{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T07:42:17Z","timestamp":1786174937939,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n \n To improve and simplify the predictive ability of the 25\u2010question Geriatric Locomotive Function Scale (\n GLFS<\/jats:styled-content>\n \u201025) for nursing\u2010care need, using nursing\u2010care certification status over a 4\u2010year period as an indicator.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This study included 320 individuals aged \u2265\u200965\u2009years (mean age 76.3\u2009\u00b1\u20096.6\u2009years, 62.8% male) who had undergone health checkups in 2018 and had never been certified for nursing\u2010care need. The\n GLFS<\/jats:styled-content>\n \u201025,\n GLFS<\/jats:styled-content>\n \u20105, and Kihon checklists were examined in 2018. Participants were followed up for 4\u2009years to assess nursing\u2010care certification status. Each\n GLFS<\/jats:styled-content>\n \u201025 item was statistically selected using the Cox proportional hazards model. The akaike information criterion (\n AIC<\/jats:styled-content>\n ) was used to compare the goodness of fit of the selected items to that of other screening tools.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Using the\n GLFS<\/jats:styled-content>\n \u201025 items as explanatory variables, which showed significant differences after adjustment for age and sex, analysis was conducted using stepwise and forced\u2010entry methods, showing that questions #15 (How far can you walk without resting?) and #21 (Difficulty performing sports activities) were significant predictors of nursing\u2010care need across methods. Therefore, the total score (#15\u2009+\u2009#21) was selected as the screening tool. In the age\u2010 and sex\u2010adjusted model, the selected screening tool was a significant risk factor, with an\n AIC<\/jats:styled-content>\n of 514, lower than that of the other screening tools.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The total score of questions #15 and #21 was suitable for nursing\u2010care risk assessment within 4\u2009years. This is also recommended for use in subanalysis of locomotive syndrome screening.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ggi.70259","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T23:33:59Z","timestamp":1764027239000},"page":"1853-1860","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Potential of the 25\u2010Question Geriatric Locomotive Functional Scale to Improve Prediction of Nursing\u2010Care Requirement: A 4\u2010Year Cohort Study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4253-568X","authenticated-orcid":false,"given":"Koichiro","family":"Ide","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hamamatsu University School of Medicine Hamamatsu Shizuoka 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of Medicine Hamamatsu Shizuoka Japan"},{"name":"Department of Orthopaedic Surgery Ehime University Graduate School of Medicine Toon Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hamamatsu University School of Medicine Hamamatsu Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Japanese Medical Science Federation \u201cThe Locomotive Syndrome and Frailty Declaration [Internet] \u201d(2025) Tokyo: JMSF 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