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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
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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Contribution to journal
publication status
epub
subject
in
European Journal of Cardiovascular Nursing
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
2025-04-04 14:42:04
@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}},
  language     = {{eng}},
  month        = {{02}},
  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}},
  year         = {{2025}},
}