Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia

cengiz, ahmet kivanc; MISIRCI, SALİM; bilgici, ayhan; ulus, yasemin; akyol, yesim

doi:10.4274/tod.galenos.2020.85688

Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia

Salim MISIRCI, (Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Yeşim AKYOL, (Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Yasemin ULUS, (Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

A. Kıvanç CENGİZ, (Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Ayhan BİLGİCİ (Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Türk Osteoporoz Dergisi

11 0

Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 74 - 81 Metin Dili: İngilizce DOI: 10.4274/tod.galenos.2020.85688 İndeks Tarihi: 01-10-2021

Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia

Öz:

Objective: To investigate level of kinesiophobia and related factors in postmenopausal women with osteoporosis (OP) and osteopenia (OPN).Materials and Methods: A total of 60 female patients with postmenopausal OP, 60 female patients with postmenopausal OPN and60 age- and gender-matched controls were enrolled in this study. Demographic data (age, weight, height, body mass index, educationallevel, employment status, disease duration and menopause duration) of the participants were recorded. In all participants, the level ofkinesiophobia, fear of falling, psychological status, health-related quality of life and osteoporosis self-efficacy were evaluated using the Tampascale of kinesiophobia (TSK), falls efficacy scale-international (FES-I), hospital anxiety and depression scale (HADS), quality of life questionnaireof the European Foundation for Osteoporosis-41 (QUALEFFO-41) and osteoporosis self-efficacy scale (OSES), respectively.Results: Postmenopausal patients with OP and OPN had higher levels of kinesiophobia than controls (p<0.05). However, there was nodifference between the levels of kinesophobia in patients with OP and OPN (p>0.05). In addition, a positive correlation was found betweenTSK score and FES-I, HADS, QUALEFFO-41 scores and duration of menopause, and a negative correlation between OSES scores in patientswith OP and OPN (p<0.05). Patients were divided into two groups according to their kinesiophobia levels: High and low kinesiophobia groups.All clinical parameters were negatively affected in patients in the high kinesophobia group (p<0.05).Conclusion: Both OP and OPN may cause kinesiophobia in postmenopausal women. Increased fear of falling, impaired psychological status,poor quality of life, decreased perception of self-efficacy and prolonged duration of menopause in postmenopausal women with OP and OPNseem to be associated with a higher level of kinesiophobia. As physical activity is essential for bone health, postmenopausal women with OPand OPN should be counselled about the importance of overcoming kinesiophobia

Anahtar Kelime:

Postmenopozal Osteoporoz veya Osteopenili Kadınlarda Kinezyofobi ve İlişkili Faktörler

Öz:

Öz Amaç: Osteoporoz (OP) ve osteopenisi (OPN) olan postmenopozal kadınlarda kinezyofobi düzeyini ve ilişkili faktörleri araştırmaktır. Gereç ve Yöntem: Çalışmaya postmenopozal OP’li 60 kadın hasta, postmenopozal OPN’li 60 kadın hasta, yaş ve cinsiyet uyumlu 60 kontrol dahil edildi. Katılımcıların demografik verileri (yaş, kilo, boy, vücut kitle indeksi, eğitim düzeyi, çalışma durumu, hastalık süresi ve menopoz süresi) kaydedildi. Tüm katılımcılarda kinezyofobi, düşme korkusu, psikolojik durum, sağlıkla ilgili yaşam kalitesi ve OP öz-yeterlik düzeyleri, sırasıyla Tampa kinezyofobi ölçeği (TKÖ), düşme etkinlik ölçeği-uluslararası (UDES), hastane anksiyete ve depresyon ölçeği (HADÖ), Avrupa Osteoporoz Vakfı’nın yaşam kalitesi anketi-41 (QUALEFFO-41) ve osteoporoz öz-yeterlik ölçeği (OEYÖ) kullanılarak değerlendirildi. Bulgular: OP’li ve OPN’li postmenopozal hastalarda kontrole kıyasla daha yüksek kinezyofobi düzeyleri vardı (p<0,05). Ancak OP ve OPN’li hastalarda kinezyofobi düzeyleri arasında fark yoktu (p>0,05). OP ve OPN’li hastalarda TKÖ skoru ile UDES, HADÖ, QUALEFFO-41 skorları, menopoz süresi arasında pozitif, OEYÖ skorları arasında negatif korelasyon vardı (p<0,05). Hastalar kinezyofobi düzeylerine göre yüksek ve düşük kinezyofobi olarak iki gruba ayrıldı; yüksek kinezyofobisi olan hastalarda tüm klinik parametreler olumsuz etkilenmişti (p<0,05). Sonuç: Hem OP hem de OPN, postmenopozal kadınlarda kinezyofobiye neden olabilir. OP ve OPN’li postmenopozal kadınlarda artmış düşme korkusu, bozulmuş psikolojik durum, düşük yaşam kalitesi ve azalmış öz-yeterlik algısı, uzamış menopoz süresi daha yüksek düzeyde kinezyofobi ile ilişkili görünmektedir. Fiziksel aktivite kemik sağlığı için gerekli olduğundan, OP ve OPN’li postmenopozal kadınlara kinezyofobinin üstesinden gelmenin önemi konusunda danışmanlık verilmelidir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Kori KS, Miller RP, Todd D. Kinesiophobia: a new view of chronic pain behavior. Pain Manag 1990;3:35-43.
2. Oskay D, Tuna Z, Düzgün İ, Elbasan B, Yakut Y, Tufan A. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turk J Med Sci 2017;47:1340-7.
3. Altuğ F, Ünal A, Kilavuz G, Kavlak E, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain1. J Back Musculoskelet Rehabil 2016;29:527-31.
4. Bäck M, Cider Å, Herlitz J, Lundberg M, Jansson B. The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease. Int J Cardiol 2013;167:391-7.
5. Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study. BMC Geriatr 2016;16:50.
6. Dontas IA, Yiannakopoulos CK. Risk factors and prevention of osteoporosis-related fractures. J Musculoskelet Neuronal Interact 2007;7:268-72.
7. Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement 2000;17:1-45.
8. Karaguzel G, Holick MF. Diagnosis and treatment of osteopenia. Rev Endocr Metab Disord 2010;11:237-51.
9. Caires ELP, Bezerra MC, Junqueira AFTA, Fontenele SMA, Andrade SCA, d’Alva CB. Treatment of postmenopausal osteoporosis: a literature-based algorithm for use in the public health care system. Rev Bras Reumatol Engl Ed 2017;57:254-63.
10. Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY; Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and the Committee of Scientific Advisors of the International Osteoporosis Foundation (IOF). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 2013;24:23-57.
11. Gunendi Z, Eker D, Tecer D, Karaoglan B, Ozyemisci-Taskiran O. Is the word “osteoporosis” a reason for kinesiophobia? Eur J Phys Rehabil Med 2018;54:671-5.
12. Curtis EM, Moon RJ, Harvey NC, Cooper C. The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide. Bone 2017;104:29-38.
13. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. Geneva, World Health Organization, 1994 (WHO Technical Report Series, No. 843).
14. Miller RP, Kori SH, Todd DD. The Tampa Scale. Unpublished Report, Tampa; 1991.
15. Yılmaz OT, Yakut Y, Uygur F, Uluğ N. Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Fizyoterapi Rehabilitasyon 2011;22:44-9.
16. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62:363-72.
17. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr 2012;54:429-33.
18. Kim K, Horan ML, Gendler P. Osteoporosis Knowledge Tests, Osteoporosis Health Belief Scale, and Osteoporosis Self-efficacy scale. Allendale: MI: Grand Valley State University; 1991.
19. Kılıç D, Erci B. Osteoporoz Sağlık İnanç Ölçeği, Osteoporoz Özetkililik/yeterlik Ölçeği ve Osteoporoz Bilgi Testi’nin Geçerlilik ve Güvenirliği. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2004;7:89-102.
20. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-70.
21. Aydemir O, Güvenir T, Küey L, Kültür S. Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg 1997;8:280-7.
22. Koçyigit H, Gülseren S, Erol A, Hizli N, Memis A. The reliability and validity of the Turkish version of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol 2003;22:18-23.
23. Alaca N. The relationships between pain beliefs and kinesiophobia and clinical parameters in Turkish patients with chronic knee osteoarthritis: a cross-sectional study. J Pak Med Assoc 2019;69:823-7.
24. Vincent HK, Omli MR, Day T, Hodges M, Vincent KR, George SZ. Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain. Pain Med 2011;12:154- 64.
25. Vincent HK, Seay AN, Montero C, Conrad BP, Hurley RW, Vincent KR. Kinesiophobia and fear-avoidance beliefs in overweight older adults with chronic low-back pain: relationship to walking endurance--part II. Am J Phys Med Rehabil 2013;92:439-45.
26. Olsen CF, Bergland A. The effect of exercise and education on fear of falling in elderly women with osteoporosis and a history of vertebral fracture: results of a randomized controlled trial. Osteoporos Int 2014;25:2017-25.
27. Resnick B, Nahm ES, Zhu S, Brown C, An M, Park B, et al. The impact of osteoporosis, falls, fear of falling, and efficacy expectations on exercise among community-dwelling older adults. Orthop Nurs 2014;33:277-86.
28. Meyer F, König HH, Hajek A. Osteoporosis, Fear of Falling, and Restrictions in Daily Living. Evidence From a Nationally Representative Sample of Community-Dwelling Older Adults. Front Endocrinol (Lausanne) 2019;10:646.
29. Silverman SL, Shen W, Minshall ME, Xie S, Moses KH. Prevalence of depressive symptoms in postmenopausal women with low bone mineral density and/or prevalent vertebral fracture: results from the Multiple Outcomes of Raloxifene Evaluation (MORE) study. J Rheumatol 2007;34:140-4.
30. Holmes JD, House AO. Psychiatric illness in hip fracture. Age Ageing 2000;29:537-46.
31. Catalano A, Martino G, Bellone F, Gaudio A, Lasco C, Langher V, et al. Anxiety levels predict fracture risk in postmenopausal women assessed for osteoporosis. Menopause 2018;25:1110-5.
32. Stubbs B, Brefka S, Dallmeier D, Stubbs J, Vancampfort D, Denkinger MD. Depression and Reduced Bone Mineral Density at the Hip and Lumbar Spine: A Comparative Meta-Analysis of Studies in Adults 60 Years and Older. Psychosom Med 2016;78:492-500.
33. Kocjan J. Impact of anxiety and depression to kinesiophobia (fear of movement) level among patients with cardiovascular diseases. A comparison study. Journal of Education Health and Sport 2016;6:81-90.
34. Ciubean AD, Ungur RA, Irsay L, Ciortea VM, Borda IM, Onac I, et al. Health-related quality of life in Romanian postmenopausal women with osteoporosis and fragility fractures. Clin Interv Aging 2018;13:2465-72.
35. Bianchi ML, Orsini MR, Saraifoger S, Ortolani S, Radaelli G, Betti S. Quality of life in post-menopausal osteoporosis. Health Qual Life Outcomes 2005;3:78.
36. Yılmaz H, Erkin G, Polat HAD, Küçüksen S, Sallı A, Uğurlu H. Osteoporozda Yaşam Kalitesi: Bir Kontrollü Çalışma. Türk Osteoporoz Dergisi 2012;18 47-52.
37. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med 2019;53:554-9.
38. Antunes RS, de Macedo BG, Amaral Tda S, Gomes Hde A, Pereira LS, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras 2013;21:27-9.
39. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 1977;84:191-215.
40. Janiszewska M, Kulik T, Żołnierczuk-Kieliszek D, Drop B, Firlej E, Gajewska I. General self-efficacy level and health behaviours in women over the age of 45 years who have undergone osteoporosis treatment. Prz Menopauzalny 2017;16:86-95.
41. Evenson AL, Sanders GF. Educational Intervention Impact on Osteoporosis Knowledge, Health Beliefs, Self-Efficacy, Dietary Calcium, and Vitamin D Intakes in Young Adults. Orthop Nurs 2016;35:30-6.
42. Lv N, Brown JL. Impact of a nutrition education program to increase intake of calcium-rich foods by Chinese-American women. J Am Diet Assoc 2011;111:143-9.
43. Oksuz S, Unal E. The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial. Complement Ther Clin Pract 2017;26:68-72.

APA	MISIRCI S, akyol y, ulus y, cengiz a, bilgici a (2021). Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. , 74 - 81. 10.4274/tod.galenos.2020.85688
Chicago	MISIRCI SALİM,akyol yesim,ulus yasemin,cengiz ahmet kivanc,bilgici ayhan Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. (2021): 74 - 81. 10.4274/tod.galenos.2020.85688
MLA	MISIRCI SALİM,akyol yesim,ulus yasemin,cengiz ahmet kivanc,bilgici ayhan Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. , 2021, ss.74 - 81. 10.4274/tod.galenos.2020.85688
AMA	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. . 2021; 74 - 81. 10.4274/tod.galenos.2020.85688
Vancouver	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. . 2021; 74 - 81. 10.4274/tod.galenos.2020.85688
IEEE	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a "Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia." , ss.74 - 81, 2021. 10.4274/tod.galenos.2020.85688
ISNAD	MISIRCI, SALİM vd. "Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia". (2021), 74-81. https://doi.org/10.4274/tod.galenos.2020.85688

APA	MISIRCI S, akyol y, ulus y, cengiz a, bilgici a (2021). Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Türk Osteoporoz Dergisi, 27(2), 74 - 81. 10.4274/tod.galenos.2020.85688
Chicago	MISIRCI SALİM,akyol yesim,ulus yasemin,cengiz ahmet kivanc,bilgici ayhan Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Türk Osteoporoz Dergisi 27, no.2 (2021): 74 - 81. 10.4274/tod.galenos.2020.85688
MLA	MISIRCI SALİM,akyol yesim,ulus yasemin,cengiz ahmet kivanc,bilgici ayhan Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Türk Osteoporoz Dergisi, vol.27, no.2, 2021, ss.74 - 81. 10.4274/tod.galenos.2020.85688
AMA	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Türk Osteoporoz Dergisi. 2021; 27(2): 74 - 81. 10.4274/tod.galenos.2020.85688
Vancouver	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Türk Osteoporoz Dergisi. 2021; 27(2): 74 - 81. 10.4274/tod.galenos.2020.85688
IEEE	MISIRCI S,akyol y,ulus y,cengiz a,bilgici a "Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia." Türk Osteoporoz Dergisi, 27, ss.74 - 81, 2021. 10.4274/tod.galenos.2020.85688
ISNAD	MISIRCI, SALİM vd. "Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia". Türk Osteoporoz Dergisi 27/2 (2021), 74-81. https://doi.org/10.4274/tod.galenos.2020.85688