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Comparison of Self-Reported Physical Activity between Survivors of Out-of-Hospital Cardiac Arrest and Patients with Myocardial Infarction without cardiac arrest : a case-control study

Heimburg, Katarina LU ; Blennow Nordström, Erik LU orcid ; Friberg, Hans LU ; Oestergaard, Lisa G ; Grejs, Anders M ; Keeble, Thomas R ; Kirkegaard, Hans ; Mion, Marco ; Nielsen, Niklas LU and Rylander, Christian , et al. (2025) In European Journal of Cardiovascular Nursing 24(5). p.700-709
Abstract

AIMS: To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.

METHODS: Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on... (More)

AIMS: To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.

METHODS: Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on self-reported physical activity, categorized as a low, moderate, or high level of physical activity, and questionnaires on anxiety and depression symptoms, kinesiophobia, and fatigue 7 months after the cardiac event.

RESULTS: Overall, 106 of 184 (58%) eligible OHCA survivors were included and matched to 91 MI controls. In total, 25% of OHCA survivors and 20% of MI controls reported a low level of physical activity, with no significant difference (p=0.13). Symptoms of kinesiophobia and fatigue were significantly associated with a low level of physical activity in both groups. OHCA survivors had significantly more kinesiophobia compared to MI controls (18% versus 9%, p=0.04), while levels of anxiety and depression symptoms and fatigue were similar.

CONCLUSION: OHCA survivors had similar levels of physical activity compared to matched MI controls. High level of kinesiophobia and fatigue were associated with a low level of physical activity in both groups.

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Abstract (Swedish)
AIMS: To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.

METHODS: Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on... (More)
AIMS: To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.

METHODS: Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on self-reported physical activity, categorized as a low, moderate, or high level of physical activity, and questionnaires on anxiety and depression symptoms, kinesiophobia, and fatigue 7 months after the cardiac event.

RESULTS: Overall, 106 of 184 (58%) eligible OHCA survivors were included and matched to 91 MI controls. In total, 25% of OHCA survivors and 20% of MI controls reported a low level of physical activity, with no significant difference (p=0.13). Symptoms of kinesiophobia and fatigue were significantly associated with a low level of physical activity in both groups. OHCA survivors had significantly more kinesiophobia compared to MI controls (18% versus 9%, p=0.04), while levels of anxiety and depression symptoms and fatigue were similar.

CONCLUSION: OHCA survivors had similar levels of physical activity compared to matched MI controls. High level of kinesiophobia and fatigue were associated with a low level of physical activity in both groups. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety, Cardiac arrest, Depression, Fatigue, Kinesiophobia, Myocardial infarction, Physical activity, Anxiety, Cardiac arrest, Depression, Fatigue, Kinesiophobia, Myocardial infarction, Physical activity
in
European Journal of Cardiovascular Nursing
volume
24
issue
5
pages
700 - 709
publisher
Oxford University Press
external identifiers
  • pmid:39999023
ISSN
1474-5151
DOI
10.1093/eurjcn/zvaf032
language
English
LU publication?
yes
additional info
© The Author(s) 2025. Published by Oxford University Press on behalf of the European Society of Cardiology.
id
457d5547-f0f9-40c3-84d7-edb72ea57513
date added to LUP
2025-03-26 13:26:27
date last changed
2025-07-30 09:42:39
@article{457d5547-f0f9-40c3-84d7-edb72ea57513,
  abstract     = {{<p>AIMS: To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.</p><p>METHODS: Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on self-reported physical activity, categorized as a low, moderate, or high level of physical activity, and questionnaires on anxiety and depression symptoms, kinesiophobia, and fatigue 7 months after the cardiac event.</p><p>RESULTS: Overall, 106 of 184 (58%) eligible OHCA survivors were included and matched to 91 MI controls. In total, 25% of OHCA survivors and 20% of MI controls reported a low level of physical activity, with no significant difference (p=0.13). Symptoms of kinesiophobia and fatigue were significantly associated with a low level of physical activity in both groups. OHCA survivors had significantly more kinesiophobia compared to MI controls (18% versus 9%, p=0.04), while levels of anxiety and depression symptoms and fatigue were similar.</p><p>CONCLUSION: OHCA survivors had similar levels of physical activity compared to matched MI controls. High level of kinesiophobia and fatigue were associated with a low level of physical activity in both groups.</p>}},
  author       = {{Heimburg, Katarina and Blennow Nordström, Erik and Friberg, Hans and Oestergaard, Lisa G and Grejs, Anders M and Keeble, Thomas R and Kirkegaard, Hans and Mion, Marco and Nielsen, Niklas and Rylander, Christian and Segerström, Magnus and Tornberg, Åsa B and Ullén, Susann and Undén, Johan and Wise, Matt P and Cronberg, Tobias and Lilja, Gisela}},
  issn         = {{1474-5151}},
  keywords     = {{Anxiety; Cardiac arrest; Depression; Fatigue; Kinesiophobia; Myocardial infarction; Physical activity; Anxiety; Cardiac arrest; Depression; Fatigue; Kinesiophobia; Myocardial infarction; Physical activity}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{700--709}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Cardiovascular Nursing}},
  title        = {{Comparison of Self-Reported Physical Activity between Survivors of Out-of-Hospital Cardiac Arrest and Patients with Myocardial Infarction without cardiac arrest : a case-control study}},
  url          = {{http://dx.doi.org/10.1093/eurjcn/zvaf032}},
  doi          = {{10.1093/eurjcn/zvaf032}},
  volume       = {{24}},
  year         = {{2025}},
}