The Relationship Between Kinesiophobic Attitude and Frailty in Older People.
Fatma Zehra Genç, Naile Bilgili
PMID 40090671WHAT IT FOUND
Among older adults, higher fear of movement was associated with greater frailty.
Pain, inactivity and older age also tracked with frailty. This does not show fear causes frailty, but it may help identify people needing frailty assessment.
Key findings
01In the sample, 92.7% had high kinesiophobia (TSK >= 37) and 80.5% had some degree of frailty.
02Kinesiophobia scores were positively and significantly correlated with frailty scores (r = 0.616, p < 0.01), as were causes of kinesiophobia (r = 0.615, p < 0.01).
03In regression analyses, a one-unit increase in Tampa kinesiophobia score was associated with a 0.191-unit increase in frailty score (p = 0.005) and with 1.128 times greater risk of being frail (p < 0.001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one family health centre in Turkey between July and September 2023, so the results may not apply to older adults in other settings or countries. Participants were selected by haphazard non-probability sampling, so they may not represent all older adults. People with severe limb, vision or hearing impairment, surgery in the past 3 months, or Mini-Mental State Examination score below 24 were excluded, so it says little about more impaired or cognitively impaired older adults. Fear of movement and frailty were measured with self-report scales, which can be biased. The study was descriptive and relationship-seeking, so it cannot show that fear of movement causes frailty.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that fear of movement causes frailty or that treating fear will reduce frailty. This was a single-centre cross-sectional survey of 302 older adults, using self-report scales and haphazard sampling, so it can only show association.