{"id":5573,"date":"2026-05-15T11:21:30","date_gmt":"2026-05-15T09:21:30","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5573"},"modified":"2026-05-15T11:21:30","modified_gmt":"2026-05-15T09:21:30","slug":"cvja-2026-009","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2026-009\/","title":{"rendered":"Kinesiophobia and associated variables in patients with atrial fibrillation combined with heart failure: A cross-sectional study from China"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nZhen Dai, Lewen Shao, Shaoling Li\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                    \r\n\r\n        <strong>Objectives:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nWhile kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). This study aims to investigate the prevalence of kinesiophobia and to identify its associated factors among hospitalised AFHF patients in China, thereby contributing to a broader understanding of this barrier to physical activity in a critical patient subgroup worldwide.\r\n<br \/>    \r\n\r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nIn this cross-sectional study, participants were recruited through convenience sampling from a grade A general hospital in Hangzhou, Zhejiang Province, China. Participants completed questionnaires that included measures of kinesiophobia, self-efficacy symptoms, depression, anxiety, medical coping strategies, social support, and demographic information.\r\n<br \/>\r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nA total of 212 inpatients with AFHF (age: 21\u201391, mean age: 65.22 \u00b1 10.30 years, 60.4% male) were included in the study, including 128 males (60.4%) and 84 females (39.6%). The findings revealed that a significant majority (71.2%) of patients experienced kinesiophobia (mean score: 40.60 \u00b1 5.71). The results of multiple linear regression (MLR) analysis showed that the main variables associated with kinesiophobia in patients with AFHF were previous hospitalisation for heart disease, New York Heart Association (NYHA) classification, depression, medical coping styles, self-efficacy, and occupation, with six variables together explaining 44.2% of the total variation.\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusions:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nKinesiophobia was found to be common in patients with AFHF in China, influenced by various factors. We recommend that early evaluation of kinesiophobia be considered in patients with AFHF.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>kinesiophobia, atrial fibrillation, heart failure, variable analysis, cardiac rehabilitation<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> February 25, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> February 9, 2026; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> May 15, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 179-185<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2026-009<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n<strong>Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China\r\n\r\n\r\n<\/strong>    <br \/>                                                                            \r\nZhen Dai<br \/>\r\nLewen Shao<br \/>\r\nShaoling Li\r\n\r\n<br \/><br \/>    \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>While kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). This study aims to investigate the prevalence of kinesiophobia and to identify its associated factors among hospitalised AFHF patients in China, thereby contributing to a broader understanding of this barrier to physical activity in a critical patient subgroup worldwide.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,110],"tags":[],"class_list":["post-5573","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kinesiophobia and associated variables in patients with atrial fibrillation combined with heart failure: A cross-sectional study from China - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"While kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). This study aims to investigate the prevalence of kinesiophobia and to identify its associated factors among hospitalised AFHF patients in China, thereby contributing to a broader understanding of this barrier to physical activity in a critical patient subgroup worldwide.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2026-009\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kinesiophobia and associated variables in patients with atrial fibrillation combined with heart failure: A cross-sectional study from China - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"While kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). This study aims to investigate the prevalence of kinesiophobia and to identify its associated factors among hospitalised AFHF patients in China, thereby contributing to a broader understanding of this barrier to physical activity in a critical patient subgroup worldwide.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2026-009\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2026-05-15T09:21:30+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2026-009\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2026-009\/\",\"name\":\"Kinesiophobia and associated variables in patients with atrial fibrillation combined with heart failure: A cross-sectional study from China - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2026-05-15T09:21:30+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"While kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). 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