Abstract
Background
The risk factors for progression of severity of locomotive syndrome (LS) remain unclear.
Methods
We conducted a longitudinal observational study of 1148 community-dwelling residents
(median age, 68.0 years old; 548 males, 600 females) from 2016 to 2018. LS was assessed
by the 25-question Geriatric Locomotive Function Scale (GLFS-25), and total scores
of ≤6 points, 7–15 points, 16–23 points, and ≥24 points were diagnosed as non-LS,
LS-1, LS-2, and LS-3, respectively. If the LS severity in 2018 was higher than in
2016, the case was defined as progression of LS severity; otherwise, it was defined
as non-progressive LS. We compared the age, gender, body mass index, smoking status,
alcohol consumption, living situation, car use, chronic musculoskeletal pain, comorbidities,
metabolic syndrome, physical activity, and LS severity in 2016 between the progression
and non-progression groups. Furthermore, a multivariate logistic regression analysis
was performed to elucidate the risk factors for progression of LS severity.
Results
Participants in the progression group had a significantly older age, a lower rate
of car use, a higher rate of low back pain, a higher rate of hip pain, a higher rate
of knee pain, a higher GLFS-25 total score, and a higher rate of LS-2 than those in
the non-progression group. The multivariate logistic regression analysis revealed
that older age, female gender, higher body mass index (≥25.0 kg/m2), presence of low back pain, and presence of hip pain were risk factors for the progression
of LS within two years.
Conclusions
To prevent the progression of LS severity, related prophylaxis strategies should be
implemented, especially for individuals with the above-mentioned characteristics.
Further longitudinal studies with a longer observation period are necessary.
Keywords
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Article info
Publication history
Published online: March 08, 2023
Accepted:
February 14,
2023
Received in revised form:
January 31,
2023
Received:
March 9,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
