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Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand

Niruwan Turnbull Orcid Logo, Pichayasuda Cherdsakul, Sutin Chanaboon, David Hughes, Kukiat Tudpor Orcid Logo

International Journal of Environmental Research and Public Health, Volume: 19, Issue: 23, Start page: 16015

Swansea University Author: David Hughes

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DOI (Published version): 10.3390/ijerph192316015

Abstract

Tooth loss is associated with both cognitive impairment and fall risk. However, the relation-ships between these variables are complex and bidirectional. Observed associations have been reported in separate studies but data on rural-dwelling older adults remain sparse. This cross-sectional study inv...

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Published in: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Published: MDPI AG 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62068
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spelling 2022-12-09T10:16:57.9505225 v2 62068 2022-11-28 Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand f1fbd458e3c75d8b597c0ac8036f2b88 David Hughes David Hughes true false 2022-11-28 FGMHL Tooth loss is associated with both cognitive impairment and fall risk. However, the relation-ships between these variables are complex and bidirectional. Observed associations have been reported in separate studies but data on rural-dwelling older adults remain sparse. This cross-sectional study investigated socioeconomic and dental factors affecting cognitive functions, and the association between tooth loss, cognitive functioning, and fall risk. Two hundred and thirty-one rural-dwelling older adults (60-74 years old) were recruited from a single Dental Service Unit. Cognitive function and fall risk were assessed with the Mini-Mental State Examination and the Morse Fall Scale, respectively. Oral examinations were performed by a dentist using the Community Periodontal Index of Treatment Needs form. 38.1%, had > 16 tooth loss. Socioeconomic data and health status were obtained from a questionnaire and interviews. Age, Activities of Daily Living (ADL) score, and the number of teeth lost was significantly asso-ciated with impaired cognitive function. Chi-square analysis showed that cognitive function was also associated with fall risk. Past research suggests that much cognitive impairment and fall risk is induced by tooth loss. Service planners need to be aware of the complex bidirectional re-lationships between these variables and give higher priority to dental services that can improve the general health status and social functioning of older rural adults. Journal Article International Journal of Environmental Research and Public Health 19 23 16015 MDPI AG 1660-4601 tooth loss; older persons; cognitive impairment; fall risk; rural area 30 11 2022 2022-11-30 10.3390/ijerph192316015 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University Another institution paid the OA fee Mahasarakham University Thailand 2022-12-09T10:16:57.9505225 2022-11-28T12:31:19.3760967 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Niruwan Turnbull 0000-0002-7698-3352 1 Pichayasuda Cherdsakul 2 Sutin Chanaboon 3 David Hughes 4 Kukiat Tudpor 0000-0002-8533-5891 5 62068__26049__10d5227355374f719bb355c35079d2dd.pdf 62068.pdf 2022-12-09T10:15:11.5430530 Output 632746 application/pdf Version of Record true © 2022 by the authors. This is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license true eng https://creativecommons.org/licenses/by/4.0/
title Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
spellingShingle Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
David Hughes
title_short Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
title_full Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
title_fullStr Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
title_full_unstemmed Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
title_sort Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
author_id_str_mv f1fbd458e3c75d8b597c0ac8036f2b88
author_id_fullname_str_mv f1fbd458e3c75d8b597c0ac8036f2b88_***_David Hughes
author David Hughes
author2 Niruwan Turnbull
Pichayasuda Cherdsakul
Sutin Chanaboon
David Hughes
Kukiat Tudpor
format Journal article
container_title International Journal of Environmental Research and Public Health
container_volume 19
container_issue 23
container_start_page 16015
publishDate 2022
institution Swansea University
issn 1660-4601
doi_str_mv 10.3390/ijerph192316015
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description Tooth loss is associated with both cognitive impairment and fall risk. However, the relation-ships between these variables are complex and bidirectional. Observed associations have been reported in separate studies but data on rural-dwelling older adults remain sparse. This cross-sectional study investigated socioeconomic and dental factors affecting cognitive functions, and the association between tooth loss, cognitive functioning, and fall risk. Two hundred and thirty-one rural-dwelling older adults (60-74 years old) were recruited from a single Dental Service Unit. Cognitive function and fall risk were assessed with the Mini-Mental State Examination and the Morse Fall Scale, respectively. Oral examinations were performed by a dentist using the Community Periodontal Index of Treatment Needs form. 38.1%, had > 16 tooth loss. Socioeconomic data and health status were obtained from a questionnaire and interviews. Age, Activities of Daily Living (ADL) score, and the number of teeth lost was significantly asso-ciated with impaired cognitive function. Chi-square analysis showed that cognitive function was also associated with fall risk. Past research suggests that much cognitive impairment and fall risk is induced by tooth loss. Service planners need to be aware of the complex bidirectional re-lationships between these variables and give higher priority to dental services that can improve the general health status and social functioning of older rural adults.
published_date 2022-11-30T04:21:24Z
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score 11.03559

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