Comparison of health-related quality of life between type 2 diabetic patients with and without locomotive syndrome

Asakura, Rie; Miyatake, Nobuyuki; Mochimasu, Kazumi Dokai; Kurato, Risa; Kuwana, Susumu

doi:10.1007/s12199-016-0537-z

Cited by 13 publications

(11 citation statements)

References 18 publications

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“…Programs tailored specifically for individual patient needs are not well established. Recently, many studies have reported that patients with diabetes mellitus are at high risk of locomotion syndrome 7) , sarcopenia 8) and frailty 9) . Given the predicted rise in the incidence of diabetes mellitus among older patients, intervention by exercise therapy is anticipated to be used with increased regularity in the future.…”

Section: Discussionmentioning

confidence: 99%

“…Older patients with diabetes mellitus are reported to experience impaired insulin action for various reasons, such as a decreased ability to secrete insulin, changes in body composition including increased visceral fat and decreased muscle mass, and reduced physical activity 5,6) . In these patients, the increased insulin resistance is associated with locomotive syndrome 7) , sarcopenia 8) and frailty 9) , all leading to muscle weakness 10) . These conditions predispose a patient to become bedridden.…”

Section: Introductionmentioning

confidence: 99%

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Tele-guidance for intensive physiotherapy in older patients with type 2 diabetes: a study protocol for randomized controlled trial

Kataoka

Nomura

Kawae

et al. 2020

JPFSM

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A recent trend in Japan is the increasing number of older patients with diabetes. Treatment for diabetes mellitus in older patients involves a wide variety of strategies, not only for better glycemic control, but also for the prevention and improvement of locomotive syndrome, sarcopenia, and frailty. Previous studies have shown that tele-guidance treatment interventions are effective for weight loss and increase in physical activity, but their effects on locomotive syndrome, sarcopenia, and glycemic control have not been examined. The objective of this study is to assess the efficacy of tele-guidance for intensive therapeutic interventions for diabetes mellitus in older patients, carried out by a qualified physical therapist with diabetesspecific qualifications and knowledge. This multi-center study, including 6 hospitals in Japan, is a prospective, parallel-group, single-blinded, randomized controlled trial. A total of 78 patients will be registered based on our preliminary studies. Patients aged 65-89 years with type 2 diabetes mellitus will be assigned randomly to intensive intervention and control groups. The effectiveness of 6 months of intervention will be verified by a physical therapist. The primary outcome measure will be the change in isometric knee extension force (KEF), whereas the secondary outcomes will be changes in skeletal muscle mass, motor function, glycemic control, and satisfaction with the treatment. When prescribing exercise therapy to older patients with diabetes mellitus, the various risks associated with exercise should be taken into consideration. Therefore, this study has been designed to establish the efficacy of intensive physiotherapy programs in older patients with diabetes mellitus. Provided that this study shows the effectiveness of tele-guidance in improving physical function and glycemic control, it can be a new intervention strategy for exercise therapy in older diabetes patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tele-guidance for intensive physiotherapy in older patients with type 2 diabetes: a study protocol for randomized controlled trial

Kataoka

Nomura

Kawae

et al. 2020

JPFSM

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“…LS refers to the conditions under which the elderly have been receiving care services, or high-risk conditions under which they may soon require care services linked to problems in their locomotive organs [30]. LS has been shown to be a risk factor for becoming bedridden by worsening motor impairment [31], and may be closely associated with decreased physical activity and motor capacity. In Japan, approximately 20% of individuals requiring 'long-term care' insurance were estimated to have an LS [31].…”

Section: Discussionmentioning

confidence: 99%

“…LS has been shown to be a risk factor for becoming bedridden by worsening motor impairment [31], and may be closely associated with decreased physical activity and motor capacity. In Japan, approximately 20% of individuals requiring 'long-term care' insurance were estimated to have an LS [31]. Therefore, LS is considered to have a high risk of causing a decrease in levels of activity in daily life and quality of life (QOL).…”

Section: Discussionmentioning

confidence: 99%

Locomotive Syndrome is a Risk Factor for the Dropout of Continuous Positive Airway Pressure Treatment in Patients with Obstructive Sleep Apnea Syndrome

et al. 2020

Self Cite

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Objective: The purpose of this study was to investigate the risk factors linked to patient dropout from continuous positive airway pressure (CPAP) therapy for the treatment of obstructive sleep apnea syndrome (OSAS). Methods: This study included 1191 patients with OSAS at baseline assessment, who were followed for 3 years. We evaluated clinical parameters, indicators related to OSAS treatment, exercise habits and the presence of locomotive syndrome (LS). LS was evaluated by a ‘loco-check’, as established by the Japanese Orthopedic Association. The OSAS patients were categorized at baseline as belonging to an ‘LS group’ or a ‘non-LS group’, and clinical parameters were compared. Results: Eighty-six patients (7.2%) dropped out of CPAP therapy during the 3 year follow-up period. The dropout rate of the LS group was significantly higher than that of the non-LS group. Using a Cox-proportional hazard model, the LS, old age and poor compliance were determined to be significant risk factors for dropping out of CPAP therapy. The hazard ratios (95% CI) of LS, elderly people and poor CPAP compliance were 2.11 (1.31–3.48), 1.80 (1.11–2.94) and 1.61 (1.04–2.47), respectively. Conclusion: LS may be the critical risk factor for dropping out of CPAP therapy among patients with OSAS.

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“…Subjects answered the Loco-check questions with either "agree" or "disagree." As described in previous reports [22][23][24], if the subjects answered "agree" to one or more items on the Loco-check, they were de ned as subjects suspected to be at risk of LS (hereafter referred to as the LS-risk group). If they answered ''disagree'' to all seven items, they were de ned as no LS-risk subjects (hereafter referred to as the NLS-risk group).…”

Section: Locomotive Syndrome Risk Testmentioning

confidence: 99%

Association of physical fitness and motor ability at young age with locomotive syndrome risk in middle-aged and older men: J-Fit+ Study

Shen

Suzuki

Kohmura

et al. 2020

Preprint

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Background: Physical fitness and motor ability are associated with the incidence of locomotive syndrome (LS) in older adults. The relationship between physical fitness and motor ability at a young age and LS risk in later life remains unclear. This study examined the association between physical fitness and motor ability among university students and their risk of LS in middle and old age.Methods: The participants were 231 male alumni aged 48–65 years from the Department of Physical Education of a university in Japan. Physical fitness and motor ability test results during their fourth year at the university were used. Physical fitness tests included the side-step test, vertical jump test, back muscle, grip strength, trunk lift, standing trunk flexion, and step-test. Motor ability was tested using the 50-m and 1,500-m run, running long jump, hand-ball throw, and pull-up test. LS risk was assessed using a seven-question standardized self-administered Loco-check questionnaire. Participants were divided into three groups (low, medium, and high) based on physical fitness and motor ability test results at young age, and LS risk was assessed at an older age across the three groups using Cox proportional hazards models.Results: From the 2017 follow-up survey, the median follow-up period was 37 years (interquartile range, 33–41), and LS risk was suspected for 31 (13.4%) participants. Better performance on the side-step test was associated with the reduced risk of LS (hazard ratio 0.32; 95% confidence interval, 0.101–0.983, P=0.047). Conclusions: Good agility (side-step test) at a young age may reduce the future risk of LS among middle-aged and older men.

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Comparison of health-related quality of life between type 2 diabetic patients with and without locomotive syndrome

Cited by 13 publications

References 18 publications

Tele-guidance for intensive physiotherapy in older patients with type 2 diabetes: a study protocol for randomized controlled trial

Tele-guidance for intensive physiotherapy in older patients with type 2 diabetes: a study protocol for randomized controlled trial

Locomotive Syndrome is a Risk Factor for the Dropout of Continuous Positive Airway Pressure Treatment in Patients with Obstructive Sleep Apnea Syndrome

Association of physical fitness and motor ability at young age with locomotive syndrome risk in middle-aged and older men: J-Fit+ Study

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