2017 Volume 20 Issue 1 Pages 4-12
Objective: To explore the gender differences in factors related to locomotive syndrome among community-dwelling elderly in an urban area forward community health promotion.
Method: This cross-sectional study involved general citizens aged over 65 years in Yokohama City, with physical performance tests after a self-administered questionnaire by mail. Data were collected on presence of locomotive syndrome stage 1（LS）by index of stand-up test as dependent variables, demographics, self-rated health, life style behavior, Philadelphia Geriatric Center moral（PGC）, Frontal Assessment Battery（FAB）, life style and so on as independent variables. The association between LS and the predictive factors was evaluated using logistic regression analysis.
Results: Valid respondents both of questionnaire and physical performance tests were 302 participants. Participants age was 71.7±5.2（range: 65-88）, and 168（55.6%）were male. The prevalence of LS was 51.3%. Logistic regression analysis revealed that for aged men, severe of living arrangement（OR=13.15, 95%CI:1.00-172.57）, PGC（OR=0.81, 95%CI:0.71-0.91）and FAB（OR=0.79, 95%CI:0.65-0.96）, were significantly associated with presence of LS.
Discussion: The present study demonstrated that half of elderly are facing the risk of locomotive syndrome. Health promotion activities should be aimed not only at exercise but also improvement of moral and cognitive function in community.
