Reference values for the locomotive syndrome risk test quantifying mobility of 8681 adults aged 20-89 years: A cross-sectional nationwide study in Japan.


Journal

Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
ISSN: 1436-2023
Titre abrégé: J Orthop Sci
Pays: Japan
ID NLM: 9604934

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 26 09 2019
revised: 28 11 2019
accepted: 06 01 2020
pubmed: 17 3 2020
medline: 30 9 2021
entrez: 17 3 2020
Statut: ppublish

Résumé

The locomotive syndrome risk test was developed to quantify the decrease in mobility among adults, which could eventually lead to disability. The purpose of this study was to establish reference values for the locomotive syndrome risk test for adults and investigate the influence of age and sex. We analyzed 8681 independent community dwellers (3607 men, 5074 women). Data pertaining to locomotive syndrome risk test (the two-step test, the stand-up test, and the 25-question geriatric locomotive function scale [GLFS-25]) scores were collected from seven administrative areas of Japan. The reference values of the three test scores were generated and all three test scores gradually decreased among young-to-middle-aged individuals and rapidly decreased in individuals aged over 60 years. The stand-up test score began decreasing significantly from the age of 30 years. The trajectories of decrease in the two-step test score with age was slightly different between men and women especially among the middle-aged individuals. The two physical test scores were more sensitive to aging than the self-reported test score. The reference values generated in this study could be employed to determine whether an individual has mobility comparable to independent community dwellers of the same age and sex.

Sections du résumé

BACKGROUND BACKGROUND
The locomotive syndrome risk test was developed to quantify the decrease in mobility among adults, which could eventually lead to disability. The purpose of this study was to establish reference values for the locomotive syndrome risk test for adults and investigate the influence of age and sex.
METHODS METHODS
We analyzed 8681 independent community dwellers (3607 men, 5074 women). Data pertaining to locomotive syndrome risk test (the two-step test, the stand-up test, and the 25-question geriatric locomotive function scale [GLFS-25]) scores were collected from seven administrative areas of Japan.
RESULTS RESULTS
The reference values of the three test scores were generated and all three test scores gradually decreased among young-to-middle-aged individuals and rapidly decreased in individuals aged over 60 years. The stand-up test score began decreasing significantly from the age of 30 years. The trajectories of decrease in the two-step test score with age was slightly different between men and women especially among the middle-aged individuals. The two physical test scores were more sensitive to aging than the self-reported test score.
CONCLUSION CONCLUSIONS
The reference values generated in this study could be employed to determine whether an individual has mobility comparable to independent community dwellers of the same age and sex.

Identifiants

pubmed: 32173180
pii: S0949-2658(20)30017-8
doi: 10.1016/j.jos.2020.01.011
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1084-1092

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest There are no conflicts of interest to declare.

Auteurs

Keiko Yamada (K)

Departments of Sensory & Motor System Medicine, Faculty of Medicine, The University of Tokyo, Tokyo, Japan; Department of Planning, Information and Management, University of Tokyo Hospital, Tokyo, Japan; "Locomo Challenge!" Promotion Council, Tokyo, Japan. Electronic address: kyamad-tky@umin.ac.jp.

Yoichi M Ito (YM)

Department of Statistical Data Science, The Institute of Statistical Mathematics, Tokyo, Japan. Electronic address: ito-ym@ism.ac.jp.

Masao Akagi (M)

Department of Orthopedic Surgery, Kindai University Hospital, Osaka, Japan. Electronic address: makagi@med.kindai.ac.jp.

Etsuo Chosa (E)

Department of Orthopaedic Surgery, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan. Electronic address: chosa@med.miyazaki-u.ac.jp.

Takeshi Fuji (T)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orthopaedic Surgery, Japan Community Healthcare Organization Osaka Hospital, Osaka, Japan. Electronic address: fuji-th@umin.ac.jp.

Kenichi Hirano (K)

Hirano Orthopaedics Clinic, Aichi, Japan. Electronic address: hiraken1975723@gmail.com.

Shinichi Ikeda (S)

Department of Orthopaedic Surgery, Oita University, Oita, Japan. Electronic address: ike@oita-u.ac.jp.

Hideaki Ishibashi (H)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orthopedic Surgery, Ina Hospital, Saitama, Japan. Electronic address: hbashi@jcom.home.ne.jp.

Yasuyuki Ishibashi (Y)

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan. Electronic address: yasuyuki@hirosaki-u.ac.jp.

Muneaki Ishijima (M)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Medicine for Orthopaedics and Motor Organ, Juntendo University Graduate School of Medicine, Tokyo, Japan. Electronic address: ishijima@juntendo.ac.jp.

Eiji Itoi (E)

Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan. Electronic address: itoi-eiji@med.tohoku.ac.jp.

Norimasa Iwasaki (N)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan. Electronic address: niwasaki@med.hokudai.ac.jp.

Ryoichi Izumida (R)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Keiyu Joint Reconstruction Center, Edogawa Hospital, Tokyo, Japan. Electronic address: einhorn1224@edogawa.or.jp.

Ken Kadoya (K)

Department of Advanced Medicine for Locomotor System, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan. Electronic address: kadoya@rf7.so-net.ne.jp.

Masayuki Kamimura (M)

Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan. Electronic address: m-kamimura@med.tohoku.ac.jp.

Arihiko Kanaji (A)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan. Electronic address: hikokanaji@z7.keio.jp.

Hiroyuki Kato (H)

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Nagano, Japan. Electronic address: hirokato@shinshu-u.ac.jp.

Shunji Kishida (S)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orthopaedic Surgery, Seirei Sakura Citizen Hospital, Chiba, Japan. Electronic address: shnjksd@faculty.chiba-u.jp.

Naohiko Mashima (N)

Department of Bone and Joint Surgery, Ehime University Graduate School of Medicine, Ehime, Japan. Electronic address: mashima@m.ehime-u.ac.jp.

Shuichi Matsuda (S)

Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan. Electronic address: smat522@kuhp.kyoto-u.ac.jp.

Yasumoto Matsui (Y)

Center for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology, Aichi, Japan. Electronic address: matsui@ncgg.go.jp.

Toshiki Matsunaga (T)

Department of Rehabilitation Medicine, Akita University Hospital, Akita, Japan. Electronic address: tmatsunaga@hos.akita-u.ac.jp.

Naohisa Miyakoshi (N)

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan. Electronic address: miyakosh@doc.med.akita-u.ac.jp.

Hiroshi Mizuta (H)

Department of Orthopaedic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan. Electronic address: mizuta@kumamoto-u.ac.jp.

Yutaka Nakamura (Y)

Saiseikai Shonan Hiratsuka Hospital, Kanagawa, Japan. Electronic address: nakamura@hiratsuka.saiseikai.or.jp.

Ken Nakata (K)

Medicine for Sports and Performing Arts, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address: ken-nakata@umin.ac.jp.

Go Omori (G)

Department of Sports and Health, Faculty of Health and Science, Niigata University of Health and Welfare, Nigata, Japan. Electronic address: omori@nuhw.ac.jp.

Koji Osuka (K)

Osuka Clinic, Chiba, Japan. Electronic address: koji-o@pc4.so-net.ne.jp.

Yuji Uchio (Y)

Department of Orthopaedic Surgery, Shimane University, Shimane, Japan. Electronic address: uchio@med.shimane-u.ac.jp.

Kazuteru Ryu (K)

Kanai Hospital, Kyoto, Japan. Electronic address: ryukazu924@yahoo.co.jp.

Nobuyuki Sasaki (N)

Sasaki Orthopedic and Anesthesiology Clinic, Miyagi, Japan. Electronic address: koala@mbr.ocn.ne.jp.

Kimihito Sato (K)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Sato Orthopaedic Clinic, Tokyo, Japan. Electronic address: sato@sato-seikeigeka.or.jp.

Masuo Senda (M)

Okayama University Hospital, Division of Physical Medicine and Rehabilitation, Okayama, Japan. Electronic address: senda@okayama-u.ac.jp.

Akihiro Sudo (A)

Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Mie, Japan. Electronic address: a-sudou@clin.medic.mie-u.ac.jp.

Naonobu Takahira (N)

Department of Rehabilitation, Kitasato University School of Allied Health Sciences, Kanagawa, Japan. Electronic address: takahira@med.kitasato-u.ac.jp.

Hiroshi Tsumura (H)

Department of Orthopaedic Surgery, Oita University, Oita, Japan. Electronic address: htsumura@oita-u.ac.jp.

Satoshi Yamaguchi (S)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Collage of Liberal Arts and Sciences, Chiba University, Chiba, Japan. Electronic address: y-satoshi@faculty.chiba-u.jp.

Noriaki Yamamoto (N)

Nigata Rehabilitation Hospital, Nigata, Japan. Electronic address: nirehp.yamamoto@aiko.or.jp.

Kozo Nakamura (K)

"Locomo Challenge!" Promotion Council, Tokyo, Japan; Towa Hospital, Tokyo, Japan. Electronic address: kozo-nakamura-62@jcom.home.ne.jp.
"Locomo Challenge!" Promotion Council, Tokyo, Japan; Department of Orhtopaedic Surgery, NTT Medical Center, Tokyo, Japan. Electronic address: takaohe@gmail.com.

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