4. Assessment of mobility and related factors among older patients with osteoporosis
Main Article Content
Abstract
This cross-sectional study was conducted to assess mobility and related factors among older people with osteoporosis treated at the National Geriatric Hospital. Mobility was assessed using the Time Up and Go test (TUG test). The proportion of participants with mobility impairment was 22.0%. The mean time of the TUG test was 12.3 ± 3.9 (seconds). There were significant associations between impaired mobility and age ≥ 80 years old with OR=3.3, knee osteoarthritis with OR=3.5, and diabetes with OR=3.0. There were significant associations between impaired mobility and geriatric syndromes: frailty syndromes (OR=3.5), low levels of physical activity (OR=3.5), and high risk of falls (OR=3.0). In conclusion: one in five older osteoporosis patients has impaired mobility. Our results highlighted that advanced age, knee osteoarthritis, diabetes, and geriatric syndromes such as frailty, low physical activity level, and high risk of falls were significantly associated with mobility in older patients with osteoporosis.
Article Details
Keywords
Mobility, elderly, osteoporosis
References
2. Sözen T, Özışık L, Başaran NÇ. An overview and management of osteoporosis. Eur J Rheumatol. 2017; 4(1): 46-56. doi:10.5152/eurjrheum.2016.048.
3. Blain H, Masud T, Dargent-Molina P, et al. A Comprehensive Fracture Prevention Strategy in Older Adults: The European Union Geriatric Medicine Society (EUGMS) Statement. J Nutr Health Aging. 2016; 20(6): 647-652. doi:10.1007/s12603-016-0741-y.
4. Valentine RJ, Misic MM, Rosengren KS, Woods JA, Evans EM. Sex impacts the relation between body composition and physical function in older adults. Menopause. 2009; 16(3): 518-523. doi:10.1097/gme.0b013e31818c931f.
5. Kitamura K, Nakamura K, Kobayashi R, et al. Physical activity and 5-year changes in physical performance tests and bone mineral density in postmenopausal women: the Yokogoshi Study. Maturitas. 2011; 70(1): 80-84. doi:10.1016/j.maturitas.2011.06.014.
6. Ikegami S, Uchiyama S, Nakamura Y, et al. Factors that characterize bone health with aging in healthy postmenopausal women. J Bone Miner Metab. 2015; 33(4): 440-447. doi:10.1007/s00774-014-0608-4.
7. Papaioannou A, Kennedy CC, Ioannidis G, et al. The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporos Int. 2009; 20: 703–714. doi: 10.1007/s00198-008-0743-7.
8. Mousa SM, Rasheedy D, El-Sorady KE, Mortagy AK. Beyond mobility assessment: timed up and go test and its relationship to osteoporosis and fracture risk. J Clin Gerontol Geriatr. 2016; 7(2): 48–52.
9. Ha VT, Nguyen TN, Nguyen TX, et al. Prevalence and Factors Associated with Falls among Older Outpatients. Int J Environ Res Public Health. 2021; 18(8): 4041. Published 2021 Apr 12. doi:10.3390/ijerph18084041.
10. Sadeghi H, Ashraf A, Zeynali N, Ebrahimi B, A Jehu D. Balance and functional mobility predict low bone mineral density among postmenopausal women undergoing recent menopause with osteoporosis, osteopenia, and normal bone mineral density: A cross-sectional study. Geriatr Nurs. 2021; 42(1): 33-36. doi:10.1016/j.gerinurse.2020.10.020.
11. Mohammed R, Basha A.S.K, Jungade S. Influence of Age, Gender, and Body Mass Index on Balance and Mobility Performance in Indian Community-Dwelling Older People. Physical & Occupational Therapy In Geriatrics. 2021; 39(2). 144-156, DOI: 10.1080/02703181.2020.1818909.
12. Kraiwong R, Vongsirinavarat M, Hiengkaew V, von Heideken Wågert P. Effect of Sensory Impairment on Balance Performance and Lower Limb Muscle Strength in Older Adults With Type 2 Diabetes. Ann Rehabil Med. 2019; 43(4): 497-508. doi: 10.5535/arm.2019.43.4.497.
13. Jung HW, Kim S, Jang IY, Shin DW, Lee JE, Won CW. Screening Value of Timed Up and Go Test for Frailty and Low Physical Performance in Korean Older Population: The Korean Frailty and Aging Cohort Study (KFACS). Ann Geriatr Med Res. 2020; 24(4): 259-266. doi: 10.4235/agmr.20.0072.
14. Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada’s Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7:38. Published 2010 May 11. doi: 10.1186/1479-5868-7-38.