Development of comprehensive program for prevention of locomotive syndrome

• Project/Area Number: 15K01710
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Applied health science
• Research Institution: Kyoto University
• Principal Investigator: Ikezoe Tome 京都大学, 医学研究科, 准教授 (10263146)
• Co-Investigator(Kenkyū-buntansha): 市橋 則明 京都大学, 医学研究科, 教授 (50203104)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000); Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000); Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
• Keywords: ロコモティブシンドローム / 高齢者 / 運動機能 / 地域在住高齢者 / 構造方程式モデリング / 姿勢アライメント / 動作能力

Outline of Final Research Achievements

Study I: The aim of this study was to investigate the risk factors for locomotive syndrome in community-dwelling older adults using a structural equation modeling. This study revealed that muscle strength, mobility and depression influence the locomotive syndrome.
Study II: The purpose of this study was to examine the relationship between the locomotive syndrome and multidimensional factors involved in physical function among community-dwelling older adults in a longitudinal study. Our findings suggest that among physical functions, hip flexor strength influences the decline in mobility resulting from a disorder of the locomotive system in older adults.

Academic Significance and Societal Importance of the Research Achievements

ロコモティブシンドローム（ロコモ）を予防するためには早期からの予防対策が重要である。本研究の結果、ロコモ予防のためには特に股関節屈曲筋力トレーニングが重要であること、また、身体機能面だけでなく、抑うつという心理的な因子に対するアプローチも重要であることが確認された。本研究の成果はロコモ予防という未病状態からの早期予防を目指した包括的介入プログラムの具体的な指針となると考える。

Research Products

• [Presentation] 地域在住中高齢者におけるロコモ度テストに影響を及ぼす因子に関する大規模研究 (2018)
  • Author(s): 加藤丈博，池添冬芽，田原康玄，松田文彦，坪山直生，市橋則明
  • Organizer: 第23回日本基礎理学療法学会
• [Presentation] Association between the locomotive syndrome and physical function in community-dwelling older adults: A longitudinal study. (2017)
  • Author(s): Ikezoe T, Isono R, Ichihashi N, Tabara Y, Nakayama T, Matsuda F, Tsuboyama T．
  • Organizer: The 22nd Annual Congress of the European College of Sport Science.
  • Int'l Joint Research
• [Presentation] Relationship between one-leg standing ability and rate of force development in community-dwelling elderly people. (2016)
  • Author(s): Kato T, Ikezoe T, Fukumoto Y, Taniguchi M, Minami S, Asai T, Watanabe Y, Kimura M, Ichihashi N
  • Organizer: The 21st Annual Congress of the European College of Sport Science
  • Place of Presentation: Vienna,Austria
  • Year and Date: 2016-07-06
  • Int'l Joint Research
• [Presentation] Correlation between movement variability during static standing and one-legged standing ability in frail older adults． (2016)
  • Author(s): Yamagata M, Ikezoe T, Kamiya M, Masaki M, Ichihashi N
  • Organizer: The 21st Annual Congress of the European College of Sport Science
  • Place of Presentation: Vienna,Austria
  • Year and Date: 2016-07-06
  • Int'l Joint Research
• [Presentation] Relationship of lower-limb muscle strength and standing ability to walking speed and gait cycle variability in community-dwelling older people. (2015)
  • Author(s): Inoue W, Ikezoe T, Sato I, Mlinowska KB，Kawaguchi T，Tabara Y，Nakayama T，Matsuda F，Tsuboyama T，Ichihashi N
  • Organizer: The XXV congress of the international society of biomechanics
  • Place of Presentation: Glasgow, UK
  • Year and Date: 2015-07-12
  • Int'l Joint Research
• [Presentation] 高齢女性における立位脊柱アライメントと動作能力の関連 (2015)
  • Author(s): 佐藤 郁弥, 池添 冬芽, 正木 光裕, 田中 真砂世, 井上 和郁子, Katarzyna Malinowska, 川口 喬久, 田原 康玄, 中山 健夫, 松田 文彦, 坪山 直生, 市橋 則明
  • Organizer: 第50回日本理学療法学術大会
  • Place of Presentation: 東京
  • Year and Date: 2015-06-05
• [Presentation] 中高齢女性における歩行速度と立位姿勢アライメント, 背部筋の筋量および筋内非収縮組織との関連 (2015)
  • Author(s): 正木 光裕, 池添 冬芽, 福元 喜啓, 南 征吾, 青山 惇一, 木村 みさか, 市橋 則明
  • Organizer: 第50回日本理学療法学術大会
  • Place of Presentation: 東京
  • Year and Date: 2015-06-05