Implications of the diagnosis of locomotive syndrome stage 3 for long-term care
10.1016/j.afos.2024.05.001
- Author:
Koichiro IDE
1
;
Yu YAMATO
;
Tomohiko HASEGAWA
;
Go YOSHIDA
;
Mitsuru HANADA
;
Tomohiro BANNO
;
Hideyuki ARIMA
;
Shin OE
;
Tomohiro YAMADA
;
Yuh WATANABE
;
Kenta KUROSU
;
Hironobu HOSHINO
;
Haruo NIWA
;
Daisuke TOGAWA
;
Yukihiro MATSUYAMA
Author Information
1. Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi Ward, Hamamatsu, Shizuoka, 431-3125, Japan
- Publication Type:Original article
- From:Osteoporosis and Sarcopenia
2024;10(2):89-94
- CountryRepublic of Korea
- Language:English
-
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.
