Implications of the diagnosis of locomotive syndrome stage 3 for long-term care

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Osteoporosis and Sarcopenia Pub Date : 2024-06-01 DOI:10.1016/j.afos.2024.05.001
Koichiro Ide , 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
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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 high-risk condition that necessitates interventions. Approaches to vertebral fractures and osteoarthritis of the knee could be key.

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运动综合征 3 期诊断对长期护理的影响
目的与 LS0 期(LS0)、LS1 期(LS1)和 LS2 期(LS2)相比,最近确定的 LOCOMOTION 综合征 3 期(LS3)可能意味着需要更多的护理。在日本,LS3 与长期护理之间的关系尚不明确。方法将 2012 年接受肌肉骨骼检查且未被归类为需要长期护理的 531 名患者(女性 314 人,男性 217 人;平均年龄 75 岁)按照 LS 阶段进行分组。L 组包括 LS3 患者,N 组包括 LS0、LS1 和 LS2 患者。我们根据 2013 年至 2018 年的流行病学结果和长期护理要求对这些组别进行了比较。结果59 名患者(11.1%)被诊断为 LS3。L 组中需要长期护理的患者(50.8%)多于 N 组(17.8%)(P < 0.001)。L 组中脊椎骨折和膝关节骨关节炎患者也多于 N 组(分别为 33.9% vs 19.5% [P = 0.011] 和 78% vs 56.4% [P < 0.001])。Cox比例危险模型和Kaplan-Meier分析显示,L组和N组在护理需求方面存在显著差异(对数秩检验,P <0.001;危险比,2.236;95%置信区间,1.451-3.447)。结论2012年至2018年间,50%的LS3患者需要护理。因此,LS3是一种需要干预的高风险疾病。治疗脊椎骨折和膝关节骨性关节炎的方法可能是关键。
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来源期刊
Osteoporosis and Sarcopenia
Osteoporosis and Sarcopenia Orthopedics, Sports Medicine and Rehabilitation, Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Geriatrics and Gerontology
自引率
5.00%
发文量
23
审稿时长
66 days
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