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Prevalence of locomotive syndrome in Japan: a nationwide, cross-sectional Internet survey

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

The authors recently developed a screening tool, the 25-question Geriatric Locomotive Function Scale (GLFS-25), for the early detection of locomotive syndrome (LS). However, the nationwide prevalence of LS based on the GLFS-25 remains unknown.

Methods

A nationwide, cross-sectional Internet survey was conducted to estimate sex- and age-specific mean values of the GLFS-25 and the total number of individuals with LS in Japan. The distribution of the subjects’ sex, age, geographical location, and population size was approximated by that observed in the national population census conducted in 2010. In total, 4,500 subjects who completed the GLFS-25 questionnaire on the Internet were included in the present study.

Results

The age-specific mean values for the GLFS25 were 5.8 in the 40s, 6.0 in the 50s, 5.9 in the 60s, and 8.8 in the 70s. The mean value for the GLFS-25 was significantly higher in the 70s than in the other age groups. The mean value for the GLFS-25 was significantly higher in females than in males. The prevalence of LS was 8.4 % in the 40s and remained stable until the 60s, but increased rapidly in the 70s. The overall mean prevalence of LS was 10.2 %. The total number of individuals between the 40s and 70s with LS in Japan was roughly estimated to be 6.5 million.

Conclusions

This study determined sex- and age-specific estimates for the GLFS-25 using a nationwide, cross-sectional Internet survey. The current results highlight the magnitude of the problem associated with LS and encourage further large-scale population-based epidemiologic studies to determine the accurate prevalence of LS using stratified random sampling.

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Acknowledgments

The authors would like to thank Shunichi Fukuhara and Kumi Takamizawa for their advice.

Conflict of interest

This work was financially supported by a JOA Research Grant and a Japanese Society for Musculoskeletal Medicine Research Grant. All authors declare that they have no competing interests; each author certifies that no commercial relationships exist (e.g., consultancies, stock ownership, equity interests, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with this article.

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Correspondence to Atsushi Seichi.

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Kimura, A., Seichi, A., Konno, S. et al. Prevalence of locomotive syndrome in Japan: a nationwide, cross-sectional Internet survey. J Orthop Sci 19, 792–797 (2014). https://doi.org/10.1007/s00776-014-0606-3

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  • DOI: https://doi.org/10.1007/s00776-014-0606-3

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