024 Sep 16.
Cardiac risk factors and diseases exacerbate anxiety and may cause exercise sensitivity by increasing awareness of physical conditions. However, the extent to which exercise sensitivity influences the level of physical activity and kinesiophobia in CVD patients is unclear.
The current study aimed to determine exercise sensitivity and its associated kinesiophobia and physical activity levels in patients with chronic coronary syndrome (CCS).
This cross-sectional study involved 43 patients diagnosed with CCS and 45 age- and gender-matched healthy individuals. Exercise sensitivity (questionnaire created by researchers), physical activity levels (short form Physical Activity Questionnaire, IPAQ), and kinesiophobia (Tampa Kinesiophobia Scale Heart, TSK-H) were evaluated.
The exercise sensitivity score (ESS, 37.40 ±7.38 and 33.65 ±5.83, = 0.010) was higher in the CSS group. During exercise, feeling pain, depletion of energy fatigue, chest pain, chest tightness, dizziness, palpitations, dyspnoea, and fainting frightened the patients ( < 0.05). The TSK-H score was higher, and the difference was significant in CCS patients compared the healthy controls ( = 0.007). Tye physical activity level was lower in patients than in healthy controls ( < 0.001), and 58.1% of CCS patients were inactive. ESS was significantly associated with IPAQ score ( = -0.360; = 0.018) and TKS-H score ( = 0.529; < 0.001) in CCS patients. According to linear regression analyses, exercise sensitivity explains 25% of kinesiophobia and physical activity.
Patients with CCS exhibit fear and sensitivity towards exercise, and these fears contribute to high levels of kinesiophobia and low physical activity levels. Future studies should be designed based on exercise sensitivity to increase participation in exercise-based programs.
心脏危险因素和疾病会加剧焦虑，并可能通过提高对身体状况的感知而导致运动敏感性。然而，运动敏感性对心血管疾病（CVD）患者身体活动水平和运动恐惧的影响程度尚不清楚。
本研究旨在确定慢性冠状动脉综合征（CCS）患者的运动敏感性及其相关的运动恐惧和身体活动水平。
这项横断面研究纳入了43例诊断为CCS的患者和45例年龄及性别匹配的健康个体。评估了运动敏感性（由研究人员编制的问卷）、身体活动水平（国际体力活动问卷简表，IPAQ）和运动恐惧（坦帕运动恐惧量表心脏版，TSK-H）。
CCS组的运动敏感性评分（ESS，37.40±7.38和33.65±5.83，P = 0.010）更高。运动期间，感到疼痛、能量耗尽、疲劳、胸痛、胸闷、头晕、心悸、呼吸困难和昏厥使患者感到恐惧（P<0.05）。与健康对照组相比，CCS患者的TSK-H评分更高，差异有统计学意义（P = 0.007）。患者的身体活动水平低于健康对照组（P<0.001），58.1%的CCS患者不活动。在CCS患者中，ESS与IPAQ评分（P = -0.360；P = 0.018）和TKS-H评分（P = 0.529；P<0.001）显著相关。根据线性回归分析，运动敏感性解释了25%的运动恐惧和身体活动情况。
CCS患者对运动表现出恐惧和敏感性，这些恐惧导致了高水平的运动恐惧和低身体活动水平。未来的研究应基于运动敏感性进行设计，以增加参与基于运动的项目。
