Relationship between knee osteoarthritis and the locomotive syndrome risk tests: A cross-sectional study

Ohsawa, Takashi; Shiozawa, Hiroyuki; Omodaka, Takuya; Saitô, Kenichi; Kitagawa, Takahiro; Kobayashi, Hiroki; Tajika, Tsuyoshi; Yamamoto, Atsushi; Iizuka, Yoichi; Iizuka, Haku; Takagishi, Kenji

doi:10.1016/j.jos.2016.03.011

Cited by 23 publications

(12 citation statements)

References 17 publications

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“…Previous studies have shown that female sex and clinical knee osteoarthritis are specific risk factors for LS. 25,26) Ohsawa et al 27) reported that proper care of clinical knee osteoarthritis is needed to prevent progressive walking disability. However, baseline knee VAS did not differ among the three groups, and no differences were found in clinical knee osteoarthritis prevalence in men in this study.…”

Section: Discussionmentioning

confidence: 99%

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Yamada

Yamato

Hasegawa

et al. 2021

PRM

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Objectives: This longitudinal study aimed to evaluate the effect of acquisition of an exercise habit on locomotive dysfunction (LD). Methods: The subjects were 121 male and 196 female volunteers aged more than 50 years who attended health checkups in Toei, central Japan, in 2012 and 2014. We divided the subjects into three groups: an acquiring exercise group (Ac-Ex) composed of those who acquired an exercise habit between 2012 and 2014, a non-exercise group (Non-Ex) who did not acquire an exercise habit, and an exercise group (Ex) who already had an exercise habit in 2012. We compared the 25-question Geriatric Locomotive Function Scale (GLFS-25) score among the three groups. Results: In men in the Ac-Ex group, the GLFS-25 score improved significantly between 2012 and 2014 (P=0.046), and sub-analysis of the GLFS-25 responses showed that fundamental and instrumental activities of daily living (ADL) improved significantly. In women in the Ac-Ex group, the prevalence of radiologically diagnosed knee osteoarthritis was significantly higher (P=0.027) than that for the other two groups, and there was no significant improvement in GLFS-25 score over the 2-year period. Conclusions: The acquisition of an exercise habit had a positive effect on the locomotive function in men. Orthopedic surgeons must enlighten people on the need for a continuous exercise habit.

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Section: Discussionmentioning

confidence: 99%

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Yamada

Yamato

Hasegawa

et al. 2021

PRM

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“…In particular, smoking is a widespread public health problem; it has been shown to be associated with not only cancer, diabetes, and cardiovascular diseases [ 5 ], but also with chronic musculoskeletal disorders such as OA, back pain, sciatic pain, and intervertebral disc disorders [ 9 – 11 ]. OA in the knee joint and spinal disorders are important disorders related to locomotive syndrome [ 12 , 13 ]. It has been reported that men with knee OA who smoke sustain greater cartilage loss and have more severe knee pain than men who do not smoke [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Lifestyle factors are significantly associated with the locomotive syndrome: a cross-sectional study

Akahane¹,

Yoshihara²,

Maeyashiki³

et al. 2017

BMC Geriatr

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BackgroundThe Japanese Orthopedic Association first proposed the concept of “locomotive syndrome” in 2007. It refers to circumstances in which elderly people need nursing care services or are at high risk of requiring such services within a short time. Recently, the public health burden of providing nursing care for elderly individuals has increased. Therefore, locomotive syndrome, and the means of preventing it, are a major public health focus in Japan. The purpose of this study was to investigate the relationships of lifestyle factors, such as smoking, alcohol consumption, sleep duration, and dental health, with locomotive syndrome.MethodsWe conducted a cross-sectional study using an internet panel survey. The participants comprised 747 individuals aged 30–90 years. Factors related to demographics (age, sex), general health (number of teeth, presence of periodontal disease), and lifestyle (smoking, alcohol consumption, sleep duration) were assessed. We also used the 25-question Geriatric Locomotive Function Scale to determine whether each participant had locomotive syndrome. Multivariate analysis was conducted using logistic regression to investigate the independent relationships between locomotive syndrome and lifestyle factors after adjusting for sex and age.ResultsA greater proportion of women (17.7%) than men (11.2%) had locomotive syndrome (p < 0.05). Participants aged ≥65 years showed significantly higher percentages (men: 21.4%, women: 75.7%) of locomotive syndrome compared with those aged <65 years (p < 0.05). Logistic regression analysis revealed that older age (≥ 65 years), sex, current smoking status, number of existing teeth, and presence of periodontal disease were associated with locomotive syndrome, whereas sleep duration was not. The frequency of alcohol consumption, except for daily drinking, was also associated with locomotive syndrome.ConclusionOur study indicates that lifestyle factors, such as smoking and number of existing teeth, may partly affect the prevalence of locomotive syndrome. Hence, lifestyle modifications, such as improving oral hygiene and promoting cessation of smoking, are important means to reduce the risk of locomotive syndrome and should be promoted by public health staff.

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“…The MTH of the AT was significantly lower in elderly persons with LS. Ohsawa et al reported a trend toward reduced muscle mass in the lower leg (measured by BIA) in the elderly with LS compared to those without LS, although it was not significant (p = 0.056) (Ohsawa et al, 2016). However, no studies have focused on the site-specific changes in muscle mass in LS.…”

Section: Discussionmentioning

confidence: 99%

Site-Specific Muscle Loss in the Abdomen and Anterior Thigh in Elderly Males with Locomotive Syndrome

Natsume¹,

Ozaki²,

Nakagata³

et al. 2021

jsportscimed

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Although locomotive syndrome (LS) is a condition of reduced mobility, little information is available regarding the loss of site-specific skeletal muscle mass. The aim of the present study is to examine site-specific muscle loss in elderly males with LS. A total of 100 men ranging in age from 65 to 74 years were divided into two groups (LS and non-LS) using LS risk tests including the stand-up test, two-step test, and the 25-question geriatric locomotive function scale Muscle thickness (MTH) at eight sites—anterior and posterior thigh (AT and PT, respectively), anterior and posterior lower leg (AL and PL, respectively), rectus abdominis (RA), anterior and posterior upper arm (AU and PU, respectively), and anterior forearm (AF)—was evaluated using B-mode ultrasound. Furthermore, the 30-s chair stand test (CS-30), 10-m walking time, zig-zag walking time, and sit-up test were assessed as physical functions. There were no significant differences in age and body mass index between the LS and non-LS groups. The percentage of skeletal muscle was lower in the LS group than in the non-LS group. Although there were no differences in the MTH of AU, PU, AF, PT, Al and PL, site-specific muscle loss was observed at RA and AT in the LS group. CS-30, 10-m walking time, zig-zag walking time, and sit-up test in the LS group were all worse than those in the non-LS group. The MTHs of RA and AT were both correlated to those physical functions. In conclusion, the LS group had site-specific muscle loss and worse physical functions. This study suggests that site-specific changes may be associated with age-related physical functions. These results may suggest what the essential characteristics of LS are.

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Relationship between knee osteoarthritis and the locomotive syndrome risk tests: A cross-sectional study

Cited by 23 publications

References 17 publications

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Lifestyle factors are significantly associated with the locomotive syndrome: a cross-sectional study

Site-Specific Muscle Loss in the Abdomen and Anterior Thigh in Elderly Males with Locomotive Syndrome

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