Lifestyle-related signs of locomotive syndrome in the general Japanese population: A cross-sectional study

Yoshinaga, Saori; Shiomitsu, Tomoko; Kamohara, Masumi; Fujii, Yoshinori; Chosa, Etsuo; Tsuruta, Kurumi

doi:10.1016/j.jos.2019.08.005

Cited by 15 publications

(12 citation statements)

References 20 publications

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“…Skeletal muscles, one of the locomotory organs, are known to decline with age [5]. Age-related muscle weakness (sarcopenia) is considered a cause of decreased activities of daily living (ADL), as well as an increased risk of falls and fractures, leading to reduced independence [6,7]. Japan has one of the highest life expectancies in the world, and the Japanese population is aging rapidly.…”

Section: Introductionmentioning

confidence: 99%

“…Methods for evaluating LS have been established by the JOA, including two functional tests and a questionnaire: the stand-up test, two-step test, and 25-question geriatric locomotive function scale for assessing the risk of LS [9]. Previous studies showed that the diagnosis of LS is made using these three tests, which are based on age-dependent changes in adults without specific mobility disorders aged 20-91 [7,10]. Moreover, Ogata et al [10] found that this battery of tests is an effective screening tool in determining the risk of LS in adults.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, Ogata et al [10] found that this battery of tests is an effective screening tool in determining the risk of LS in adults. In the last decade, the awareness of LS has spread considerably throughout Japan and recently, it has also started to spread internationally [4,7,[9][10][11][12][13]. The aging of society in any country will result in significant problems, similar to those currently experienced in Japan.…”

Section: Introductionmentioning

confidence: 99%

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

Ishihara

Ozaki

Nakagata

et al. 2022

IJERPH

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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.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Ishihara

Ozaki

Nakagata

et al. 2022

IJERPH

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“…Increasing age is one of the primary causes of decreased mobility. 22 , 23 , 24 Decreased mobility has been shown to accelerate later in life, especially at age 70 years or over. 25 Yamada et al 23 also indicated that increased age is not related to worse results on the three LS tests among older people with a disability.…”

Section: Discussionmentioning

confidence: 99%

Is locomotion training effective for middle-aged workers?

Nishimura

Ohtsuki

Kato³

et al. 2021

Journal of Occupational Health

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Objectives Locomotion training (LT) consisting of single‐leg standing and squatting was developed to help prevent locomotive syndrome (LS), and is typically used in older people. The objective of this study was to examine the effects of LT on young and middle‐aged people. Methods This study was performed at two companies. Workers in company A engaged in LT five times/week for 1 year, whereas workers in company B did not. Baseline and follow‐up checkups consisted of questionnaires and physical performance tests, including three kinds of locomotion tests. Results In total, 88 and 101 workers in companies A and B, respectively, met the inclusion criteria. LS stage, stand‐up test results, and scores on a geriatric locomotive function scale significantly improved among workers in company A, but only stand‐up test results significantly improved among workers in company B. Quadriceps power increased in company A, but did not change in company B. Especially, workers with LS in company A had more significant changes than those without LS and those in company B. Conclusions The results of this longitudinal study suggest that LT is useful even for young and middle‐aged workers. LT was especially more effective for workers than those without LS.

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“…Several studies investigating the physical performance and physical/living status of individuals presenting with locomotive syndrome as assessed by the GLFS-25 have been reported. Yoshinaga et al [ 31 ] reported that locomotive syndrome was associated with joint pain, anxiety about physical fitness in daily life, poor self-rated health, irregular eating habits, and lack of exercise. Ikemoto et al [ 32 ] reported that locomotive syndrome was associated with a decline in physical performance, such as grip strength, and increased depression.…”

Section: Discussionmentioning

confidence: 99%

Daily activity relates to not only femoral bone mineral density, but also hip structural analysis parameters: A cross-sectional observational study

Fujii

Okimoto²,

Tsukamoto³

et al. 2021

Osteoporosis and Sarcopenia

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Objectives Physical activity to maintain bone mass and strength is important for hip fracture prevention. We aim to investigate the relationship between physical performance/activity status and bone mineral density (BMD)/hip structural analysis (HSA) parameters among postmenopausal women in Japan. Methods Sixty-two postmenopausal women diagnosed with osteoporosis (mean age: 72.61 ± 7.43 years) were enrolled in this cross-sectional observational study. They were evaluated for BMD and HSA in the proximal femur by dual-energy X-ray absorptiometry and underwent several physical performance tests, the Geriatric Locomotive Function Scale of 25 questions (GLFS-25). Principal component analysis (PCA) was used to summarize data on the BMD/HSA parameters. Partial correlation analysis, multiple regression analysis, and structural equation modeling (SEM) were performed to investigate the relationship between physical performance/activity status and BMD/HSA parameters of the proximal femur. Results In a partial correlation analysis adjusted for age and body mass index (BMI), GLFS-25 scores were correlated with HSA parameter (|r| = 0.260–0.396, P < 0.05). Principal component 1 (PC1) calculated by PCA was interpreted as more reflective of bone strength based on the value of BMD/HSA parameters. The SEM results showed that the model created by the 3 questions (Q13, brisk walking; Q15, keep walking without rest; Q20, load-bearing tasks and housework) of the GLFS-25 had the best fit and was associated with the PC1 score (β = −0.444, P = 0.001). Conclusions The GLFS-25 score was associated with the BMD/HSA parameter, which may reflect the bone strength of the proximal femur as calculated by PCA.

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Lifestyle-related signs of locomotive syndrome in the general Japanese population: A cross-sectional study

Cited by 15 publications

References 20 publications

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

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

Is locomotion training effective for middle-aged workers?

Daily activity relates to not only femoral bone mineral density, but also hip structural analysis parameters: A cross-sectional observational study

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