{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:31:14Z","timestamp":1777944674548,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fear of falling is a common concern among patients undergoing haemodialysis, leading to decreased physical activity, increased dependency, and reduced quality of life. Despite its relevance, the impact of this fear on physical activity in this population remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between fear of falling and physical activity levels in patients receiving haemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive, cross\u2010sectional study was conducted between 20 October and 20 November 2023, at a private dialysis center in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The study included 103 haemodialysis patients aged 18 years or older who were literate, fluent in Turkish, and voluntarily agreed to participate. The sample size was calculated using G*Power software, and post hoc analysis showed the study had 94% power.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Data were collected using the Patient Information Form, the Falls Efficacy Scale\u2010International (FES\u2010I), and the International Physical Activity Questionnaire\u2010Short Form (IPAQ\u2010SF). Descriptive and inferential analyses were performed, including Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      , Kruskal\u2013Wallis\n                      <jats:italic>H<\/jats:italic>\n                      , and Spearman's correlation tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of participants was 65.1\u2009\u00b1\u200913.5 years. A history of falling was reported by 43.7%, and 67% reported fear of falling. A moderate positive correlation was found between fall history and FES\u2010I scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.369,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), while a moderate negative correlation was observed between FES\u2010I and IPAQ\u2010SF scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.491,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fear of falling negatively affects physical activity in haemodialysis patients. Interventions aimed at reducing fall\u2010related fear and enhancing psychological support may promote more active lifestyles and improve overall well\u2010being in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70041","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:28:31Z","timestamp":1767097711000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association Between Fear of Falling and Physical Activity in Haemodialysis Patients"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9025-8325","authenticated-orcid":false,"given":"Sevda","family":"T\u00fcz\u00fcn \u00d6zdemir","sequence":"first","affiliation":[{"name":"\u0130zmir Kavram Vocational School, Dialysis Programme Izmir Konak Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1018-4715","authenticated-orcid":false,"given":"Asiye","family":"Akyol","sequence":"additional","affiliation":[{"name":"Kaz\u0131mdirik Ege University Faculty of Nursing Izmir Bornova Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eeng\u00fcl","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Dav\u0131va \u00d6zel Buca Dialysis Centre Izmir Buca Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Aykut","family":"Sifil","sequence":"additional","affiliation":[{"name":"Dav\u0131va \u00d6zel Buca Dialysis Centre Izmir Buca Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.70022"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000300010"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.3911.3289"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01650506"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"issue":"1","key":"e_1_2_15_7_1","first-page":"60","article-title":"Falls in Elderly Dialysis Patients","volume":"10","author":"Dedeli \u00d6.","year":"2015","journal-title":"Journal of Nephrology Nursing"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2004.09.027"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2021.05.034"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03408-7"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2024.100868"},{"issue":"3","key":"e_1_2_15_13_1","first-page":"217","article-title":"Determining the Risk of Falls in Patients Undergoing Hemodialysis Treatment","volume":"15","author":"Karaman E.","year":"2020","journal-title":"Journal of Nephrology Nursing"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm157"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.06.010"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfu034"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02305-8"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.14208"},{"issue":"2","key":"e_1_2_15_19_1","first-page":"33","article-title":"Falls in Elderly Patients With Kidney Disease","volume":"2","author":"Morley J. 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