Physical activity, frailty, and kinesiophobia among older adult patients with coronary heart disease in China

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-02-16 DOI:10.1016/j.gerinurse.2025.02.004

Min Hou MSc, RN , Feng Jiao Yan MSc, RN (Head Nurse) , Qun Hong Liu MSc, RN , Yun Ruan MSc, RN , Li Hong Wan PhD, RN (Professor)

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引用次数: 0

Abstract

Background

Physical activity (PA) offers advantages in the secondary prevention of coronary heart disease (CHD). However, in older adults, frailty and kinesiophobia may exert negative influences on PA engagement.

Objective

To investigate PA, frailty, and kinesiophobia among older adult patients with CHD in China.

Methods

This cross-sectional study enrolled older adult patients with CHD in the cardiac outpatient care unit of the *** University. The International Physical Activity Questionnaire, the Frailty Phenotype Scale, and the Tampa Scale of Kinesiophobia were used to evaluate PA, frailty, and kinesiophobia, respectively.

Results

A total of 239 participants (mean age: 72.0 ± 7.5 years, 148 males) were enrolled. The rates of frailty and pre-frailty were 20.5 % and 46.4 %, respectively. The mean kinesiophobia score was 43.13±5.48. The median metabolic equivalent of task of PA was 2784 MET-min/week, and 25.1 % of the patients did not reach the minimum recommended by AHA (150 mins/week). Spearman rank correlation analysis showed that PA was negatively correlated with frailty (r = -0.559, P < 0.001) and kinesiophobia (r = -0.463, P < 0.001). Multivariable logistic regression analysis showed that frailty [OR = 0.412, 95 % confidence interval (CI): 0.304–0.559, P < 0.001] and kinesiophobia (OR=0.936, 95 % CI: 0.879–0.997, P = 0.040) were independently associated with PA after adjustment for age, cardiovascular adverse events, comorbidities, Barthel index, and history of dizziness.

Conclusions

Older adult patients with CHD had low levels of PA. Frailty and kinesiophobia were independently associated with PA in older adult patients with CHD. Reversing frailty and reducing kinesiophobia in older adult patients with CHD may increase PA levels.

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中国老年冠心病患者的体力活动、虚弱和运动恐惧症

体育活动（PA）在冠心病（CHD）的二级预防中具有优势。然而，在老年人中，虚弱和运动恐惧症可能对PA参与产生负面影响。目的探讨中国老年冠心病患者的心绞痛、虚弱和运动恐惧症。方法本横断面研究纳入了***大学心内科门诊的老年冠心病患者。采用国际体育活动问卷、虚弱表型量表和运动恐惧症坦帕量表分别评估PA、虚弱和运动恐惧症。结果共纳入239人，平均年龄72.0±7.5岁，男性148人。体弱多病和体弱多病的比率分别为20.5%和46.4%。运动恐惧症平均得分为43.13±5.48分。PA任务的中位代谢当量为2784 MET-min/周，25.1%的患者未达到AHA推荐的最低代谢当量（150 min/周）。Spearman秩相关分析显示，PA与脆性呈负相关(r = -0.559, P <；0.001)和运动恐惧症(r = -0.463, P <；0.001)。多变量logistic回归分析显示，脆弱性[OR = 0.412, 95%可信区间（CI）： 0.304-0.559, P <；0.001]和运动恐惧症（OR=0.936, 95% CI: 0.879-0.997, P = 0.040）在调整年龄、心血管不良事件、合并症、Barthel指数和头晕史后与PA独立相关。结论成年冠心病患者PA水平较低。老年冠心病患者虚弱和运动恐惧症与PA独立相关。老年冠心病患者逆转虚弱和减少运动恐惧症可能会增加PA水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.