{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T19:19:11Z","timestamp":1783624751698,"version":"3.55.0"},"reference-count":39,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T00:00:00Z","timestamp":1634256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K02191"],"award-info":[{"award-number":["20K02191"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Teikyo University Research","award":["18111"],"award-info":[{"award-number":["18111"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>While locomotive organ impairment among older people is attracting worldwide attention, this issue has not yet been widely investigated in Thailand. This study aimed to measure locomotive organ impairment prevalence and identify the determinants of locomotive function decline among middle-aged and older people in Nan Province, Thailand. This cross-sectional study included anthropometric measurements, a two-step test to investigate locomotive function, and a structured questionnaire to obtain socio-demographic and related information. Logistic regression analysis and multiple regression analysis were used to identify the determinants of locomotive organ impairment. The study participants were aged 50\u201387 years old (n = 165), and 71.5% of them had begun experiencing declining locomotive function; &lt; 6 years of school education (adjusted odds ratio: 4.46), body mass index \u226525 kg\/m2 (AOR: 3.06), comorbidities (AOR: 2.55), and continuous walking for &lt;15 min (AOR: 2.51) were identified as factors associated with locomotive organ impairment. Moreover, age, knee pain, anxiety about falling in daily life, and difficulty with simple tasks were identified as factors significantly associated with exacerbated locomotive organ impairment (p &lt; 0.05). Appropriate interventions such as guidance or follow-up and recommendations for exercises are needed to prevent locomotive organ impairment and improve treatment.<\/jats:p>","DOI":"10.3390\/ijerph182010871","type":"journal-article","created":{"date-parts":[[2021,10,17]],"date-time":"2021-10-17T23:13:32Z","timestamp":1634512412000},"page":"10871","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of Locomotive Organ Impairment and Associated Factors among Middle-Aged and Older People in Nan Province, Thailand"],"prefix":"10.3390","volume":"18","author":[{"given":"Marie","family":"Niwayama","sequence":"first","affiliation":[{"name":"Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayako","family":"Sakisaka","sequence":"additional","affiliation":[{"name":"Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pongthep","family":"Wongwatcharapaiboon","sequence":"additional","affiliation":[{"name":"Nan Hospital, Nan City 55000, Nan Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valika","family":"Rattanachun","sequence":"additional","affiliation":[{"name":"Nan Hospital, Nan City 55000, Nan Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Miyata","sequence":"additional","affiliation":[{"name":"Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenzo","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Graduate School of Public Health, Teikyo University, Tokyo 173-8605, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,15]]},"reference":[{"key":"ref_1","unstructured":"United Nations (2019, December 23). 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