Locomotive Syndrome and Related Factors in Older Adults: A Cross-Sectional Study From Türkiye

To determine the presence of locomotive syndrome (LS) in individuals aged 65 years and older in Türkiye and its relationship with sociodemographic characteristics, health-related factors, falls, and quality of life.

This cross-sectional study was conducted between October 2021 and January 2022 in a private hospital in Istanbul city with 125 individuals aged 65 years and older. Data were collected through a patient information form, the 25-question Geriatric Locomotive Function Scale (GLFS-25), the Falls Efficacy Scale International (FES-I), and the Healthy Days Core Module-4 (HRQOL-4). Nonparametric statistical analyses were applied.

There was a statistically significant positive relationship between GLFS-25, FES-I, and HRQOL-4 scores. A statistically significant and strong positive correlation was found between GLFS-25 and FES-I scores (r_s = 0.917, P < 0.01). GLFS-25 scores were also strongly correlated with the HRQOL-4 subdomains, including physically unhealthy days (PUD) (r_s = 0.880, P < 0.01), mentally unhealthy days (MUD) (r_s = 0.894, P < 0.01), and activity limitation days (ALD) (r_s = 0.838, P < 0.01). Higher GLFS-25 scores were significantly associated with older age, the presence of comorbidities, and a history of falls (P < 0.05).

The rate of locomotive syndrome was high in individuals aged 65 years and older. There was a relationship between the presence of locomotive syndrome, quality of life, and fall efficacy. Knowing the prevalence of locomotive syndrome and implementing preventive measures is crucial for supporting quality of life in older adults. Supporting independence and protecting quality of life are key responsibilities of nurses, who must understand these factors in older adults.