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        <identifier>oai:mie-u.repo.nii.ac.jp:02000039</identifier>
        <datestamp>2023-10-17T01:55:20Z</datestamp>
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        <jpcoar:jpcoar xmlns:datacite="https://schema.datacite.org/meta/kernel-4/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcndl="http://ndl.go.jp/dcndl/terms/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:jpcoar="https://github.com/JPCOAR/schema/blob/master/2.0/" xmlns:oaire="http://namespace.openaire.eu/schema/oaire/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:rioxxterms="http://www.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="https://github.com/JPCOAR/schema/blob/master/2.0/" xsi:schemaLocation="https://github.com/JPCOAR/schema/blob/master/2.0/jpcoar_scm.xsd">
          <dc:title xml:lang="en">Locomotive syndrome affects the acquisition of longterm care insurance system certification</dc:title>
          <jpcoar:creator>
            <jpcoar:creatorName xml:lang="en">Kitaura, Yukie</jpcoar:creatorName>
            <jpcoar:creatorName xml:lang="ja-Kana">キタウラ, ユキエ</jpcoar:creatorName>
            <jpcoar:creatorName xml:lang="ja">北浦, 有紀絵</jpcoar:creatorName>
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          <jpcoar:subject xml:lang="en" subjectScheme="Other">Epidemiology</jpcoar:subject>
          <jpcoar:subject xml:lang="en" subjectScheme="Other">Locomotive syndrome</jpcoar:subject>
          <jpcoar:subject xml:lang="en" subjectScheme="Other">Long-term care insurance</jpcoar:subject>
          <jpcoar:subject xml:lang="en" subjectScheme="Other">Quality of life</jpcoar:subject>
          <datacite:description descriptionType="Other">application/pdf</datacite:description>
          <datacite:description xml:lang="en" descriptionType="Abstract">Background: Locomotive syndrome is closely related to the state of long-term care. This study aimed to longitudinally evaluate long-term care certification occurrence in locomotive syndrome using data from the Miyagawa study.Methods: The study included 470 individuals (168 males, 302 females; mean age, 70.7 years) with no long-term care certification at the time of participation in the study. Locomotive syndrome was classified into three stages (stages 1e3) according to the 25-question Geriatric Locomotive Function Scale. Analysis was performed with long-term care certification occurrence as the endpoint and locomotive syndrome stage as the explanatory variable.Results: The median observation period was 6.3 years, and long-term care certification occurred in 69 (34.2%) and 30 (11.2%) of the participants in the locomotive syndrome and no-locomotive syndrome groups, respectively. Independent risk factors of long-term care certification occurrence were locomotive syndrome stage-3 (hazard ratio: 2.27) in the total number of studies, and locomotive syndrome stages 2 (hazard ratio: 2.49) and 3 (hazard ratio: 2.79) in females. Locomotive syndrome stage-3 was an independent risk factor in long-term care certification occurrence due to musculoskeletal disorders (hazardratio: 3.89).Conclusions: The higher the locomotive syndrome stage, especially in females, the higher the risk of long-term care certification occurrence.</datacite:description>
          <datacite:description descriptionType="Other">本文/Department of Orthopaedic Surgery, Mie University Graduate School of Medicine Edobashi 2-174, Tsu-city, Mie, 514-8507, Japan</datacite:description>
          <datacite:description descriptionType="Other">6p</datacite:description>
          <dc:publisher>三重大学</dc:publisher>
          <datacite:date dateType="Issued">2023-03-24</datacite:date>
          <dc:language>eng</dc:language>
          <dc:type rdf:resource="http://purl.org/coar/resource_type/c_db06">doctoral thesis</dc:type>
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          <jpcoar:identifier identifierType="HDL">http://hdl.handle.net/10076/0002000039</jpcoar:identifier>
          <jpcoar:identifier identifierType="URI">https://mie-u.repo.nii.ac.jp/records/2000039</jpcoar:identifier>
          <jpcoar:relation>
            <jpcoar:relatedIdentifier identifierType="DOI">10.1016/j.jos.2022.11.021</jpcoar:relatedIdentifier>
          </jpcoar:relation>
          <dcndl:dissertationNumber>甲医学第2183号</dcndl:dissertationNumber>
          <dcndl:degreeName>博士(医学)</dcndl:degreeName>
          <dcndl:dateGranted>2023-03-24</dcndl:dateGranted>
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            <jpcoar:nameIdentifier nameIdentifierScheme="kakenhi">14101</jpcoar:nameIdentifier>
            <jpcoar:degreeGrantorName>三重大学</jpcoar:degreeGrantorName>
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            <jpcoar:URI label="2022DM0334" objectType="fulltext">https://mie-u.repo.nii.ac.jp/record/2000039/files/2022DM0334.pdf</jpcoar:URI>
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            <jpcoar:extent>342 KB</jpcoar:extent>
            <datacite:date dateType="Available">2023-09-06</datacite:date>
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