{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:00:11Z","timestamp":1777950011662,"version":"3.51.4"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Kinesiophobia is a significant psychological factor that affects early ambulation in postoperative patients. It is particularly common after radiofrequency ablation for atrial fibrillation. Nonetheless, few studies comprehensively or systematically explore how physical, psychological, and disease-related objective factors predict kinesiophobia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary aim of this study is to examine the level of kinesiophobia and its contributing factors among patients following radiofrequency ablation for atrial fibrillation. This research aims to provide clinical evidence for the development of targeted intervention strategies to reduce motor phobia. These strategies aim to boost patients\u2019 motivation and adherence to early physical activity, ultimately improving cardiac health post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted, assessing patients using questionnaires, including the Tampa Scale for Kinesiophobia Heart, Self-efficacy for exercise Scale, the Perceived Social Support Scale, the Fried Frailty Phenotype Scale, the Generalized Anxiety Disorder-7, the Patients\u2019 Health Questionnaire Depression Scale, Physiological indicators related to atrial fibrillation, and echocardiographic examinations. Univariate and multivariate regression analyses were used to investigate the factors influencing kinesiophobia. The difference was considered statistically significant at\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 356 patients. Multiple linear regression analysis identified the following influencing factors: frailty (\u03b2 =\u202f0.168: 95% CI, 0.606\u202f~\u202f1.375), LAD (\u03b2 =\u202f0.048: 95% CI, 0.007\u202f~\u202f0.077), LVEF (\u03b2\u202f=\u202f\u22120.117: 95% CI, \u22120.124\u202f~\u202f\u22120.057), past history of stroke (\u03b2\u202f=\u202f0.178: 95% CI, 1.919\u20134.126), combined heart failure (\u03b2\u202f=\u202f0.182: 95% CI, 1.549\u20133.283), EHRA symptom classification (\u03b2\u202f=\u202f0.121: 95% CI, 0.575\u20131.340), disease course (\u03b2\u202f=\u202f0.075: 95% CI, 0.272\u20130.965), disease recurrences (\u03b2\u202f=\u202f0.062: 95% CI, 0.023\u20131.843), perceived social support (\u03b2\u202f=\u202f\u22120.309: 95% CI, \u22120.225\u202f~\u202f\u22120.137), and GAD-7 (\u03b2\u202f=\u202f0.443: 95% CI, 0.651\u20130.939). These factors significantly influenced kinesiophobia in patients after radiofrequency ablation of atrial fibrillation (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). They accounted for 86.4% of the total variance in kinesiophobia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multiple factors influence kinesiophobia in patients after radiofrequency ablation for atrial fibrillation. Healthcare providers should prioritize risk assessment and individualized rehabilitation plans while fostering a support system that includes psychological care, family, and social resources to reduce kinesiophobia and support a safe resumption of daily activities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1807261","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T05:32:54Z","timestamp":1777872774000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors influencing kinesiophobia after radiofrequency catheter ablation in patients with atrial fibrillation: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Yingying","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruijia","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengying","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taomei","family":"Zuo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peipei","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.12114\/j.issn.1007-9572.2024.0067","article-title":"Study on the impact of home-based exercise rehabilitation compliance level on the recurrence of atrial fibrillation patients after radiofrequency ablation","volume":"28","author":"Wang","year":"2025","journal-title":"Chinese Gen Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"100439","DOI":"10.1016\/j.lanwpc.2022.100439","article-title":"Prevalence and risk of atrial fibrillation in China: a national cross-sectional epidemiological study","volume":"23","author":"Shi","year":"2022","journal-title":"Lancet Reg Health West Pac"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1161\/CIR.0000000000001193","article-title":"2023ACC\/AHA\/ ACCP\/ HRS guideline for the diagnosis and Management of Atrial Fibrillation: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"149","author":"Joglar","year":"2024","journal-title":"Circulation"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1275","DOI":"10.1001\/jama.2019.0692","article-title":"Effect of catheter ablation vs medical therapy on quality of life among patients with atrial fibrillation: the CABANA randomized clinical trial","volume":"321","author":"Mark","year":"2019","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1622685","DOI":"10.3389\/fpubh.2025.1622685","article-title":"Effect of exercise intervention on quality of life and exercise capacity in patients with atrial fibrillation: a systematic review and network meta-analysis","volume":"13","author":"Xi","year":"2025","journal-title":"Front. Public Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1242","DOI":"10.1136\/bjsports-2024-109149","article-title":"Exercise based cardiac rehabilitation for atrial fibrillation: Cochrane systematic review, meta-analysis, meta-regression and trial sequential analysis","volume":"59","author":"Buckley","year":"2025","journal-title":"Br J Sports Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"euae298","DOI":"10.1093\/europace\/euae298","article-title":"Spotlight on the 2024 ESC\/EACTS management of atrial fibrillation guidelines: 10 novel key aspects","volume":"26","author":"Rienstra","year":"2024","journal-title":"Europace"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.ijcard.2022.06.021","article-title":"Factors influencing kinesiophobia during the \"blanking period\" after radiofrequency catheter ablation in patients with atrial fibrillation by the fear-avoidance model","volume":"363","author":"Ding","year":"2022","journal-title":"Int J Cardiol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"25","DOI":"10.2478\/v10078-011-0019-8","article-title":"Kinesiophobia - introducing a new diagnostic tool","volume":"28","author":"Knapik","year":"2011","journal-title":"J Hum Kinet"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1080\/09593985.2016.1229828","article-title":"Kinesiophobia mediates the influences on attendance at exercise-based cardiac rehabilitation in patients with coronary artery disease","volume":"32","author":"B\u00e4ck","year":"2016","journal-title":"Physiother Theory Pract"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1186\/s12872-020-01783-9","article-title":"Factors related to fear of movement after acute cardiac hospitalization","volume":"20","author":"Keessen","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"123","DOI":"10.7619\/JCMP.20252404","article-title":"Movement fear atrial fibrillation (af) research progress","volume":"29","author":"Tang","year":"2025","journal-title":"J Med"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1111\/jan.16262","article-title":"Coping as a mediator of the relationship between kinesiophobia and illness perception in atrial fibrillation patients: a cross-sectional mediation analysis","volume":"81","author":"Chen","year":"2025","journal-title":"J Adv Nurs"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"43","DOI":"10.3870\/j.issn.1001-4152.2023.10.043","article-title":"After radiofrequency ablation of atrial fibrillation patients exercise fear of potential profile analysis","volume":"38","author":"Li","year":"2023","journal-title":"J Nurs Sci"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"3314","DOI":"10.1093\/eurheartj\/ehae176","article-title":"ESC guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"29","author":"Van Gelder","year":"2024","journal-title":"Eur Heart J"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"363","DOI":"10.2340\/16501977-0942","article-title":"Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease","volume":"44","author":"B\u00e4ck","year":"2012","journal-title":"J Rehabil Med"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1097\/00006199-200005000-00007","article-title":"Testing the reliability and validity of the self-efficacy for exercise scale","volume":"49","author":"Resnick","year":"2000","journal-title":"Nurs Res"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1080\/00223891.1990.9674095","article-title":"Psychometric characteristics of the multidimensional scale of perceived social support","volume":"55","author":"Zimet","year":"1990","journal-title":"J Pers Assess"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"251","DOI":"10.3760\/cma.J.iSSN.0254-9026.2017.03.007","article-title":"Geriatrics branch of Chinese Medical Association elderly patients with weak assessment and intervention","volume":"4","year":"2017","journal-title":"China Exp Consensus Chinese Elderly Med J"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7 arch intern med","volume":"22","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/j.genhosppsych.2014.05.021","article-title":"Reliability and validity of the Chinese version of the patient health questionnaire (PHQ-9) in the general population gen Hosp psychiatry","volume":"36","author":"Wang","year":"2014","journal-title":"Gen Hosp Psychiatry"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"2129","DOI":"10.2147\/PPA.S216196","article-title":"Kinesiophobia as a problem in adherence to physical activity recommendations in elderly polish patients with coronary artery disease","volume":"13","author":"Knapik","year":"2019","journal-title":"Patient Prefer Adherence"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.ejim.2018.04.018","article-title":"Frailty and atrial fibrillation: a systematic review","volume":"56","author":"Villani","year":"2018","journal-title":"Eur J Intern Med"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1177\/2047487319859974","article-title":"Exercise-based cardiac rehabilitation for patients with catheter ablation for persistent atrial fibrillation: a randomized controlled clinical trial","volume":"26","author":"Kato","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ejim.2018.04.023","article-title":"The essence of frailty: a systematic review and qualitative synthesis on frailty concepts and definitions","volume":"56","author":"Junius-Walker","year":"2018","journal-title":"Eur J Intern Med"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"e009294","DOI":"10.1161\/JAHA.118.009294","article-title":"Causes and predictors of readmission in patients with atrial fibrillation undergoing catheter ablation: a national population-based cohort study","volume":"7","author":"Arora","year":"2018","journal-title":"J Am Heart Assoc"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"854","DOI":"10.7655\/NYDXBNSN250028","article-title":"Recurrence of weak and elderly patients with atrial fibrillation after catheter ablation of correlation study","volume":"6","author":"Yuli","year":"2025","journal-title":"J Nanjing Med Univ (Nat Sci Ed)"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1093\/europace\/euac123","article-title":"EHRA expert consensus document on the management of arrhythmias in frailty syndrome, endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and cardiac arrhythmia Society of Southern Africa (CASSA)","volume":"25","author":"Savelieva","year":"2023","journal-title":"Europace"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1161\/01.cir.89.2.724","article-title":"Echocardiographic predictors of nonrheumatic atrial fibrillation. The Framingham heart study","volume":"89","author":"Vaziri","year":"1994","journal-title":"Circulation"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1016\/j.jchf.2017.09.009","article-title":"Structural and functional phenotyping of the failing heart: is the left ventricular ejection fraction obsolete?","volume":"5","author":"Bristow","year":"2017","journal-title":"JACC Heart Fail"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s13239-021-00527-w","article-title":"Left atrial remodeling mechanisms associated with atrial fibrillation","volume":"12","author":"Qiu","year":"2021","journal-title":"Cardiovasc Eng Technol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s10741-024-10456-0","article-title":"The sympathetic nervous system in heart failure with preserved ejection fraction","volume":"30","author":"Chang","year":"2025","journal-title":"Heart Fail Rev"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"821","DOI":"10.13406\/j.cnki.cyxb.003070","article-title":"Analysis of the current situation and influencing factors of motor fear in patients with acute ischemic stroke complicated with atrial fibrillation","volume":"7","author":"Zhang","year":"2022","journal-title":"J Chongqing Med Univ"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1080\/09638288.2016.1258437","article-title":"An exploration of factors influencing physical activity levels amongst a cohort of people living in the community after stroke in the south of England","volume":"40","author":"Jackson","year":"2018","journal-title":"Disabil Rehabil"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1177\/10547738221081230","article-title":"Kinesiophobia and its association with fatigue in CHF patients","volume":"31","author":"Qin","year":"2022","journal-title":"Clin Nurs Res"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1186\/s40814-021-00886-0","article-title":"Feasibility of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial","volume":"7","author":"Traxler","year":"2021","journal-title":"Pilot Feasibility Stud"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1465","DOI":"10.1177\/0333102419861712","article-title":"Anxiety sensitivity and intentional avoidance of physical activity in women with probable migraine","volume":"39","author":"Farris","year":"2019","journal-title":"Cephalalgia"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.jpsychores.2019.03.001","article-title":"Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease","volume":"120","author":"Lotfi-Tokaldany","year":"2019","journal-title":"J Psychosom Res"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"277","DOI":"10.31083\/j.rcm2508277","article-title":"The utilization and potential of mindfulness-based stress reduction therapy in individuals diagnosed with acute coronary syndrome","volume":"25","author":"Tao","year":"2024","journal-title":"Rev Cardiovasc Med"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1007\/s12094-024-03549-7","article-title":"The effect of narrative nursing on improving the negative emotions and quality of life of patients with moderate to severe cancer pain","volume":"27","author":"Wu","year":"2025","journal-title":"Clin Transl Oncol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"4435","DOI":"10.3390\/ijerph17124435","article-title":"Parental and peer support are associated with physical activity in adolescents: evidence from 74 countries","volume":"17","author":"Khan","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1186\/s12913-022-07816-7","article-title":"Peer support for people with chronic conditions: a systematic review of reviews","volume":"22","author":"Thompson","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"jrm00139","DOI":"10.2340\/16501977-2771","article-title":"Experience of physical activity described by patients with heart failure who have received individualized exercise advice: a qualitative study","volume":"53","author":"Klompstra","year":"2021","journal-title":"J Rehabil Med"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1807261\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T05:33:01Z","timestamp":1777872781000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1807261\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":43,"alternative-id":["10.3389\/fpubh.2026.1807261"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1807261","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,4]]},"article-number":"1807261"}}