The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.

<h4>Background</h4>Little is known about the association between fear of movement (kinesiophobia) and objectively measured physical activity (PA), the first 12 weeks after cardiac hospitalization.<h4>Purpose</h4>To assess the longitudinal association between kinesiophobia and...

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Main Authors: Paul Keessen, Kees Jan Kan, Gerben Ter Riet, Bart Visser, Harald T Jørstad, Corine H M Latour, Ingrid C D van Duijvenbode, Wilma J M Scholte Op Reimer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297672&type=printable
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author Paul Keessen
Kees Jan Kan
Gerben Ter Riet
Bart Visser
Harald T Jørstad
Corine H M Latour
Ingrid C D van Duijvenbode
Wilma J M Scholte Op Reimer
author_facet Paul Keessen
Kees Jan Kan
Gerben Ter Riet
Bart Visser
Harald T Jørstad
Corine H M Latour
Ingrid C D van Duijvenbode
Wilma J M Scholte Op Reimer
author_sort Paul Keessen
collection DOAJ
description <h4>Background</h4>Little is known about the association between fear of movement (kinesiophobia) and objectively measured physical activity (PA), the first 12 weeks after cardiac hospitalization.<h4>Purpose</h4>To assess the longitudinal association between kinesiophobia and objectively measured PA and to assess the factor structure of kinesiophobia.<h4>Methods</h4>We performed a longitudinal observational study. PA was continuously measured from hospital discharge to 12 weeks using the Personal Activity Monitor. The PAM measures time spent per day in PA-intensity categories: light, moderate and heavy. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK) at four time points (hospital discharge, 3, 6 and 12 weeks). The longitudinal association between PA-intensity and kinesiophobia was studied with a random intercept cross lagged panel model (RI-CLPM). A RI-CLPM estimates effects from kinesiophobia on objectively measured PA and vice versa (cross-over effects), and autoregressive effects (e.g. kinesiophobia from one occasion to the next).<h4>Results</h4>In total, 116 patients (83.6% male) with a median age of 65.5 were included in this study. On no occasion did we find an effect of kinesiophobia on PA and vice versa. Model fit for the original model was poor (X2: = 44.646 P<0.001). Best model fit was found for a model were kinesiophobia was modelled as a stable between factor (latent variable) and PA as autoregressive component (dynamic process) (X2 = 27.541 P<0.12).<h4>Conclusion</h4>Kinesiophobia and objectively measured PA are not associated in the first 12 weeks after hospital discharge. This study shows that kinesiophobia remained relatively stable, 12 weeks after hospital discharge, despite fluctuations in light to moderate PA-intensity.
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spelling doaj.art-9b0b9c80d34445ab98321d7df7ee707d2024-04-09T05:31:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01194e029767210.1371/journal.pone.0297672The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.Paul KeessenKees Jan KanGerben Ter RietBart VisserHarald T JørstadCorine H M LatourIngrid C D van DuijvenbodeWilma J M Scholte Op Reimer<h4>Background</h4>Little is known about the association between fear of movement (kinesiophobia) and objectively measured physical activity (PA), the first 12 weeks after cardiac hospitalization.<h4>Purpose</h4>To assess the longitudinal association between kinesiophobia and objectively measured PA and to assess the factor structure of kinesiophobia.<h4>Methods</h4>We performed a longitudinal observational study. PA was continuously measured from hospital discharge to 12 weeks using the Personal Activity Monitor. The PAM measures time spent per day in PA-intensity categories: light, moderate and heavy. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK) at four time points (hospital discharge, 3, 6 and 12 weeks). The longitudinal association between PA-intensity and kinesiophobia was studied with a random intercept cross lagged panel model (RI-CLPM). A RI-CLPM estimates effects from kinesiophobia on objectively measured PA and vice versa (cross-over effects), and autoregressive effects (e.g. kinesiophobia from one occasion to the next).<h4>Results</h4>In total, 116 patients (83.6% male) with a median age of 65.5 were included in this study. On no occasion did we find an effect of kinesiophobia on PA and vice versa. Model fit for the original model was poor (X2: = 44.646 P<0.001). Best model fit was found for a model were kinesiophobia was modelled as a stable between factor (latent variable) and PA as autoregressive component (dynamic process) (X2 = 27.541 P<0.12).<h4>Conclusion</h4>Kinesiophobia and objectively measured PA are not associated in the first 12 weeks after hospital discharge. This study shows that kinesiophobia remained relatively stable, 12 weeks after hospital discharge, despite fluctuations in light to moderate PA-intensity.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297672&type=printable
spellingShingle Paul Keessen
Kees Jan Kan
Gerben Ter Riet
Bart Visser
Harald T Jørstad
Corine H M Latour
Ingrid C D van Duijvenbode
Wilma J M Scholte Op Reimer
The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
PLoS ONE
title The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
title_full The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
title_fullStr The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
title_full_unstemmed The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
title_short The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.
title_sort longitudinal relationship between fear of movement and physical activity after cardiac hospitalization a cross lagged panel model
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297672&type=printable
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