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Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study

Turkish journal of physical medicine and rehabilitation, 2024-03, Vol.70 (1), p.73-80 [Peer Reviewed Journal]

Copyright © 2024, Turkish Society of Physical Medicine and Rehabilitation. ;COPYRIGHT 2024 Galenos Yayinevi Tic. Ltd. ;Copyright © 2024, Turkish Society of Physical Medicine and Rehabilitation 2024 Turkish Society of Physical Medicine and Rehabilitation ;ISSN: 1302-0234 ;ISSN: 2587-0823 ;EISSN: 2587-0823 ;DOI: 10.5606/tftrd.2024.12956 ;PMID: 38549831

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Title:
Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study
Author: Demirsoy, Nesrin ; Özyemisci Taşkıran, Özden ; Atan, Tuğba ; Durmuş, Dilek ; Sonel Tur, Birkan ; Fındıkoğlu, Gülin ; Güzel, Rengin ; Üzümcügil, Hale ; Ekşioğlu, Emel ; Sarıkaya, Selda ; Soyupek, Feray ; Ayhan, Fikriye Figen ; Demirbağ Kabayel, Derya ; Özdemir, Hande ; Duran, Ümmügülsüm Doğan ; Aydemir, Koray ; Karaahmet, Özgür ; Sütbeyaz, Serap ; Kurtaiş Aytür, Yeşim ; Dülgeroğlu, Deniz
Subjects: Backache ; Cardiac patients ; Comorbidity ; Coronary heart disease ; Lung diseases ; Medical research ; Medicine, Experimental ; Original
Is Part Of: Turkish journal of physical medicine and rehabilitation, 2024-03, Vol.70 (1), p.73-80
Description: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship. One hundred ninety-seven patients (145 males, 52 females; mean age: 56.3±10.8 years; range, 22 to 80 years) with a diagnosis of CAD or cardiac event in the previous one to 60 months were enrolled in this cross-sectional multicenter study between November 2015 and February 2017. Demographic and clinical features were recorded. Fear of activity was assessed by the fear of activity scale in patients with CAD (FactCAD). A 6-min walk test was used to assess exercise capacity. Female participants were older, less educated, and less employed (p=0.045, p=0.048, and p<0.001, respectively) than males. Prevalence of myocardial infarction was higher in males. Comorbidities were higher in females. Multiple linear regression predicted 6-min walk distance (6MWD) based on FactCAD, sex, and education level with an r-squared of 0.321 (p<0.001). Fear of activity had an effect on walking distance in males (each additional score of FactCAD predicts a decrease of 1.3 m in 6MWD), together with disease duration, presence of chronic pulmonary disease, and low back pain, whereas fear of activity was not a predicting factor on walking distance in females. Age, education, and presence of angina predicted 6MWD in females. This study emphasizes that fear of activity is one of the predictors of 6MWD in males with CAD, and its assessment is recommended as a possible barrier to rehabilitation.
Publisher: Turkey: Galenos Yayinevi Tic. Ltd
Language: English;Turkish
Identifier: ISSN: 1302-0234
ISSN: 2587-0823
EISSN: 2587-0823
DOI: 10.5606/tftrd.2024.12956
PMID: 38549831
Source: GFMER Free Medical Journals
PubMed Central

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Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study

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