Prevalence and Factors Associated With Locomotive Syndrome in Community-Dwelling Older Adults

Abstract

Objective: to analyze prevalence and the factors associated with locomotive syndrome in community-dwelling older adults. Method: a cross-sectional study, developed in a municipal center for the care of older adults in Teresina, Piauí, Brazil. The sample was for convenience and comprised 204 older adults aged 60 years or more, of both genders and with preserved cognitive capacity, according to parameters of the Mini Mental State Examination. Data collection occurred from March to November 2018, by applying a form for sociodemographic, clinical and falls occurrence characterization and the 25-item Geriatric Locomotive Function Scale. To measure the strength of the associations between the variables, odds ratios and 95% confidence intervals were adopted. The statistical significance level was set at 5% for the analyses. Results: the prevalence of locomotive syndrome found was 37.2%. The factors associated with the presence of locomotive syndrome were individual monthly income (p=0.005); existence of one of the following comorbidities: systemic arterial hypertension (p=0.039), osteoporosis (p=0.016), arthrosis (p<0.001) or obesity (p=0.014); and history of hospitalization in the last year (p=0.007). Conclusion: the prevalence of locomotive syndrome found in this study was low and presented higher levels in older adults, with an individual monthly income of two to three minimum wages; who reported having hypertension, osteoporosis, arthrosis or obesity; and with a history of hospitalization in the last year. The health condition investigated showed to be related to aging, with significant repercussions on functionality.

Family Arrangement, Social Support and Frailty Among Community-Dwelling Older Adults: A Mixed Methods Longitudinal Study

“…Frailty is a multidimensional syndrome, defined as a clinical state of extreme vulnerability that contributes to homeostatic imbalance in the organism, decline of the physiological system, and cognitive, psychological and social changes. Its prevalence increases with age, and can result in greater disability and dependence in old age [6][7] . A mixed methods study conducted with 121 potentially frail community-dwelling older adults showed the importance of the support provided by the family, neighbors and friends as a strategy for coping with the condition of frailty 8 .…”

Arranjo Familiar, Apoio Social E Fragilidade Em Idosos Da Comunidade: Estudo Longitudinal Com Métodos Mistos

“…A fragilidade é uma síndrome multidimensional, definida como um estado clínico de extrema vulnerabilidade que contribui para o desequilíbrio homeostático do organismo, o declínio do sistema fisiológico, as alterações cognitivas, psicológicas e sociais. A prevalência desta aumenta com a idade, e pode resultar em quadro de maior incapacidade e dependência na velhice [6][7] . Estudo de métodos mistos com 121 idosos potencialmente frágeis da comunidade demonstrou a importância do apoio familiar, de vizinhos e amigos como estratégia de enfrentamento da condição de fragilidade 8 .…”

Comparing Psychometric Properties of GLFS-5 With GLFS-25 for Screening Locomotive Syndrome in Community-dwelling Iranian Older People

“…The Japanese Orthopedic Association (JOA) has proposed the concept of the locomotive syndrome (LS), which refers to 1) conditions that will require due care and consideration, or 2) high-risk conditions that need nursing long care soon because of locomotive organ dysfunction in the older people [3]. The prevalence of LS among seniors has been reported as 16% to 40% in various studies [4,5]. According to some studies, 44% to 60% of the Iranian older people have physical and locomotive disabilities [6,7].…”