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Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women

Received: 17 May 2023    Accepted: 8 June 2023    Published: 21 June 2023
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Abstract

Background: Too few studies on the risk of locomotive syndrome in young women have been performed. Aim: To evaluate the relationship between the physique of healthy young Japanese women and their risk of developing locomotive syndrome in the future. Subjects and Methods: Young Japanese women (n=215, mean 19.0 ± standard deviation 0.6 y) were enrolled in the study. Anthropometric measurements were obtained. The participants performed a stand-up test and a two-step test for the assessment of the risk of locomotive syndrome as proposed by the Japanese Orthopaedic Association. Results: In the stand-up test, most participants (61.4%) could stand up from a seated position on one leg from a 30 cm or 40 cm stool. The median (Q1, Q3) of the two-step test was 1.51 (1.41, 1.59). These results were lower than the reference values for people in their 20s reported in the literature [J Orthop Sci 2020; 25: 1084]. In the stand-up test, as compared to the poor performers (stand on both legs from a 10 cm or 20 cm stool), better performers (stand on one leg from a 10 cm stool) had lower body height, weight, waist and hip circumferences, waist/hip ratio, %fat mass, visceral fat area, and lower-leg length and had higher %skeletal muscle and %limb muscle mass. In the two-step test, better performers (1.56–1.93) had longer upper-leg length and higher back muscle strength as compared to poor performers (1.13–1.45). Conclusion: The values obtained in the stand-up test and two-step test for young Japanese women were lower than the reference values reported. Subjects with a smaller physique had an advantage in the stand-up test, and in the two-step test, those with longer upper legs had an advantage. Precision will be necessary in these tests to compensate for stature, particularly higher/lower leg length. The results also indicate that back muscle strength may be an important factor for the two-step test performance.

Published in World Journal of Public Health (Volume 8, Issue 2)
DOI 10.11648/j.wjph.20230802.30
Page(s) 175-179
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Locomotive Syndrome, Young Japanese Women, Stand-Up Test, Two-Step Test, Stature, Upper-Leg Length, Lower-Leg Length, Back Muscle Strength

References
[1] Yamada K, Ito Y, Akagi M, et al. (2020) Reference values for the locomotive syndrome risk test quantifying mobility of 8681 adults aged 20–89 years: A cross-sectional nationwide study in Japan. Journal of Orthopaedic Science, 25, 1084–1092.
[2] Ministry of Health, Labour and Welfare. (2011) The outline of the results of the National Livelihood Survey. https://www.mhlw.go.jp/english/database/db-oh/dl/full.pdf. (In Japanese)
[3] Chosa E. (2021) Locomotive organ disorder in children and prevention of locomotive syndrome. Japanese Journal of Rehabilitation Medicine, 58,925-932.
[4] Kidokoro T, Grant RT, Noi S, et al. (2022) Japanese physical fitness surveillance: a greater need for international publications that utilize the world’s best physical fitness database. Journal of Physical Fitness and Sports Medicine, 11, 161–167.
[5] Nakamura K, Ogata T. (2016) Locomotive syndrome: definition and management. Clinical Reviews in Bone and Mineral Metabolism, 14, 56–67.
[6] Japanese National Health and Nutrition Survey. (2019) https://www.mhlw.go.jp/content/10900000/000687163.pdf. (In Japanese)
[7] Janssen I, Heymsfield SB, Wang ZM, Ross R. (2000) Skeletal muscle mass and distribution in 468 men and women ages 18–88 yr. Journal of Applied Physiology, 89, 81–88.
[8] Ikezoe T. (2021) Age-related change in motor function. Physical Therapy Research, 48, 446–452. (In Japanese)
[9] Zaidi M, Lizneva D, Kim SM, et al. (2018) FSH, bone mass, body fat, and biological aging. Endocrinology, 159, 3503–3514.
[10] Akimoto H, Yoshioka T (2003) A study on bone mass and lifestyles in women’s college students. Journal of Aomori University Health Welfare, 5, 45–51. (In Japanese, abstract in English)
[11] Nishimura A, Ohtsuki M, Kato T, et al. (2020) Locomotive syndrome testing in young and middle adulthood. Modern Rheumatology, 30, 178–183.
[12] Uesugi Y, Naito Y. (2019) Actuality of young women’s locomotives syndrome – Relationship between the locomotive syndrome risk test, lifestyle of eating and physical activity–. Japanese Society of Health Promotion, 21, 179–185. (In Japanese, abstract in English)
[13] Zhang M, Schumann M, Huang T, et al. (2018) Normal weight obesity and physical fitness in Chinese university students: an overlooked association. BMC public Health, 18: 1334.
[14] Nakanishi Y, Sakurai S, Kawata Y, et al. (2020) Status of normal weight obesity among Japanese women under 40 years old. Juntendo Medical Journal, 66, 337–345.
[15] Takahashi R, Ishii M Fukuoka Y. (2002) A method for evaluating the masked obesity in young females. Journal of Physiological Anthropology, 7, 59–63. (In Japanese, abstract in English)
[16] Horiuchi Y, Horiuchi M (2022) Prevalence of masked obesity and nutrition and food intake status in female university students. Journal of the Faculty Human Science, 4, 33–40. (In Japanese, abstract in English).
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  • APA Style

    Maiko Kato, Kayo Ootani, Mieko Kagaya, Michitaka Naito. (2023). Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women. World Journal of Public Health, 8(2), 175-179. https://doi.org/10.11648/j.wjph.20230802.30

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    ACS Style

    Maiko Kato; Kayo Ootani; Mieko Kagaya; Michitaka Naito. Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women. World J. Public Health 2023, 8(2), 175-179. doi: 10.11648/j.wjph.20230802.30

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    AMA Style

    Maiko Kato, Kayo Ootani, Mieko Kagaya, Michitaka Naito. Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women. World J Public Health. 2023;8(2):175-179. doi: 10.11648/j.wjph.20230802.30

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  • @article{10.11648/j.wjph.20230802.30,
      author = {Maiko Kato and Kayo Ootani and Mieko Kagaya and Michitaka Naito},
      title = {Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {2},
      pages = {175-179},
      doi = {10.11648/j.wjph.20230802.30},
      url = {https://doi.org/10.11648/j.wjph.20230802.30},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230802.30},
      abstract = {Background: Too few studies on the risk of locomotive syndrome in young women have been performed. Aim: To evaluate the relationship between the physique of healthy young Japanese women and their risk of developing locomotive syndrome in the future. Subjects and Methods: Young Japanese women (n=215, mean 19.0 ± standard deviation 0.6 y) were enrolled in the study. Anthropometric measurements were obtained. The participants performed a stand-up test and a two-step test for the assessment of the risk of locomotive syndrome as proposed by the Japanese Orthopaedic Association. Results: In the stand-up test, most participants (61.4%) could stand up from a seated position on one leg from a 30 cm or 40 cm stool. The median (Q1, Q3) of the two-step test was 1.51 (1.41, 1.59). These results were lower than the reference values for people in their 20s reported in the literature [J Orthop Sci 2020; 25: 1084]. In the stand-up test, as compared to the poor performers (stand on both legs from a 10 cm or 20 cm stool), better performers (stand on one leg from a 10 cm stool) had lower body height, weight, waist and hip circumferences, waist/hip ratio, %fat mass, visceral fat area, and lower-leg length and had higher %skeletal muscle and %limb muscle mass. In the two-step test, better performers (1.56–1.93) had longer upper-leg length and higher back muscle strength as compared to poor performers (1.13–1.45). Conclusion: The values obtained in the stand-up test and two-step test for young Japanese women were lower than the reference values reported. Subjects with a smaller physique had an advantage in the stand-up test, and in the two-step test, those with longer upper legs had an advantage. Precision will be necessary in these tests to compensate for stature, particularly higher/lower leg length. The results also indicate that back muscle strength may be an important factor for the two-step test performance.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Usefulness of Assessment Tests for Locomotive Syndrome in Young Japanese Women
    AU  - Maiko Kato
    AU  - Kayo Ootani
    AU  - Mieko Kagaya
    AU  - Michitaka Naito
    Y1  - 2023/06/21
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230802.30
    DO  - 10.11648/j.wjph.20230802.30
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 175
    EP  - 179
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230802.30
    AB  - Background: Too few studies on the risk of locomotive syndrome in young women have been performed. Aim: To evaluate the relationship between the physique of healthy young Japanese women and their risk of developing locomotive syndrome in the future. Subjects and Methods: Young Japanese women (n=215, mean 19.0 ± standard deviation 0.6 y) were enrolled in the study. Anthropometric measurements were obtained. The participants performed a stand-up test and a two-step test for the assessment of the risk of locomotive syndrome as proposed by the Japanese Orthopaedic Association. Results: In the stand-up test, most participants (61.4%) could stand up from a seated position on one leg from a 30 cm or 40 cm stool. The median (Q1, Q3) of the two-step test was 1.51 (1.41, 1.59). These results were lower than the reference values for people in their 20s reported in the literature [J Orthop Sci 2020; 25: 1084]. In the stand-up test, as compared to the poor performers (stand on both legs from a 10 cm or 20 cm stool), better performers (stand on one leg from a 10 cm stool) had lower body height, weight, waist and hip circumferences, waist/hip ratio, %fat mass, visceral fat area, and lower-leg length and had higher %skeletal muscle and %limb muscle mass. In the two-step test, better performers (1.56–1.93) had longer upper-leg length and higher back muscle strength as compared to poor performers (1.13–1.45). Conclusion: The values obtained in the stand-up test and two-step test for young Japanese women were lower than the reference values reported. Subjects with a smaller physique had an advantage in the stand-up test, and in the two-step test, those with longer upper legs had an advantage. Precision will be necessary in these tests to compensate for stature, particularly higher/lower leg length. The results also indicate that back muscle strength may be an important factor for the two-step test performance.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Division of Nutrition and Health, School and Graduate School of Life Studies, Sugiyama Jogakuen University, Nagoya, Japan

  • Division of Nutrition and Health, School and Graduate School of Life Studies, Sugiyama Jogakuen University, Nagoya, Japan

  • Division of Nutrition and Health, School and Graduate School of Life Studies, Sugiyama Jogakuen University, Nagoya, Japan

  • Division of Nutrition and Health, School and Graduate School of Life Studies, Sugiyama Jogakuen University, Nagoya, Japan

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