Prevalence of Locomotive Organ Impairment and Associated Factors among Middle-Aged and Older People in Nan Province, Thailand

Marie Niwayama, Kayako Sakisaka, Pongthep Wongwatcharapaiboon, Valika Rattanachun, Satoshi Miyata and Kenzo Takahashi
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Marie Niwayama: Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan
Kayako Sakisaka: Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan
Pongthep Wongwatcharapaiboon: Nan Hospital, Nan City 55000, Nan Province, Thailand
Valika Rattanachun: Nan Hospital, Nan City 55000, Nan Province, Thailand
Satoshi Miyata: Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan
Kenzo Takahashi: Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan

IJERPH, 2021, vol. 18, issue 20, 1-11

Abstract: While locomotive organ impairment among older people is attracting worldwide attention, this issue has not yet been widely investigated in Thailand. This study aimed to measure locomotive organ impairment prevalence and identify the determinants of locomotive function decline among middle-aged and older people in Nan Province, Thailand. This cross-sectional study included anthropometric measurements, a two-step test to investigate locomotive function, and a structured questionnaire to obtain socio-demographic and related information. Logistic regression analysis and multiple regression analysis were used to identify the determinants of locomotive organ impairment. The study participants were aged 50–87 years old ( n = 165), and 71.5% of them had begun experiencing declining locomotive function; < 6 years of school education (adjusted odds ratio: 4.46), body mass index ?25 kg/m 2 (AOR: 3.06), comorbidities (AOR: 2.55), and continuous walking for <15 min (AOR: 2.51) were identified as factors associated with locomotive organ impairment. Moreover, age, knee pain, anxiety about falling in daily life, and difficulty with simple tasks were identified as factors significantly associated with exacerbated locomotive organ impairment ( p < 0.05). Appropriate interventions such as guidance or follow-up and recommendations for exercises are needed to prevent locomotive organ impairment and improve treatment.

Keywords: aging; cross-sectional study; exercise; motion; obesity; Thailand (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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