Information from the abstract
Background: Locomotive syndrome (LS) threatens mobility and functional independence among older adults with type 2 diabetes mellitus (T2DM). Evidence remains limited regarding multilevel factors associated with LS severity in community-based primary care settings. Objective: To examine social ecological model aligned factors associated with LS severity among community-dwelling older adults with T2DM. Methods: A cross-sectional analytical study was conducted in primary care units and community health centers in Suphan Buri province, Thailand. Multistage sampling recruited 253 adults aged 60 years or older with physician-diagnosed T2DM. LS severity was assessed using the 25-item Geriatric Locomotive Function Scale. Predictors included demographic and clinical characteristics, nutritional status, health literacy, family and social support, patient-provider communication (PPC), and access to healthcare services. Pearson correlation and hierarchical multiple linear regression were used. Results: Participants had a mean (SD) age of 68.5 (6.2) years, and 64.8% were female. Mean (SD) GLFS-25 score was 32.5 (14.8). In bivariate analyses, LS severity was positively correlated with neuropathy risk, age, and polypharmacy and negatively correlated with nutritional status, health literacy, access, PPC, and family and social support. The final hierarchical model was statistically significant (R = 0.568; R² = 0.323; adjusted R² = 0.300; F[8,244] = 14.55; P < .001). Greater LS severity was associated with neuropathy risk (B = 6.47; β = 0.22; P < .001), older age (B = 0.41; β = 0.17; P = .002), and polypharmacy (B = 0.66; β = 0.14; P = .010). Better nutritional status was associated with lower LS severity (B = -1.41; β = -0.20; P < .001). Conclusions: LS severity was associated mainly with clinical burden and nutritional status. Causal and temporal relationships cannot be inferred from these cross-sectional data.
Why this record is monitored
This record has an Impact Signal of 89/100 based on recency, source, collaboration, and bibliographic signals. It prioritizes monitoring and is not a judgment of research quality.
Related topics: Chronic Disease Management Strategies · Older Adults Driving Studies · Balance, Gait, and Falls Prevention
Thai researcher and institutional participation
Chakrit Sattayarom · Sineeporn Yuenyong · Aekkachai Fatai · Umakorn Jaiyungyuen · Supaporn Voraroon · Trakulwong Luecha · Phenrung Wandee · Boromarajonani College of Nursing · Chulabhorn Hospital · Burapha University
Data limitations
This page is a bibliographic record based on abstract-level information, not a full analysis or quality assessment. Verify the DOI and original article before citation.