TY  - JOUR
PY  - 2022//
TI  - Association between locomotive syndrome and fall risk in the elderly individuals in Japan: the Yakumo study
JO  - Journal of orthopaedic science
A1  - Iida, Hiroki
A1  - Seki, Taisuke
A1  - Takegami, Yasuhiko
A1  - Osawa, Yusuke
A1  - Kato, Daisaku
A1  - Takemoto, Genta
A1  - Ando, Kei
A1  - Ishizuka, Shinya
A1  - Hasegawa, Yukiharu
A1  - Imagama, Shiro
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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). <br><br>CONCLUSIONS: GLFS-25 was associated with fall risk among community-dwelling elderly individuals aged 65 and over.<p />  <p>Language: en</p>
LA  - en
SN  - 0949-2658
UR  - http://dx.doi.org/10.1016/j.jos.2022.11.023
ID  - ref1
ER  -