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

Placeholder

Departments

Organizational Unit

School / College / Institute

Organizational Unit
SCHOOL OF MEDICINE
Upper Org Unit

Program

KU Authors

Co-Authors

Demirsoy, Nesrin
Atan, Tugba
Durmus, Dilek
Tur, Birkan Sonel
Findikoglu, Gulin
Guzel, Rengin
Uzumcugil, Hale
Eksioglu, Emel
Sarikaya, Selda
Soyupek, Feray

Publication Date

Language

Embargo Status

Journal Title

Journal ISSN

Volume Title

Alternative Title

Abstract

Objectives: 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. Patients and methods: 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. Results: 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. Conclusion: 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.

Source

Publisher

Baycinar Medical Publ-Bayçınar Tıbbi Yayıncılık

Subject

Rehabilitation

Citation

Has Part

Source

Turkish Journal of Physical Medicine and Rehabilitation

Book Series Title

Edition

DOI

10.5606/tftrd.2024.12956

item.page.datauri

Link

Rights

Copyrights Note

Endorsement

Review

Supplemented By

Referenced By

0

Views

0

Downloads

View PlumX Details