The impact of kinesiophobia on physical activity levels in hemodialysis patients: a cross-sectional study

Objectives:The aim of this study was to evaluate the relationship between kinesiophobia and physical activity levels in patients with end-stage kidney disease (ESKD) undergoing hemodialysis.Method: This cross-sectional study involved 227 ESKD patients undergoing HD treatment.Patients were assessed using the Tampa Scale of Kinesiophobia (TSK), the International Physical Activity Questionnaire-short form, and Beck Depression and Anxiety scales.Results: Our findings revealed a significant association between kinesiophobia and low physical activity levels in HD patients (r = 0.384, p < 0.001).Patients with high TSK scores were more likely to have reduced physical activity levels.In addition, age (odds ratio [OR] = -31.3,p < 0.001), dialysis duration (OR = -57.2,p = 0.003), and TSK score (OR = 49.9, p < 0.001) emerged as independent predictors of physical activity levels.Notably, older age and longer dialysis duration were associated.Conclusions: This study highlights the significant impact of kinesiophobia on physical activity levels in HD patients.More research is needed to figure out how these things work and help doctors decide how to treat ESKD patients so they can be more active.