Fear of exercise and health-related quality of life in patients with an implantable cardioverter defibrillator

Miriam van Ittersum, Mathieu de Greef, Isabelle van Gelder, Jenifer Coster, Johan Brügemann, Cees van der Schans

Research output: Contribution to journalArticleAcademicpeer-review


Several studies have reported improved survival rates thanks to the use of an implantable cardioverter defibrillator (ICD) in the treatment of patients with life-threatening arrhythmia. However, the effects of the ICD on health-related quality of life (HR-QoL) of these patients are not clear. The aim of this study is to describe HR-QoL and fear of exercise in ICD patients. Eighty-nine ICD patients from the University Hospital in Groningen, the Netherlands, participated in this study. HR-QoL was measured using the Rand-36 and the Quality of Life After Myocardial Infarction Dutch language version questionnaires. Fear of exercise was measured using the Tampa Scale for Kinesiophobia, Dutch version and the Fear Avoidance Beliefs Questionnaire, Dutch version. Association between outcome variables was analysed by linear regression analyses. Study results show that the HR-QoL of patients with ICDs in our study population is significantly worse than that of normal healthy people. Furthermore, fear of exercise is negatively associated with HR-QoL corrected for sex, age and number of years living with an ICD. After implantation of the ICD, patients with a clear fear of exercise should be identified and interventions should be considered in order to increase their HR-QoL.

Original languageEnglish
Pages (from-to)117-122
JournalInternational Journal of Rehabilitation Research
Issue number2
Publication statusPublished - 1 Jun 2003


  • arrhythmias, cardiac
  • defibrillators, implantable
  • exercises
  • middle aged
  • netherlands


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