Epidemiology of locomotive syndrome using updated clinical decision limits: 6-year follow-ups of the ROAD study.

Aged Female Follow-Up Studies Humans Japan / epidemiology Male Osteoarthritis / epidemiology Osteoporosis Prospective Studies Syndrome
Disability Incidence Locomotive syndrome Prevalence ROAD study

Journal

Journal of bone and mineral metabolism
ISSN: 1435-5604
Titre abrégé: J Bone Miner Metab
Pays: Japan
ID NLM: 9436705

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 16 01 2022
accepted: 06 03 2022
pubmed: 11 5 2022
medline: 8 7 2022
entrez: 10 5 2022
Statut: ppublish

Résumé

Locomotive syndrome (LOCOMO) is defined by the Japanese Orthopaedic Association (JOA) as a condition requiring nursing care due to a decline in mobility resulting from musculoskeletal disorders. In 2020, the JOA announced the new definition of LOCOMO stage 3 and revision of clinical decision limits in stages of LOCOMO. However, there are few reports on the epidemiological indices of LOCOMO. This prospective cohort study aimed to investigate the prevalence, incidence, and association of poor prognosis with LOCOMO stages. The third survey of the Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study was conducted during 2012-2013, examining a population-based cohort of 1575 participants (513 men and 1062 women, mean age 65.6 years). Three LOCOMO risk tests were performed, and patients were classified into LOCOMO stages 0, 1, 2, and 3. They were followed up for 6 years, and identical examination of LOCOMO was performed in 3- and 6-year follow-ups. Data on patients' prognoses, including disability and death, were collected. The prevalence of LOCOMO stages 1, 2, and 3 was 41.3, 14.9, and 11.6%, respectively. The incidence of LOCOMO stages 1, 2, and 3 were 83.7, 23.0, and 18.6 per 1000 person-years, respectively. Compared with LOCOMO stage 0, logistic regression analysis showed that LOCOMO stage 3 significantly increased the risk of disability and mortality. In addition, each value of LOCOMO risk tests for LOCOMO stage 3 increased the risk of poor prognosis. LOCOMO stage 3 is a sensitive indicator of future disability and mortality.

Identifiants

DOI: 10.1007/s00774-022-01324-8 PMID: 35536512
pubmed: 35536512
doi: 10.1007/s00774-022-01324-8
pii: 10.1007/s00774-022-01324-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

623-635

Subventions

Organisme : Ministry of Health, Labour and Welfare:
ID : H25-Choujyu-007
Organisme : Ministry of Education, Culture, Sports, Science and Technology in Japan
ID : B19H03895
Organisme : Japan Agency for Medical Research and Development
ID : 17dk0110028h0001

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2022. The Japanese Society Bone and Mineral Research.

Références

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Auteurs

Noriko Yoshimura (N)

Department of Prevention Medicine for Locomotive Organ Disorders, 22nd Century Medical and Research Center, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan. noripu@rc4.so-net.ne.jp.
ORCID: 0000-0002-6555-5782

Toshiko Iidaka (T)

Department of Prevention Medicine for Locomotive Organ Disorders, 22nd Century Medical and Research Center, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan.

Chiaki Horii (C)

Department of Orthopaedic Surgery, Sensory and Motor System Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, 113-8655, Japan.

Kanae Mure (K)

Department of Public Health, Wakayama Medical University School of Medicine, Kimiidera 811-1, Wakayama, 641-8510, Japan.

Shigeyuki Muraki (S)

Department of Prevention Medicine for Locomotive Organ Disorders, 22nd Century Medical and Research Center, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan.

Hiroyuki Oka (H)

Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, 113-8655, Japan.

Hiroshi Kawaguchi (H)

Tokyo Neurological Center, Tokyo, 105-0001, Japan.

Toru Akune (T)

National Rehabilitation Center for Persons With Disabilities, Saitama, 359-0042, Japan.

Hideaki Ishibashi (H)

Department of Orthopedic Surgery, Ina Hospital, Saitama, 362-0806, Japan.

Takashi Ohe (T)

NTT Medical Center Tokyo, Tokyo, 141-8625, Japan.

Hiroshi Hashizume (H)

Department of Orthopedic Surgery, Wakayama Medical University School of Medicine, Kimiidera 811-1, Wakayama, 641-8509, Japan.

Hiroshi Yamada (H)

Department of Orthopedic Surgery, Wakayama Medical University School of Medicine, Kimiidera 811-1, Wakayama, 641-8509, Japan.

Munehito Yoshida (M)

Department of Orthopedic Surgery, Wakayama Medical University School of Medicine, Kimiidera 811-1, Wakayama, 641-8509, Japan.

Kozo Nakamura (K)

Towa Hospital, Tokyo, 120-0003, Japan.

Sakae Tanaka (S)

Department of Orthopaedic Surgery, Sensory and Motor System Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, 113-8655, Japan.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études de suivi › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Régions géographiques › Iles › Japon › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Maladies ostéomusculaires › Arthrose › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Maladies métaboliques et nutritionnelles › Maladies métaboliques › Maladies osseuses métaboliques › Ostéoporose › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Epidemiology of locomotive syndrome using...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Maladie › Syndrome › Epidemiology of locomotive syndrome using...