Top

Journal of Orthopaedic Science

Published in:

01-07-2014 | Original Article

Waist circumference is associated with locomotive syndrome in elderly females

Authors: Akio Muramoto, Shiro Imagama, Zenya Ito, Kenichi Hirano, Ryoji Tauchi, Naoki Ishiguro, Yukiharu Hasegawa

Published in: Journal of Orthopaedic Science | Issue 4/2014

Abstract

Background

Central obesity has been proved to be a strong risk factor for numerous health-related problems as well as mortality. However, there have been no studies on the relationship between central obesity and locomotive syndrome (LS). The present study investigated the influence of central obesity on LS.

Methods

A total of 217 females between the ages of 60 and 79 years (mean 68.2 ± 5.0 years) who completed the questionnaires, physical examination and physical performance tests in the Yakumo study in 2011–2012 were enrolled in this study. Participants were assessed according to the 25-Question Geriatric Locomotive Function Scale (GLFS-25), visual analog scale (VAS) for lower back pain (LBP) and knee pain, and the Roland Morris Disability Questionnaire (RDQ). LS was defined as having a score of >16 points on the GLFS-25. Height, weight, waist circumference (WC), hip circumference, % body fat and bone mineral density were measured. Body mass index and waist-to-hip ratio were calculated. The timed up-and-go test, one-leg standing time with eyes open, 10-m gait time and maximum stride were assessed. Back muscle strength and grip strength were measured. The relationships between obesity-related parameters and GLFS-25, RDQ, VAS and physical performance tests were analyzed.

Results

The GLFS-25, LBP and knee pain showed significant correlation with most of obesity-related parameters. Among obesity-related parameters, WC was most strongly related to the GLFS-25, LBP and knee pain. When participants were stratified by WC, larger WC was significantly associated with a higher GLFS-25 score, higher prevalence of LS and higher VAS for LBP and knee pain as well as poorer results in some physical performance tests even after adjustment by age.

Conclusions

The present study revealed that central obesity is significantly associated with LS, and WC can be a useful parameter to assess the risk of LS in elderly women.

Robine JM, Ritchie K. Healthy life expectancy—evaluation of global indicator of change in population health. British Med J. 1991;302:457–60.CrossRef

Salomon JA, Wang H, Freeman MK, Vos T, Flaxman AD, Lopez AD, Murray CJL. Healthy life expectancy for 187 countries, 1990–2010: a systematic analysis for the Global Burden Disease Study 2010. Lancet. 2012;380:2144–62.PubMedCrossRef

Nakamura K. A “super-aged” society and the “locomotive syndrome”. J Orthop Sci. 2008;13:1–2.PubMedCentralPubMedCrossRef

Seichi A, Hoshino Y, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-Question Geriatric Locomotive Function Scale. J Orthop Sci. 2012;17:163–72.PubMedCrossRef

Petursson H, Sigurdsson JA, Bengtsson C, Nilsen TIL, Getz L. Body configuration as a predictor of mortality: comparison of five anthropometric measures in a 12 year follow-up of the norwegian HUNT 2 study. Plos One 2011;6(10):e26621. doi:10.1371/journal.pone.0026621.

Coutinho T, Goel K, de Sa DC, Kragelund C, Kanaya AM, Zeller M, Park J-S, Kober L, Torp-Pedersen C, Cottin Y, Lorgis L, Lee S-H, Kim Y-J, Thomas R, Roger VL, Somers VK, Lopez-Jimenez F. Central obesity and survival in subjects with coronary artery disease a systematic review of the literature and collaborative analysis with individual subject data. J Am Coll Cardiol. 2011;57:1877–86.PubMedCrossRef

Allison DB, Faith MS, Heo M, Kotler DP. Hypothesis concerning the U-shaped relation between body mass index and mortality. Am J Epidemiol. 1997;146:339–49.PubMedCrossRef

Ramsay SE, Whincup PH, Shaper AG, Wannamethee SG. The relations of body composition and adiposity measures to ill health and physical disability in elderly men. Am J Epidemiol. 2006;164:459–69.PubMedCrossRef

Sa KN, Pereira CdM, Souza RC, Baptista AF, Lessa I. Knee pain prevalence and associated factors in a Brazilian population study. Pain Med. 2011;12:394–402.PubMedCrossRef

10.

Shiri R, Solovieva S, Husgafvel-Pursiainen K, Taimela S, Saarikoski LA, Huupponen R, Viikari J, Raitakari OT, Viikari-Juntura E. The association between obesity and the prevalence of low back pain in young adults. Am J Epidemiol. 2008;167:1110–9.PubMedCrossRef

11.

Muramoto A, Imagama S, Ito Z, Hirano K, Ishiguro N, Hasegawa Y. Physical performance tests are useful for evaluating and monitoring the severity of locomotive syndrome. J Orthop Sci. 2012;17(6):782–8.PubMedCrossRef

12.

Sasaki E, Ishibashi Y, Tsuda E, Ono A, Yamamoto Y, Inoue R, Takahashi I, Umeda T, Nakaji S. Evaluation of locomotive disability using loco-check: a cross-sectional study in the Japanese general population. J Orthop Sci. 2013;18:121–9.PubMedCrossRef

13.

Hayashi T, Boyko EJ, Leonetti DL, McNeely MJ, Newell-Morris L, Kahn SE, Fujimoto WY. Visceral adiposity is an independent predictor of incident hypertension in Japanese Americans. Ann Intern Med. 2004;140:992–1000.PubMedCrossRef

14.

Kramer CK, von Muehlen D, Gross JL, Barrett-Connor E. A prospective study of abdominal obesity and coronary artery calcium progression in older adults. J Clin Endocrinol Metab. 2009;94:5039–44.PubMedCentralPubMedCrossRef

15.

Ochi M, Tabara Y, Kido T, Uetani E, Ochi N, Igase M, Miki T, Kohara K. Quadriceps sarcopenia and visceral obesity are risk factors for postural instability in the middle-aged to elderly population. Geriatr Gerontol Int. 2010;10:233–43.PubMedCrossRef

16.

Stewart KJ, DeRegis JR, Turner KL, Bacher AC, Sung J, Hees PS. Usefulness of anthropometrics and dual-energy X-ray absorptiometry for estimating abdominal obesity measured by magnetic resonance imaging in older men and women. J Cardiopulm Rehabil. 2003;23:109–14.PubMedCrossRef

17.

Pouliot MC, Despres JP, LEmieux S, Moorjani S, Bouchard C, Tremblay A. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abnominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol. 1994;73:460–8.PubMedCrossRef

18.

Lean MEJ, Han TS, Seidell JC. Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med. 1999;159:837–43.PubMedCrossRef

19.

Peeters A, Bonneux L, Nusselder WJ, De Laet C, Barendregt JJ. Adult obesity and the burden of disability throughout life. Obes Res. 2004;12:1145–51.PubMedCrossRef

20.

Angleman SB, Harris TB, Melzer D. The role of waist circumference in predicting disability in periretirement age adults. Int J Obes. 2006;30:364–73.CrossRef

21.

Eckhardt CL, Adair LS, Caballero B, Avila J, Kon IY, Wang JZ, Popkin BM. Estimating body fat from anthropometry and isotopic dilution: a four-country comparison. Obes Res. 2003;11:1553–62.PubMedCrossRef

22.

Sridhar MS, Jarrett CD, Xerogeanes JW, Labib SA. Obesity and symptomatic osteoarthritis of the knee. J Bone Joint Surg Br. 2012;94B:433–40.CrossRef

23.

Sakakibara H, Zhu SK, Furuta M, Kondo T, Miyao M, Yamada S, Hideaki T. Knee pain and its associations with age, sex, obesity, occupation and living conditions in rural inhabitants of Japan. Environ Health Prev Med. 1996;1:114–8.PubMedCrossRef

24.

Janke EA, Collins A, Kozak AT. Overview of the relationship between pain and obesity: what do we know? Where do we go next? J Rehabil Res Dev. 2007;44:245–61.PubMedCrossRef

25.

Toda Y, Segal N, Toda T, Morimoto T, Ogawa R. Lean body mass and body fat distribution in participants with chronic low back pain. Arch Intern Med. 2000;160:3265–3269.PubMedCrossRef

26.

Hergenroeder AL, Brach JS, Otto AD, Sparto PJ, Jakicic JM. The influence of body mass index on self-report and performance-based measures of physical function in adult women. Cardiopulm Phys Ther J. 2011;22:11–20.PubMedCentralPubMed

27.

Vincent HK, Vincent KR, Lamb KM. Obesity and mobility disability in the older adult. Obes Rev. 2010;11:568–79.PubMedCrossRef

28.

Blaszczyk JW, Cieslinska-Swider J, Plewa M, Zahorska-Markiewicz B, Markiewicz A. Effects of excessive body weight on postural control. J Biomech. 2009;42:1295–300.PubMedCrossRef

29.

Woo J, Leung J, Kwok T. BMI, body composition, and physical functioning in older adults. Obesity. 2007;15:1886–94.PubMedCrossRef

30.

Fontaine KR, Barofsky I, Andersen RE, Bartlett SJ, Wiersema L, Cheskin LJ, Franckowiak SC. Impact of weight loss on health-related quality of life. Qual Life Res. 1999;8:275–7.PubMedCrossRef

Title: Waist circumference is associated with locomotive syndrome in elderly females
Authors: Akio Muramoto
Shiro Imagama
Zenya Ito
Kenichi Hirano
Ryoji Tauchi
Naoki Ishiguro
Yukiharu Hasegawa
Publication date: 01-07-2014
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 4/2014
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-014-0559-6

At a glance: The STEP trials

Springer Medicine

Waist circumference is associated with locomotive syndrome in elderly females

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2014

In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty

Comparison of repair between cartilage and osteocartilage defects in rabbits using similarly manipulated scaffold-free cartilage-like constructs

Radiolucent zone of the patella following total knee arthroplasty without patellar resurfacing

Comment on Matsumura et al.: changes in water content of intervertebral discs and paravertebral muscles before and after bed rest

New classification system for ossification of the posterior longitudinal ligament using CT images

Erratum to: Female recreational athletes demonstrate different knee biomechanics from male counterparts during jumping rope and turning activities