The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study
Abstract Background Hypertension is a prevalent chronic condition accompanied by comorbidities that negatively affect health outcomes. Comorbid conditions in hypertensive individuals may contribute to increased physical inactivity, heightened levels of kinesiophobia, and diminished physical performa...
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BMC
2025-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-025-04733-5 |
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| author | Reyhan Kaygusuz Benli Özden Yasarer Emel Mete Berivan Beril KILIÇ |
| author_facet | Reyhan Kaygusuz Benli Özden Yasarer Emel Mete Berivan Beril KILIÇ |
| author_sort | Reyhan Kaygusuz Benli |
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| description | Abstract Background Hypertension is a prevalent chronic condition accompanied by comorbidities that negatively affect health outcomes. Comorbid conditions in hypertensive individuals may contribute to increased physical inactivity, heightened levels of kinesiophobia, and diminished physical performance. This study aimed to investigate the relationships among Charlson Comorbidity Index (CCI). scores, kinesiophobia, physical activity levels, and physical performance in hypertensive individuals. Methods A cross-sectional study included 186 hypertensive participants aged ≥ 40 years. CCI was utilized to assess comorbidities, and physical activity levels were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Kinesiophobia was measured using the Tampa Kinesiophobia Scale (TKS)., and physical performance was evaluated through the 30-Second Sit-to-Stand Test (STS-30). and the Five Times Sit-to-Stand Test (FT-STS). Spearman correlation analysis was performed to assess relationships among variables. Results The majority of participants (88.7%) exhibited kinesiophobia, and 93.5% were physically inactive. A significant but positive weak correlation were found between CCI and TKS (r = 0.239, p = 0.002). A significant but weak negative correlation were observed between CCI and STS-30 (r=-0.264, p = 0.001), while a weak positive correlation was observed CCI and FT-STS (r = 0.227, p = 0.005) among inactive individuals. A weak negative correlation was also found between IPAQ-SF and CCI in inactive participants (r=-0.184, p = 0.020). No significant correlations were found in active individuals. The effect sizes for these correlations ranged from moderate to small, suggesting a meaningful, but limited, impact of comorbidities on physical inactivity and kinesiophobia. Conclusions Comorbidities (CCI) were significantly associated with kinesiophobia and physical performance in inactive hypertensive individuals. These findings highlight the need for patient-centered targeted interventions addressing comorbidities to enhance physical activity, management kinesiophobia and improve physical performance in this population. |
| format | Article |
| id | doaj-art-5486bd7de258425690ec751d7c719006 |
| institution | OA Journals |
| issn | 1471-2261 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj-art-5486bd7de258425690ec751d7c7190062025-08-20T02:17:09ZengBMCBMC Cardiovascular Disorders1471-22612025-04-0125111010.1186/s12872-025-04733-5The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional studyReyhan Kaygusuz Benli0Özden Yasarer1Emel Mete2Berivan Beril KILIÇ3Health Science Faculty, Department of Physiotherapy and Rehabilitation, Demiroglu Bilim UniversityPhysioremedy LtdHealth Science Faculty, Department of Physiotherapy and Rehabilitation, Istanbul Medeniyet UniversityHealth Science Faculty, Department of Physiotherapy and Rehabilitation, Istanbul Biruni UniversityAbstract Background Hypertension is a prevalent chronic condition accompanied by comorbidities that negatively affect health outcomes. Comorbid conditions in hypertensive individuals may contribute to increased physical inactivity, heightened levels of kinesiophobia, and diminished physical performance. This study aimed to investigate the relationships among Charlson Comorbidity Index (CCI). scores, kinesiophobia, physical activity levels, and physical performance in hypertensive individuals. Methods A cross-sectional study included 186 hypertensive participants aged ≥ 40 years. CCI was utilized to assess comorbidities, and physical activity levels were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Kinesiophobia was measured using the Tampa Kinesiophobia Scale (TKS)., and physical performance was evaluated through the 30-Second Sit-to-Stand Test (STS-30). and the Five Times Sit-to-Stand Test (FT-STS). Spearman correlation analysis was performed to assess relationships among variables. Results The majority of participants (88.7%) exhibited kinesiophobia, and 93.5% were physically inactive. A significant but positive weak correlation were found between CCI and TKS (r = 0.239, p = 0.002). A significant but weak negative correlation were observed between CCI and STS-30 (r=-0.264, p = 0.001), while a weak positive correlation was observed CCI and FT-STS (r = 0.227, p = 0.005) among inactive individuals. A weak negative correlation was also found between IPAQ-SF and CCI in inactive participants (r=-0.184, p = 0.020). No significant correlations were found in active individuals. The effect sizes for these correlations ranged from moderate to small, suggesting a meaningful, but limited, impact of comorbidities on physical inactivity and kinesiophobia. Conclusions Comorbidities (CCI) were significantly associated with kinesiophobia and physical performance in inactive hypertensive individuals. These findings highlight the need for patient-centered targeted interventions addressing comorbidities to enhance physical activity, management kinesiophobia and improve physical performance in this population.https://doi.org/10.1186/s12872-025-04733-5Charlson comorbidity indexHypertensionPhysical activity levelPhysical performanceSit to standFive times sit to stand |
| spellingShingle | Reyhan Kaygusuz Benli Özden Yasarer Emel Mete Berivan Beril KILIÇ The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study BMC Cardiovascular Disorders Charlson comorbidity index Hypertension Physical activity level Physical performance Sit to stand Five times sit to stand |
| title | The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study |
| title_full | The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study |
| title_fullStr | The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study |
| title_full_unstemmed | The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study |
| title_short | The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study |
| title_sort | relationship between comorbidities physical inactivity kinesiophobia and physical performance in hypertensive individuals a cross sectional study |
| topic | Charlson comorbidity index Hypertension Physical activity level Physical performance Sit to stand Five times sit to stand |
| url | https://doi.org/10.1186/s12872-025-04733-5 |
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