Background: Changing the behavior of physical activity (PA) in COPD patients remains a challenge, because this population faces the same barriers to PA as the general population, as well as disease-specific barriers, especially dyspnea-related kinesiophobia.
Objectives: This study aimed to assess the status of dyspnea-related kinesiophobia in people with COPD, and investigate its impact on PA levels, further examine the mediated moderation effects of exercise perception and social support on this relationship.
Methods: A cross-sectional survey was conducted with COPD patients recruited from four tertiary hospitals in Jinan Province, China. We used Breathlessness Beliefs Questionnaire to identify dyspnea-related kinesiophobia. International Physical Activity Questionnaire-short-form, Exercise Benefits/Barriers Scale, and Social Support Rating Scale were used to assess PA, exercise perception and social support, respectively. The data were statistically processed using correlation analysis and a test of mediated moderation model.
Results: A total of 223 COPD patients were included, and all of them had a symptom of dyspnea-related kinesiophobia. Dyspnea-related kinesiophobia was negatively correlated with exercise perception, subjective social support and PA. Exercise perception partially mediated the impact of dyspnea-related kinesiophobia on PA levels, and subjective social support indirectly influences PA by moderating the relationship between dyspnea-related kinesiophobia and exercise perception.
Conclusions: People with COPD commonly have dyspnea-related kinesiophobia and experienced physical inactivity. The mediated moderation model provides a better understanding of how dyspnea-related kinesiophobia, exercise perception, and subjective social support work together to influence PA. Interventions seeking to improve the levels of PA in COPD patients should consider these elements.
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Corrigendum to "Latent profile analysis of dyspnea-related kinesiophobia in older adults with chronic obstructive pulmonary disease" [Heart & lung: The Journal of Critical Care 69 (2024) 241247/PMID: 39522284].
Heart Lung
December 2024
Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, 1111 XianXia Road, Shanghai 200336, China. Electronic address:
Latent profile analysis of dyspnea-related kinesiophobia in older adults with chronic obstructive pulmonary disease.
Heart Lung
November 2024
Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, 1111 XianXia Road, Shanghai 200336, China. Electronic address:
Article Synopsis
- - Dyspnea-related kinesiophobia is a common issue among older adults with chronic obstructive pulmonary disease (COPD), causing them to avoid activities due to the fear of shortness of breath, highlighting the need to identify subgroups affected by this phenomenon.
- - The study aimed to explore the different levels of kinesiophobia among older adults with COPD through a questionnaire survey, analyzing factors like sociodemographics and health status that may influence these subgroups.
- - Results revealed two distinct groups of kinesiophobia: a low-level group (59.9%) and a high-level group (40.1%). Key findings indicated that those in the high-level group were less active, had lower income, and often faced various
The effect of cognition in combination with an ACBT on dyspnea-related kinesiophobia in patients with moderate to severe COPD: Quasirandomized controlled trial study.
Geriatr Nurs
April 2024
Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, China. Electronic address:
Patients with moderate to severe COPD frequently experience dyspnea, which causes these patients to acquire a fear of dyspnea and a fear of activity. This study developed a cognitive intervention combined with active cycle of breathing technique (ACBT) intervention program based on the fear-avoidance model, with the goal of evaluating the program's effectiveness in improving dyspnea-related kinesiophobia in patients with moderate to severe COPD. This study had a total of 106 participants.
View Article and Find Full Text PDFThe relationship between dyspnea-related kinesiophobia and physical activity in people with COPD: Cross-sectional survey and mediated moderation analysis.
Heart Lung
March 2023
School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China. Electronic address:
Background: Changing the behavior of physical activity (PA) in COPD patients remains a challenge, because this population faces the same barriers to PA as the general population, as well as disease-specific barriers, especially dyspnea-related kinesiophobia.
Objectives: This study aimed to assess the status of dyspnea-related kinesiophobia in people with COPD, and investigate its impact on PA levels, further examine the mediated moderation effects of exercise perception and social support on this relationship.
Methods: A cross-sectional survey was conducted with COPD patients recruited from four tertiary hospitals in Jinan Province, China.
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