Affiliation:
1. Department of Shizuoka Physical Therapy, Faculty of Health Science Tokoha University Shizuoka Japan
2. Department of Epidemiology for Community Health and Medicine Kyoto Prefectural University of Medicine, Graduate School of Medical Science Kyoto Japan
Abstract
AimThe combination of locomotive syndrome (LS) and poor sleep quality (PQ) has not yet been shown to result in falls or to affect bone conditions in old age and middle age. [Correction added on 1 December 2023, after first online publication: The preceding sentence has been updated for clarity.]MethodsThis cross‐sectional study enrolled 2233 community‐dwelling middle‐aged to older Japanese women. LS and PSQ were assessed by the stand‐up test, two‐step test, the 25‐question Geriatric Locomotive Function Scale, and the Pittsburgh Sleep Quality Index (PSQI). Participants with both LS 1–3 (any) and a PSQI score ≥6 were classified as belonging to the LS(+)/PSQ(+) group. The incidence of falls in the previous month was collected using a self‐administered questionnaire. Bone conditions were evaluated using an ultrasonic bone densitometer.ResultsThe LS(+)/PSQ(+) group independently had a higher risk of falls after adjusting for confounding factors than the LS(−)/PSQ(−) group using multiple logistic regression analysis (odds ratio 1.92, 95% confidence interval 1.01–3.65, P < 0.05). No relationships between LS(−)/PSQ(+) and LS(+)/PSQ(−) groups and the incidences of fall were observed (P > 0.05). [Correction added on 1 December 2023, after first online publication: The two preceding sentences have been corrected to provide greater clarity.] The LS(+)/PSQ(+) group had lower trabecular bone density and cortical bone thickness than the LS(−)/PSQ(−) group (P < 0.05).ConclusionThe combination of LS and PSQ is an independent risk factor of falls, indicating that assessing both LS and PSQ could be useful in detecting middle‐aged and older women with low bone density and thickness who fall easily at an early stage. Geriatr Gerontol Int 2023; 23: 912–918.
Reference49 articles.
1. World Health Organization.WHO Global Report on Falls Prevention in Older Age. 2007 [cited 14 March 2023] https://www.who.int/publications/i/item/9789241563536.
2. Hip fracture: diagnosis, treatment, and secondary prevention;LeBlanc KE;Am Fam Physician,2014
3. Change in Bone Density and Reduction in Fracture Risk: A Meta-Regression of Published Trials
4. Guideline for the Prevention of Falls in Older Persons
5. Sarcopenia: revised European consensus on definition and diagnosis