Kobayashi Takaomi, Morimoto Tadatsugu, Shimanoe Chisato, Ono Rei, Otani Koji, Mawatari Masaaki
Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.
Department of Pharmacy, Saga University Hospital, Saga, Japan.
Nagoya J Med Sci. 2024 Nov;86(4):578-587. doi: 10.18999/nagjms.86.4.578.
The 25-question Geriatric Locomotive Function Scale (GLFS-25) is a tool to identify locomotive syndrome, however, this tool is associated with the problem of a low complete response rate. We conducted this cross-sectional study of 2,474 community-dwelling residents to investigate the clinical characteristics of individuals who are prone to provide incomplete responses to the GLFS-25 questionnaire. The participants were divided into the following four groups based on the number of the GLFS-25 items they answered: 0 (n=279), 1-21 (n=36), 22-24 (n=273), and 25 (n=1,886). We investigated clinical characteristics including age, sex, body mass index, health consciousness, housemate status, smoking and drinking habits, physical activity level, the presence of body pain, and comorbidities. To achieve the study objective, we focused on a comparison of the clinical characteristics between the group of participants who answered 22-24 items (target group) and 0 items (control group). The participants who answered 22-24 items were older, more likely to be health-conscious, more likely to live alone, less likely to have lower levels of physical activity, and were more likely to report neck pain, low back pain, shoulder pain, elbow pain, wrist pain, hip pain, knee pain, ankle pain, and ophthalmic disease than those who answered 0 items. Among the significant factors, the only factor that can be changed to improve the number of answered items on the GLFS-25 is health consciousness.
25项老年运动功能量表(GLFS - 25)是一种用于识别运动综合征的工具,然而,该工具存在总回答率较低的问题。我们对2474名社区居民进行了这项横断面研究,以调查那些容易对GLFS - 25问卷提供不完整回答的个体的临床特征。根据参与者回答的GLFS - 25项目数量,将他们分为以下四组:0项(n = 279)、1 - 21项(n = 36)、22 - 24项(n = 273)和25项(n = 1886)。我们调查了临床特征,包括年龄、性别、体重指数、健康意识、同住情况、吸烟和饮酒习惯、身体活动水平、身体疼痛情况以及合并症。为实现研究目标,我们重点比较了回答22 - 24项的参与者组(目标组)和回答0项的参与者组(对照组)之间的临床特征。回答22 - 24项的参与者比回答0项的参与者年龄更大,更注重健康,更有可能独居,身体活动水平较低的可能性更小,并且更有可能报告颈部疼痛、腰痛、肩部疼痛、肘部疼痛、腕部疼痛、髋部疼痛、膝部疼痛、踝部疼痛和眼科疾病。在这些显著因素中,唯一可以改变以提高GLFS - 25回答项目数量的因素是健康意识。