Locomotive syndrome is associated with body composition and cardiometabolic disorders in elderly Japanese women.
Locomotive syndrome is associated with body composition and cardiometabolic disorders in elderly Japanese women.
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DOI：
10.1186/s12877-016-0339-6
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发表时间：
2016-09-27
期刊：
影响因子：
4.1
通讯作者：
Utsunomiya H
中科院分区：
文献类型：
--
作者：
Nakamura M;Kobashi Y;Hashizume H;Oka H;Kono R;Nomura S;Maeno A;Yoshida M;Utsunomiya H
日本骨科协会提出了一个被称为运动综合征（LS）的概念，以帮助识别可能因运动相关问题而需要医疗服务的高风险中老年人。心脏代谢疾病，包括肥胖、高血压、糖尿病和血脂异常，在全球范围内具有很高的患病率。本研究的目的是确定LS与身体成分和心脏代谢疾病之间的关联。研究对象是165名生活在农村地区的健康成年日本女性志愿者。LS定义为25题老年运动功能量表（GLFS-25）评分≥16。测量身高、体重、体脂百分比、体重指数（BMI）和骨状况。通过定量超声评价骨状态（即，跟骨的声速[SOS]），并表示为SOS的年轻成人平均值的百分比（%YAM）。高血压、高脂血症和糖尿病的共病情况采用自我报告问卷进行评估。29名参与者（17.6%）被归类为LS。LS组比非LS组年龄更大、更矮、体脂百分比更高、BMI更高、骨骼状态更低。多元logistic回归分析显示，BMI ≥23.5 kg/m2的参与者发生LS的风险显著高于BMI <23.5 kg/m2的参与者（比值比[OR] = 3.78，p < 0.01）。此外，有高血压、糖尿病或肥胖症的参与者的GLFS-25评分高于无高血压、糖尿病或肥胖症的参与者，并且随着现有疾病的数量显著增加。这些结果表明，BMI可能是一个有用的筛选工具LS。此外，由于高血压和糖尿病与LS相关，因此预防这些疾病并伴有体重管理可能有助于预防LS。本文的在线版本（doi：10.1186/s12877-016-0339-6）包含补充材料，可供授权用户使用。
A concept referred to as locomotive syndrome (LS) was proposed by the Japanese Orthopaedic Association in order to help identify middle-aged and older adults who may be at high risk of requiring healthcare services because of problems associated with locomotion. Cardiometabolic disorders, including obesity, hypertension, diabetes, and dyslipidemia, have a high prevalence worldwide. The purpose of this study was to determine the associations between LS and both body composition and cardiometabolic disorders. The study participants were 165 healthy adult Japanese women volunteers living in rural areas. LS was defined as a score ≥16 on the 25-question Geriatric Locomotive Function Scale (GLFS-25). Height, body weight, body fat percentage, body mass index (BMI), and bone status were measured. Bone status was evaluated by quantitative ultrasound (i.e., the speed of sound [SOS] of the calcaneus) and was expressed as the percent of Young Adult Mean of the SOS (%YAM). Comorbid conditions of hypertension, hyperlipidemia, and diabetes were assessed using self-report questionnaires. Twenty-nine participants (17.6 %) were classed as having LS. The LS group was older, shorter, and had a higher body fat percentage, a higher BMI, and lower bone status than the non-LS group. Multiple logistic regression analysis showed that participants with a BMI ≥23.5 kg/m2 had a significantly higher risk for LS than those with a BMI <23.5 kg/m2 (odds ratio [OR] = 3.78, p < 0.01). Furthermore, GLFS-25 scores were higher in participants with than those without hypertension, diabetes, or obesity, and significantly increased with the number of present disorders. These findings suggest that BMI may be a useful screening tool for LS. Furthermore, because hypertension and diabetes were associated with LS, the prevention of these disorders accompanied by weight management may help protect against LS. The online version of this article (doi:10.1186/s12877-016-0339-6) contains supplementary material, which is available to authorized users.
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