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Relationship between locomotive syndrome, frailty and sarcopenia: Locomotive syndrome overlapped in the majority of frailty and sarcopenia patients
Author(s) -
Ide Koichiro,
Banno Tomohiro,
Yamato Yu,
Hasegawa Tomohiko,
Yoshida Go,
Yasuda Tatsuya,
Arima Hideyuki,
Oe Shin,
Mihara Yuki,
Ushirozako Hiroki,
Yamada Tomohiro,
Watanabe Yuh,
Nakai Keiichi,
Kurosu Kenta,
Hoshino Hironobu,
Niwa Haruo,
Togawa Daisuke,
Matsuyama Yukihiro
Publication year - 2021
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.14162
Subject(s) - sarcopenia , medicine , checklist , gerontology , epidemiology , physical therapy , cohort , psychology , cognitive psychology
Aim The relationship between locomotive syndrome (LS), frailty and sarcopenia is unclear. This cohort study investigates the epidemiology of the three conditions and examines the relationship between them. Methods The participants were 337 Japanese adults aged ≥60 years who had undergone a healthcare checkup. LS, frailty and sarcopenia were assessed using the Geriatric Locomotive Function Scale, the Kihon Checklist and the Asian Working Group for Sarcopenia criteria, respectively. The epidemiological investigation and correlations of the three concepts were examined. Results In total, 212 participants (63%) were women. The participants' mean age was 76 years (range 60–94 years). The average Geriatric Locomotive Function Scale total score was 11.4 ± 11.2, and Kihon Checklist was 4.72 ± 3.97. A total of 202 (59.9%) participants met one of the criteria; 190 (56.9%) were diagnosed with LS, 77 (22.6%) with frailty and 26 (7.7%) with sarcopenia; and 70 out of 77 (90.1%) of frailty patients and 21 out of 26 (80.1%) of sarcopenia patients were included in LS. The relationship between the total score, subcategorical scores and survey items for each was investigated. Activities of daily living, physical function and mental status showed a strong correlation with all concepts. However, nutrition of frailty patients and muscle mass of sarcopenia patients did not correlate with other factors. Conclusions LS overlapped with frailty and sarcopenia. LS criteria might be useful as the best tool to screen older persons who would be at risk for requiring care in the near future. However, nutrition status could only be assessed by frailty and muscle mass by sarcopenia. Geriatr Gerontol Int 2021; 21: 458–464 .