The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive
Reyhan Kaygusuz Benli1, Özden Yasarer2, Emel Mete3
1Health Science Faculty, Department of Physiotherapy and Rehabilitation, Demiroglu Bilim University, Istanbul, Turkey. reyhan.kaygusuz@demiroglu.bilim.edu.tr.
Insights
Hypertension comorbidities are linked to fear of movement and poor physical function, especially in inactive patients. Targeted interventions addressing these conditions can improve physical activity and performance in hypertensive individuals.
Area of Science:
- Cardiology
- Gerontology
- Physical Therapy
Background:
- Hypertension is a common condition with significant negative health impacts due to comorbidities.
- Comorbidities in hypertensive patients can lead to reduced physical activity, increased kinesiophobia (fear of movement), and poorer physical performance.
- Understanding these relationships is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the associations between the Charlson Comorbidity Index (CCI) scores, kinesiophobia, physical activity levels, and physical performance in hypertensive individuals.
- To explore how comorbidities influence physical activity and movement-related fear in this population.
Main Methods:
- A cross-sectional study involving 186 hypertensive participants aged 40 years and older.
- Comorbidities assessed using the Charlson Comorbidity Index (CCI).
- Physical activity measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF), kinesiophobia by the Tampa Kinesiophobia Scale (TKS), and physical performance by the 30-Second Sit-to-Stand (STS-30) and Five Times Sit-to-Stand (FT-STS) tests.
- Spearman correlation analysis was used to examine relationships among variables.
Main Results:
- A high prevalence of kinesiophobia (88.7%) and physical inactivity (93.5%) was observed.
- Significant weak positive correlation between CCI and TKS (fear of movement).
- Significant weak negative correlation between CCI and STS-30 (physical performance), and a weak positive correlation between CCI and FT-STS (physical performance) were found in inactive individuals.
- A weak negative correlation between physical activity (IPAQ-SF) and CCI was noted in inactive participants.
- No significant correlations were found in active individuals, with effect sizes indicating a limited impact of comorbidities.
Conclusions:
- Comorbidities, as indicated by CCI, are significantly associated with kinesiophobia and reduced physical performance in inactive hypertensive individuals.
- These findings underscore the importance of patient-centered interventions that target comorbidities to improve physical activity, manage kinesiophobia, and enhance physical performance.
- Addressing comorbidities is key to improving the overall health and functional capacity of hypertensive patients.
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.
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