Osteoporos Sarcopenia.
2024 Jun;10(2):89-94. 10.1016/j.afos.2024.05.001.
Implications of the diagnosis of locomotive syndrome stage 3 for long-term care
- Ide K
1 - Yamato Y1
- Hasegawa T1
- Yoshida G1
- Hanada M1
- Banno T1
- Arima H1
- Oe S1
- Yamada T1
- Watanabe Y1
- Kurosu K1
- Hoshino H2
- Niwa H3
- Togawa D4
- Matsuyama Y1
- Affiliations
-
- 1Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi Ward, Hamamatsu, Shizuoka, 431-3125, Japan
- 2Department of Orthopaedic Surgery, Fujieda Municipal General Hospital, 4-1, Surugadai, Fujieda, Shizuoka, 426-0077, Japan
- 3Department of General Medicine, Toyonemura Medical Office, 24-1 Naganoda Kamikurogawa, Toyone-mura, Kitashitara-gun, Aichi, 449-0404, Japan
- 4Department of Orthopaedic Surgery, Kindai University Nara Hospital, 1248-1 Otodacho, Ikoma, Nara, 630-0293, Japan
- KMID: 2557461
- DOI: http://doi.org/10.1016/j.afos.2024.05.001
Abstract
Objectives
Locomotive syndrome stage 3 (LS3), which has been established recently, may imply a greater need for care than LS stage 0 (LS0), LS stage 1 (LS1), and LS stage 2 (LS2). The relationship between LS3 and long-term care in Japan is unclear. Therefore, this study aimed to examine this relationship.
Methods
A total of 531 patients (314 women and 217 men; mean age, 75 years) who were not classified as requiring long-term care and underwent musculoskeletal examinations in 2012 were grouped according to their LS stage. Group L comprised patients with LS3 and Group N comprised those with LS0, LS1, and LS2. We compared these groups according to their epidemiology results and long-term care requirements from 2013 to 2018.
Results
Fifty-nine patients (11.1%) were diagnosed with LS3. Group L comprised more patients (50.8%) who required long-term care than Group N (17.8%) (P < 0.001). Group L also comprised more patients with vertebral fractures and knee osteoarthritis than Group N (33.9% vs 19.5% [P = 0.011] and 78% vs 56.4% [P < 0.001], respectively). A Cox proportional hazards model and Kaplan–Meier analysis revealed a significant difference in the need for nursing care between Groups L and N (log-rank test, P < 0.001; hazard ratio, 2.236; 95% confidence interval, 1.451–3.447).
Conclusions
Between 2012 and 2018, 50% of patients with LS3 required nursing care. Therefore, LS3 is a highrisk condition that necessitates interventions. Approaches to vertebral fractures and osteoarthritis of the knee could be key.
