Latent profile analysis and influencing factors of kinesiophobia among young and middle-aged patients with coronary heart disease
By
Mengying Yang
Xunying He
Yi Hu
Yingying Zheng
Hui Zhang
Peipei Yu
May 13, 2026
Clinical Scorecard: Analysis of Latent Profiles and Determinants of Kinesiophobia in Young and Middle-Aged Individuals with Coronary Heart Disease
At a Glance
Category Detail
Condition Coronary Heart Disease (CHD)
Key Mechanisms Kinesiophobia affecting exercise compliance and rehabilitation outcomes
Target Population Young and middle-aged individuals aged 18–59 years with CHD
Care Setting Tertiary medical facility
Key Highlights
Three classifications of kinesiophobia identified: low, moderate, and high kinesiophobia types Educational level, stent quantity, exercise self-efficacy, social support, and fatigue influence kinesiophobia Kinesiophobia prevalence in CHD patients ranges from 20% to 87.20% Targeted interventions are necessary to address individual kinesiophobia traits Cardiac rehabilitation is crucial for improving outcomes in CHD patients
Guideline-Based Recommendations
Diagnosis
Utilize the Fear of Activity in Patients with Coronary Artery Disease (Fact-CAD) for assessment
Management
Implement tailored intervention strategies based on kinesiophobia profiles
Monitoring & Follow-up
Regularly assess kinesiophobia levels and related factors during rehabilitation
Risks
Increased kinesiophobia can lead to reduced exercise compliance and poorer rehabilitation outcomes
Patient & Prescribing Data
Young and middle-aged individuals with CHD
Focus on enhancing exercise self-efficacy and social support to mitigate kinesiophobia
Clinical Best Practices
Conduct latent profile analysis to identify kinesiophobia classifications Encourage patient education to alleviate fears regarding physical activity Promote social support networks to enhance exercise participation
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