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ハマノ ツヨシ
HAMANO TSUYOSHI
濱野 強 所属 京都産業大学 現代社会学部 健康スポーツ社会学科 職種 教授 |
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| 言語種別 | 英語 |
| 発行・発表の年月 | 2016/01 |
| 形態種別 | その他 |
| 査読 | 査読あり |
| 標題 | Association between knee pain and gait speed decline in rural Japanese community-dwelling older adults: 1-year prospective cohort study. |
| 執筆形態 | その他 |
| 掲載誌名 | Geriatrics & gerontology international |
| 掲載区分 | 国内 |
| 巻・号・頁 | 16(1),pp.55-64 |
| 著者・共著者 | Jun Kitayuguchi,Masamitsu Kamada,Tsuyoshi Hamano,Toru Nabika,Kuninori Shiwaku,Hiroharu Kamioka,Shimpei Okada,Yoshiteru Mutoh |
| 概要 | AIM: The present study examined whether knee pain was associated with decline in maximum gait speed (MGS) in a rural mountainous region. METHODS: This was a population-based 1-year prospective cohort study. A total of 658 men and women aged 60 years and older participated in the baseline survey in 2006, and 400 individuals participated in the follow-up survey in 2007. We compared the incidence of meaningful decline in gait speed (≥0.1 m/s) in older adults with different knee pain levels (none, mild, severe), estimating incidence rate ratio (IRR) by multivariable-adjusted Poisson regression model. RESULTS: Meaningful decline in MGS presented in 24.3% of participants, especially in men (30.3%). Baseline knee pain level was significantly related to meaningful decline in MGS after adjustment of potential confounders (IRR 1.79 for mild pain, 1.84 for severe pain; P for trend <0.01). In sensitivity analyses with change in MGS as the continuous variable, the association was not significant, but a similar negative association with knee pain was confirmed (mild pain β = -0.040, severe pain β = -0.088; P for trend = 0.104). In addition, older adults with knee pain at both baseline and follow up had a higher risk of meaningful decline in MGS (IRR 2.33, 95% CI 1.59-3.40) compared with those who had no pain at baseline or follow up. CONCLUSIONS: Knee pain was associated with a decline in gait speed at 1-year follow up. Prevention and treatment of knee pain might be important for suppression of decline in physical function in older adults. |
| DOI | 10.1111/ggi.12432 |
| PMID | 25611950 |