Association between Daily Physical Activity and Locomotive Syndrome in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study

Int J Environ Res Public Health. 2022 Jul 3;19(13):8164. doi: 10.3390/ijerph19138164.

Abstract

This study aimed to evaluate the association between locomotive syndrome (LS) and daily physical activity (PA) in community-dwelling older adults. This cross-sectional study included 80 healthy Japanese older adults (40 men and 40 women; age: 60-79 years). Habitual daily PA was evaluated using a triaxial wrist accelerometer. Participants were divided into two groups based on the results of the two-step test, stand-up test, and 25-question geriatric locomotive function scale. Binomial logistic regression analysis was conducted to examine the statistical relationships between daily PA and category of LS, adjusting for age from adjusted odds ratio (adjusted OR) with the 95 percent confidence intervals (95%CI) and bootstrap 95%CI. The mean step count and time spent on moderate to vigorous physical activity (MVPA) were significantly higher among non-LS participants than among LS participants in women, but not in men. Logistic regression analyses indicated that spending longer than 28 min/day on MVPA was significantly associated with a lower likelihood of LS relative to short time category under 28 min/day in women (adjusted OR = 0.12, 95%CI = 0.02-0.59, bootstrap 95%CI = 0.01-0.43), but not in men. This study suggests that in community-dwelling older women, those with higher MVPA had lower odds of LS, and daily MVPA was associated with LS, but not in men. Therefore, the associations between LS and daily physical activity were partly dependent on sex differences.

Keywords: aging; daily step count; locomotive disorders; moderate to vigorous physical activity; triaxial accelerometer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Humans
  • Independent Living*
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Syndrome

Grants and funding

This research was supported by the Center of Innovation (COI) Program from the Japan Science and Technology Agency (JST). The program is one of the main funding programs under the Center of Innovation Science and Technology based Radical Innovation and Entrepreneurship Program (COI STREAM), which was launched in 2013 by the Ministry of Education, Culture, Sports, Science and Technology (MEXT). The funding source had no control over the interpretation, writing, or publication of this work. The corresponding author has full access to all the data in the study and has the final responsibility of the decision to submit for publication.