Non-linear threshold effects of kinesiophobia on exercise adherence in older adults with COPD: a segmented regression analysis.

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. Kines

SUBMITTER: Feng L 

PROVIDER: S-EPMC12646917 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature