ArticleFrontiers in public health2025
Non-linear threshold effects of kinesiophobia on exercise adherence in older adults with COPD: a segmented regression analysis.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Facilitators and barriers to exercise adherence in patients with COPD: A qualitative study guided by the fear-avoidance model.Chronic respiratory diseaseArticle
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To explore the threshold effect of kinesiophobia on exercise adherence in older adult patients with chronic obstructive pulmonary disease (COPD). Methods: A cross-sectional survey was conducted on 357 older adults with COPD were assessed using standardized questionnaires for general information, exercise adherence, and kinesiophobia (Tampa Scale for Kinesiophobia, TSK). Multiple linear regression identified independent factors affecting adherence. A restricted cubic spline model analyzed the non-linear relationship between kinesiophobia and adherence. Results: The mean scores for exercise adherence and kinesiophobia were 30.9 ± 7.7 and 35.8 ± 10.7, respectively, with 59.9% of patients scoring above the clinical cutoff (>37) for significant kinesiophobia. Kinesiophobia (β = -0.51, Conclusion: Exercise adherence was suboptimal in older adults with COPD, who demonstrated substantial kinesiophobia. A TSK score of 20 points serves as a critical threshold, recommending its use for early identification of high-risk patients. Clinical management should prioritize patients with TSK scores ≥20, frequent exacerbations, and comorbid anxiety for targeted interventions.
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