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- Title
Association between locomotive syndrome and fall risk in the elderly individuals in Japan: The Yakumo study.
- Authors
Iida, Hiroki; Seki, Taisuke; Takegami, Yasuhiko; Osawa, Yusuke; Kato, Daisaku; Takemoto, Genta; Ando, Kei; Ishizuka, Shinya; Hasegawa, Yukiharu; Imagama, Shiro
- Abstract
Patients with locomotive syndrome (LS) are poor ambulatory status and a high risk of requiring nursing care. The purpose of this study is to investigate the relationship between LS and fall risk among community-dwelling elderly individuals. The subjects were Japanese elderly individuals aged 65 and over who participated in Yakumo study 2019 (N = 189). We defined the fall risk index 5 items version (FRI-5) ≥6 points as the fall risk group. LS was evaluated by stand-up test, two-step test, and 25-Geriatric Locomotive Function Scale (GLFS-25). We divided the subjects into two groups according to the presence or absence of fall risk, and investigated factors associated with fall risk. The fall risk group (30 patients, 15.9%) had higher GLSF-25 (P = 0.001). The results of logistic regression analysis adjusted for age, sex, BMI, and knee osteoarthritis revealed that GLFS-25 (OR: 1.052; 95%CI: 1.009–1.097) was independent factor associated with fall risk. In the ROC analysis, the optimal cut-off value of the GLFS-25 to predict fall risk was 12, which is equivalent to LS stage 1 (AUC 0.688; 95% CI: 0.588–0.787; sensitivity: 0.467, specificity: 0.836). GLFS-25 was associated with fall risk among community-dwelling elderly individuals aged 65 and over.
- Subjects
OLDER people; LOCOMOTIVES; LOGISTIC regression analysis; KNEE osteoarthritis
- Publication
Journal of Orthopaedic Science, 2024, Vol 29, Issue 1, p327
- ISSN
0949-2658
- Publication type
Article
- DOI
10.1016/j.jos.2022.11.023