高血压患者的合并症、身体活动不足、运动恐惧与身体机能之间的关系：一项横断面研究。
The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study.
作者信息
Benli Reyhan Kaygusuz, Yasarer Özden, Mete Emel, Kiliç Berivan Beril
机构信息
Health Science Faculty, Department of Physiotherapy and Rehabilitation, Demiroglu Bilim University, Istanbul, Turkey.
Physioremedy Ltd, Birmingham, UK.
出版信息
BMC Cardiovasc Disord. 2025 Apr 11;25(1):279. doi: 10.1186/s12872-025-04733-5.
BACKGROUND
Hypertension is a prevalent chronic condition accompanied by comorbidities that negatively affect health outcomes. Comorbid conditions in hypertensive individuals may contribute to increased physical inactivity, heightened levels of kinesiophobia, and diminished physical performance. This study aimed to investigate the relationships among Charlson Comorbidity Index (CCI). scores, kinesiophobia, physical activity levels, and physical performance in hypertensive individuals.
METHODS
A cross-sectional study included 186 hypertensive participants aged ≥ 40 years. CCI was utilized to assess comorbidities, and physical activity levels were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Kinesiophobia was measured using the Tampa Kinesiophobia Scale (TKS)., and physical performance was evaluated through the 30-Second Sit-to-Stand Test (STS-30). and the Five Times Sit-to-Stand Test (FT-STS). Spearman correlation analysis was performed to assess relationships among variables.
RESULTS
The majority of participants (88.7%) exhibited kinesiophobia, and 93.5% were physically inactive. A significant but positive weak correlation were found between CCI and TKS (r = 0.239, p = 0.002). A significant but weak negative correlation were observed between CCI and STS-30 (r=-0.264, p = 0.001), while a weak positive correlation was observed CCI and FT-STS (r = 0.227, p = 0.005) among inactive individuals. A weak negative correlation was also found between IPAQ-SF and CCI in inactive participants (r=-0.184, p = 0.020). No significant correlations were found in active individuals. The effect sizes for these correlations ranged from moderate to small, suggesting a meaningful, but limited, impact of comorbidities on physical inactivity and kinesiophobia.
CONCLUSIONS
Comorbidities (CCI) were significantly associated with kinesiophobia and physical performance in inactive hypertensive individuals. These findings highlight the need for patient-centered targeted interventions addressing comorbidities to enhance physical activity, management kinesiophobia and improve physical performance in this population.
背景
高血压是一种常见的慢性病，常伴有多种共病，会对健康结局产生负面影响。高血压患者的共病情况可能导致身体活动减少、运动恐惧加剧以及身体机能下降。本研究旨在调查高血压患者的查尔森合并症指数（CCI）得分、运动恐惧、身体活动水平和身体机能之间的关系。
方法
一项横断面研究纳入了186名年龄≥40岁的高血压参与者。使用CCI评估共病情况，通过国际体力活动问卷简表（IPAQ-SF）评估身体活动水平。使用坦帕运动恐惧量表（TKS）测量运动恐惧，并通过30秒坐立试验（STS-30）和五次坐立试验（FT-STS）评估身体机能。进行Spearman相关性分析以评估变量之间的关系。
结果
大多数参与者（88.7%）表现出运动恐惧，93.5%的人身体活动不足。CCI与TKS之间存在显著但较弱的正相关（r = 0.239，p = 0.002）。在身体活动不足的个体中，CCI与STS-30之间存在显著但较弱的负相关（r = -0.264，p = 0.001），而CCI与FT-STS之间存在较弱的正相关（r = 0.227，p = 0.005）。在身体活动不足的参与者中，IPAQ-SF与CCI之间也存在较弱的负相关（r = -0.184，p = 0.020）。在身体活动活跃的个体中未发现显著相关性。这些相关性的效应大小从中度到小，表明共病对身体活动不足和运动恐惧有显著但有限的影响。
结论
共病（CCI）与身体活动不足的高血压患者的运动恐惧和身体机能显著相关。这些发现凸显了以患者为中心、针对共病进行有针对性干预的必要性，以增强该人群的身体活动、管理运动恐惧并改善身体机能。
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