Teeth and Covariates: Association with Risk of Falls

Purpose. Falls occur commonly in geriatric populations and undesirably influence their life, morbidity, and mortality. The aim of this study was to analyze the association between the number of teeth present among the elderly population and covariates in relation to the risk of falls. Materials and...

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Main Authors: Shivani Kohli, Aaron Lam Wui Vun, Christopher Daryl Philip, Cassamally Muhammad Aadil, Mahenthiran Ramalingam
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2018/7127209
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author Shivani Kohli
Aaron Lam Wui Vun
Christopher Daryl Philip
Cassamally Muhammad Aadil
Mahenthiran Ramalingam
author_facet Shivani Kohli
Aaron Lam Wui Vun
Christopher Daryl Philip
Cassamally Muhammad Aadil
Mahenthiran Ramalingam
author_sort Shivani Kohli
collection DOAJ
description Purpose. Falls occur commonly in geriatric populations and undesirably influence their life, morbidity, and mortality. The aim of this study was to analyze the association between the number of teeth present among the elderly population and covariates in relation to the risk of falls. Materials and Methods. This study was conducted at various old age homes in the Klang Valley region of Malaysia involving the geriatric population aged 60 years and above. A detailed questionnaire consisting of sociodemographic data including sex, age, household income, and dental variables such as the number of teeth and chewing difficulty was obtained. The Tinetti test (TT) was used to evaluate the patients’ ability to walk, to maintain postural balance, and to determine their risk of falling. The short version of the Geriatric Depression Scale was used to assess depression among the participants, and the Barthel Scale was used to analyze the subject’s ability to perform the activities of daily living (ADL). Results. Statistically significant association was observed in relation to the number of teeth present and risk of falls (p<0.05). Subjects who had 19 teeth or less in total had moderate to highest risk of falls (p=0.001) in comparison with subjects who had 20 teeth or more. Those aged 70 years and above showed the highest risk of falls (p=0.001) in comparison with the subjects aged between 60 and 69 years. Subjects with depression (p=0.03) and presence of illness related to fall showed statistically significant difference (p=0.001) in comparison with those who did not suffer from the same. Compromised ADL (p=0.001) (which included ability to perform several tasks like indoor mobility, climbing stairs, toilet use, and feeding) and low monthly income (p=0.03) was also observed among subjects who had higher risk of falls. Conclusion. According to the results achieved, there was a high statistically significant association observed between the number of teeth present, age, depression, ADL, and presence of illness in relation to the risk of falling among the geriatric population. Henceforth, oral rehabilitation of elderly patients with less number of teeth may reduce their risk of falls.
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spelling doaj-art-0dcd15f8a4ed45e7989f7fc1c8bfd7fa2025-02-03T06:06:25ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/71272097127209Teeth and Covariates: Association with Risk of FallsShivani Kohli0Aaron Lam Wui Vun1Christopher Daryl Philip2Cassamally Muhammad Aadil3Mahenthiran Ramalingam4Department of Prosthodontics, Faculty of Dentistry, MAHSA University, Selangor, MalaysiaFaculty of Dentistry, MAHSA University, Selangor, MalaysiaFaculty of Dentistry, MAHSA University, Selangor, MalaysiaFaculty of Dentistry, MAHSA University, Selangor, MalaysiaFaculty of Dentistry, MAHSA University, Selangor, MalaysiaPurpose. Falls occur commonly in geriatric populations and undesirably influence their life, morbidity, and mortality. The aim of this study was to analyze the association between the number of teeth present among the elderly population and covariates in relation to the risk of falls. Materials and Methods. This study was conducted at various old age homes in the Klang Valley region of Malaysia involving the geriatric population aged 60 years and above. A detailed questionnaire consisting of sociodemographic data including sex, age, household income, and dental variables such as the number of teeth and chewing difficulty was obtained. The Tinetti test (TT) was used to evaluate the patients’ ability to walk, to maintain postural balance, and to determine their risk of falling. The short version of the Geriatric Depression Scale was used to assess depression among the participants, and the Barthel Scale was used to analyze the subject’s ability to perform the activities of daily living (ADL). Results. Statistically significant association was observed in relation to the number of teeth present and risk of falls (p<0.05). Subjects who had 19 teeth or less in total had moderate to highest risk of falls (p=0.001) in comparison with subjects who had 20 teeth or more. Those aged 70 years and above showed the highest risk of falls (p=0.001) in comparison with the subjects aged between 60 and 69 years. Subjects with depression (p=0.03) and presence of illness related to fall showed statistically significant difference (p=0.001) in comparison with those who did not suffer from the same. Compromised ADL (p=0.001) (which included ability to perform several tasks like indoor mobility, climbing stairs, toilet use, and feeding) and low monthly income (p=0.03) was also observed among subjects who had higher risk of falls. Conclusion. According to the results achieved, there was a high statistically significant association observed between the number of teeth present, age, depression, ADL, and presence of illness in relation to the risk of falling among the geriatric population. Henceforth, oral rehabilitation of elderly patients with less number of teeth may reduce their risk of falls.http://dx.doi.org/10.1155/2018/7127209
spellingShingle Shivani Kohli
Aaron Lam Wui Vun
Christopher Daryl Philip
Cassamally Muhammad Aadil
Mahenthiran Ramalingam
Teeth and Covariates: Association with Risk of Falls
International Journal of Dentistry
title Teeth and Covariates: Association with Risk of Falls
title_full Teeth and Covariates: Association with Risk of Falls
title_fullStr Teeth and Covariates: Association with Risk of Falls
title_full_unstemmed Teeth and Covariates: Association with Risk of Falls
title_short Teeth and Covariates: Association with Risk of Falls
title_sort teeth and covariates association with risk of falls
url http://dx.doi.org/10.1155/2018/7127209
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AT cassamallymuhammadaadil teethandcovariatesassociationwithriskoffalls
AT mahenthiranramalingam teethandcovariatesassociationwithriskoffalls