{
  "abstract": "Background: Kinesiophobia, or the irrational fear of movement, is a significant barrier to effective cardiac rehabilitation and recovery in patients after coronary artery bypass grafting (CABG). This study sought to identify the risk factors for kinesiophobia in post-CABG patients and to develop and validate a nomogram prediction model to estimate individual risk.\n\nMethods: A retrospective case-control study was conducted on 138 patients who underwent CABG in the Cardiovascular ICU between February 2023 and November 2024. Using the Tampa Scale for Kinesiophobia-Heart (TSK-Heart), patients were categorized into a kinesiophobia group (TSK-Heart >37, n = 95) and a non-kinesiophobia group ( n = 43). Risk Factors were identified with multivariable logistic regression. The resulting coefficients furnished a nomogram for individual risk estimation. Calibration was evaluated with the Hosmer-Lemeshow test and a bootstrap-corrected calibration plot; discrimination was quantified by the receiver operating characteristic (ROC) curve and calibration curve.\n\nResults: The incidence of kinesiophobia in this cohort was 68.84%. The logistic regression analysis identified six risk factors: advanced age ( OR = 1.127, P = 0.003), lower educational level ( OR = 0.246, P = 0.001), higher degree of disability in activities of daily living (ADL) ( OR = 3.880, P = 0.007), lower self-efficacy in cardiac rehabilitation exercise ( OR = 0.898, P = 0.024), pain catastrophizing ( OR = 4.513, P = 0.023), and fear of falling ( OR = 1.212, P = 0.004). The constructed nomogram demonstrated excellent discrimination, with an AUC of 0.939 (95% CI : 0.898–0.981), and high sensitivity (93.7%) and specificity (83.7%). Calibration was confirmed by the Hosmer-Lemeshow test ( χ ² = 5.97, P = 0.65) and a bootstrap-corrected calibration plot showing close agreement between predicted and observed probabilities.\n\nConclusions: Advanced age, low educational attainment, ADL dependency, poor cardiac rehabilitation self-efficacy, pain catastrophizing, and fear of falling were significant risk factors for kinesiophobia after CABG. The developed nomogram was a reliable and accurate tool for early identification of high-risk patients, enabling clinicians to implement individualized preventative strategies and optimize postoperative recovery.",
  "abstract_shown": true,
  "affiliations": [
    "Cardiac and Vascular Surgery ICU, The First Affiliated Hospital of Anhui Medical University",
    "Department of Cardiovascular Medicine, The First Affiliated Hospital of Anhui Medical University"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Lancai Guo"
    },
    {
      "affs": [
        0
      ],
      "name": "Jing Li"
    },
    {
      "affs": [
        1
      ],
      "name": "Wenjuan Ye"
    },
    {
      "affs": [
        1
      ],
      "name": "Xue Wei"
    },
    {
      "affs": [
        0
      ],
      "name": "Xia Wu"
    },
    {
      "affs": [
        1
      ],
      "name": "Xiaocan Wang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0qebhjmj4pqbz.bib",
  "cited_by": 0,
  "doi": "10.3389/fcvm.2026.1742685",
  "fulltext_url": "https://www.frontiersin.org/articles/10.3389/fcvm.2026.1742685/full",
  "id": "0qebhjmj4pqbz",
  "issns": [
    "2297-055X"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fcvm.2026.1742685/full",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC666-701"
    ],
    [
      "openalex",
      "2705|Cardiac Health and Mental Health"
    ]
  ],
  "openalex": "W7223662426",
  "pdf_url": "https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1742685/pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-26",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/0qebhjmj4pqbz.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "10.3389/fcvm.2026.1742685",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fcvm.2026.1742685/full"
    },
    {
      "first_seen": "2026-10-30T13:47:20Z",
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      "url": "https://doi.org/10.3389/fcvm.2026.1742685"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac Health and Mental Health",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Analysis of risk factors for kinesiophobia after coronary artery bypass grafting and construction of a nomogram prediction model",
  "title_text": "Analysis of risk factors for kinesiophobia after coronary artery bypass grafting and construction of a nomogram prediction model",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:47:20Z",
  "url": "https://research.draconitic.com/paper/0qebhjmj4pqbz",
  "venue": "Frontiers in Cardiovascular Medicine",
  "versions": []
}