Screening program including the Loco-check and fracture risk assessment tool (FRAX® ) questionnaires for assessing locomotive syndrome in a municipality in Japan: A pilot study

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Shinichi Nakatoh

Abstract

Although the concept of locomotive syndrome and its relevant test methods have been established, approaches for incorporating them into regular health checkups have not been established. We aimed to assess the utility and problems of including Loco-check and the fracture risk assessment tool (FRAX®) as primary screening for locomotive syndrome during health checkups under the Act on Assurance of Medical Care for Elderly People (specified health checkup) in the municipality. Loco-check and FRAX® questionnaires were mailed to subjects eligible for the 2015 specified health checkup in Asahi-machi, Japan. Subjects with more than one affirmative response in the Loco-check questionnaire (Loco-check positive) or whose FRAX® major osteoporotic fracture risk was ≥10% (FRAX® positive) were identified as high risk and were evaluated in secondary checkups that included an locomotive syndrome risk test and sarcopenia and bone mineral density screenings. The degree of locomotive syndrome was assessed according to clinical diagnostic criteria of the Japanese Orthopaedic Association. Questionnaires were collected from 2209 subjects and included 1193 Loco-check-positive and 1108 FRAX®-positive subjects. There were 367 FRAX®-positive subjects wh...Continue Reading

Citations

Feb 5, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yuhei NakayamaMasaaki Mawatari
Jun 15, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takaaki OhmoriHiroyuki Tsuchiya
May 13, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takaomi KobayashiMasaaki Mawatari

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