Association between Daily Physical Activity and Locomotive Syndrome in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study

Abstract

This study aimed to evaluate the association between locomotive syndrome (LS) and daily physical activity (PA) in community-dwelling older adults. This cross-sectional study included 80 healthy Japanese older adults (40 men and 40 women; age: 60–79 years). Habitual daily PA was evaluated using a triaxial wrist accelerometer. Participants were divided into two groups based on the results of the two-step test, stand-up test, and 25-question geriatric locomotive function scale. Binomial logistic regression analysis was conducted to examine the statistical relationships between daily PA and category of LS, adjusting for age from adjusted odds ratio (adjusted OR) with the 95 percent confidence intervals (95% CI) and bootstrap 95% CI. The mean step count and time spent on moderate to vigorous physical activity (MVPA) were significantly higher among non-LS participants than among LS participants in women, but not in men. Logistic regression analyses indicated that spending longer than 28 min/day on MVPA was significantly associated with a lower likelihood of LS relative to short time category under 28 min/day in women (adjusted OR = 0.12, 95% CI = 0.02–0.59, bootstrap 95%CI = 0.01–0.43), but not in men. This study suggests that in community-dwelling older women, those with higher MVPA had lower odds of LS, and daily MVPA was associated with LS, but not in men. Therefore, the associations between LS and daily physical activity were partly dependent on sex differences.

Association between locomotive syndrome and anemia among community‐dwelling older adults

“…However, in this study, 11.6% of the participants had LS and 12.8% had anemia. These prevalence rates are similar to those reported in several previous studies on community-dwelling older adults, with prevalence rates of 12% 27 and 14% 28 for LS, and 10% 29 and 15.2% 20 for anemia. Fourth, we did not obtain any data regarding factors associated with anemia, such as heart failure and chronic obstructive pulmonary disease.…”

“…25 Moreover, symptoms of anemia such as fatigue, weakness, and vertigo can reduce physical activity. 26 Decreased physical function and activity may be associated with decreased locomotive functions 27,28 and may increase the risk of LS. In future studies on LS and anemia, researchers should consider factors such as physical function and activity.…”

Relationship between physical activity and locomotive syndrome among young and middle-aged Japanese workers

“…A previous study reported that spending ≥28.01 minutes on moderate to vigorous PA (≥3.0 METs) was significantly associated with a lower risk of LS in older women (reference, ≤27.99 minutes; age-adjusted OR, 0.12), 14 whereas resting and sitting behaviors (<1.5 METs) were not related to LS. Our study examined the associations between PA during leisure and work separately, accounting for potential confounders, and identified specific PA-related factors associated with LS in young to middle-aged participants.…”

“… 13 Furthermore, moderate PA (≥3.0 metabolic equivalents [METs]) was associated with a decreased risk of LS in community-dwelling elderly women. 14 Therefore, evaluating PA, including sedentary behavior, is crucial for improving mobility function and health in middle-aged and elderly individuals. Office workers who sat during working hours also sat for longer periods outside work.…”

Reliability and validity tests of the Chinese version of the Geriatric Locomotive Function Scale (GLFS-25) in tumor survivors

“…Currently, the GLFS-25 is widely recognized in Japan, Iran, Brazil, China, and other countries for LS screening across different societal age groups [ [18] , [19] , [20] ]. It is increasingly being used for LS screening among hospital orthopedic patients, individuals with rheumatoid arthritis, intensive care unit patients, and those experiencing debilitation [ [21] , [22] , [23] ]. In Japan, the GLFS-25 has been employed as a comprehensive tool for MF assessment, providing early warnings about MF issues [ 24 ].…”