Association between restricted outings and geriatric locomotive function scale score in the general elderly population during the COVID-19 pandemic

IF 1.5 4区 医学 Q3 ORTHOPEDICS
Masashi Uehara , Jun Takahashi , Shota Ikegami , Ryosuke Tokida , Hikaru Nishimura , Noriko Sakai , Etsuo Chosa
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引用次数: 0

Abstract

Background

Restrictions in daily activities due to coronavirus infection countermeasures reduced opportunities for physical activity and social participation in people of all ages. This study investigated the associations of restricted outings on locomotive function during the COVID-19 pandemic using a cohort of middle-aged and elderly community-dwelling residents.

Methods

Registered citizens of 50–89 years old were targeted for this investigation. We established 8 groups based on age (50's, 60's, 70's, and 80's) and gender (male and female) after random sampling from the basic resident registry of Obuse town in 2014. All participants were surveyed by a 25-question geriatric locomotive function scale (GLFS-25) at the time of checkup before the COVID-19 pandemic. Then, in 2021 and 2022 after government restrictions on outings were lifted for COVID-19 pandemic, all participants were mailed questionnaires including the GLFS-25. A total of 296 (143 male and 153 female) participants who responded at least once were included. We evaluated the changes in opportunities to go out between pre- and post-pandemic time points and the impact on GLFS-25 scores.

Results

In total, 128 (43.2%) respondents had fewer opportunities to go out than the previous year. Pre- and post-pandemic GLFS-25 scores in the decreased outing (+) group were significantly worse than in the decreased outing (−) group (both p < 0.01). The final multivariate model revealed GLFS-25 score worsening beta coefficient of 0.27 for age (+10 years), 3.97 for male, 4.54 for decreased outings, and 4.46 for spinal canal stenosis.

Conclusions

In this randomly sampled Japanese cohort based on a resident registry, restricted outings during the COVID-19 pandemic was a significant independent factor associated with lower locomotive function.
在 COVID-19 大流行期间,普通老年人群中外出受限与老年机能量表评分之间的关系。
背景:冠状病毒感染应对措施限制了人们的日常活动,从而减少了各年龄段人群的体育活动和社会参与机会。本研究以中老年社区居民为研究对象,调查了在 COVID-19 大流行期间限制外出对机体功能的影响:调查对象为 50-89 岁的户籍居民。根据年龄(50 岁、60 岁、70 岁和 80 岁)和性别(男性和女性),我们从 2014 年小布施町的居民基本登记簿中随机抽样,设立了 8 个小组。在 COVID-19 大流行之前,所有参与者都在体检时接受了 25 个问题的老年机体功能量表(GLFS-25)调查。然后,在2021年和2022年,当政府因COVID-19大流行而取消了外出限制后,所有参与者都收到了包括GLFS-25在内的调查问卷。共有 296 名参与者(男性 143 人,女性 153 人)至少回答了一次问卷。我们评估了大流行前后时间点之间外出机会的变化以及对 GLFS-25 分数的影响:结果:共有 128 名(43.2%)受访者的外出机会少于上一年。大流行前和流行后,外出机会减少(+)组的 GLFS-25 分数明显低于外出机会减少(-)组(均为 p 结论:大流行前和流行后,外出机会减少(+)组的 GLFS-25 分数明显低于外出机会减少(-)组(均为 p):在这个以居民登记为基础随机抽样的日本队列中,COVID-19 大流行期间外出受限是导致运动功能降低的一个重要独立因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
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