Relevance between Geriatric Oral health Assessment (GOHAI) and Falls : Using KLoSA 2018 7th Data

노인구강건강평가지수(GOHAI)와 낙상 경험의 관련성: 고령화연구패널조사(KLoSA) 2018년도 제7차 자료를 이용하여

  • 김세연 (단국대학교 일반대학원 보건학과) ;
  • 김재현 (단국대학교 보건행정학과)
  • Received : 2021.07.20
  • Accepted : 2021.12.21
  • Published : 2021.12.30

Abstract

Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.

Keywords

References

  1. KOSIS. Future population projection [Internet]. Daejeon(KOR) : Statistics Korea; 2019 [cited 2019 Mar 28]. Available from https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&vw_cd=MT_ZTITLE&list_id=A41_10&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
  2. Lockhart T. (2007). Fall Accidents among the Elderly. In: Karwowski W, editor. International encyclopedia of ergonomics and human factors (2nd ed). USA: CRC Press; 2007. p.2626-2630.
  3. Ryeom TH, Kim SY, So YK, Park SY, Lee JH, Cho HS, et al. The risk factors of falls in the elderly. Journal of the Korean Academy of Family Medicine 2001;22(2):pp.221-229.
  4. Kim M. Factors Associated with Falls in the Elderly : Based on 2014 the Korean Elderly Survey. The Journal of the Korea Contents Association 2017;17(6):479-489. https://doi.org/10.5392/JKCA.2017.17.06.479
  5. No EM, Park YH. Subjective oral health status of the elderly Effects of interpersonal relations. Journal of the Korean Academy of Health and Welfare for Elderly 2011;3(1):53-63.
  6. Kim SK, Kim JI. Activities of Daily Living, Health Related Quality of Life According to the Experience of Falls among the Aged in Community. Journal of muscle and joint health 2011;18(2):227-237. https://doi.org/10.5953/JMJH.2011.18.2.227
  7. Legters K. Fear of Falling. Physical Therapy 2002;82(3):264-272. https://doi.org/10.1093/ptj/82.3.264
  8. Torres LHN, Tellez M, Hilgert JB, Hugo FN, Sousa MLR, Ismail AI. Frailty, Frailty Components, and Oral Health: A Systematic Review. Journal American Geriatrics Society 2015;63(12):2555-2652. https://doi.org/10.1111/jgs.13826
  9. Kim CS, Bae SM, Shin BM. Nutritional status of Korean elderly by oral health level - based on 2009 national health and nutrition survey data. Journal of Korean Society of Dental Hygiene 2011;11(6):833-841.
  10. Fonad E, Wahlin TR, Hedman AR. Associations between falls and general health, nutrition, dental health and medication use in Swedish home-dwelling people aged 75 years and over, Health and Social Care in the Community 2015;23(6):594-604. https://doi.org/10.1111/hsc.12182
  11. Shin SJ, Jung SH. A Korean version of the Geriatric Oral Health Assessment Index (GOHAI) in elderly populations: validity and reliability. Journal of Korean Academy of Oral Health 2011;35(2):187-195.
  12. Rubenstein, L. Z., & Josephson, K. R. Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America 2006;90:807-824. https://doi.org/10.1016/j.mcna.2006.05.013
  13. Shwe PS, Ward SA, Thein PM, Junckerstorff R. Frailty, oral health and nutrition in geriatrics inpatients : A cross-sectional study. Gerodontology 2019;36(3):223-228. https://doi.org/10.1111/ger.12397
  14. Hong S, Cho E, Choi M. Risk Factors for Falls among Community-dwelling Older Adults-Using KLoSA Data. J Korean Gerontol Nurs 2010;12(3):211-224.
  15. Kim S, So WY. Factors Associated with Falling in Older, Community-dwelling Adults in Korea. J Korean Gerontol Nurs 2011;13(2):91-100.
  16. Mochida Y, Yamamoto T, Fuchida S, Aida J, Kondo K. Does poor oral health status increase the risk of falls? : The JAGES Project Longitudinal Study. PLos ONE 2018;13(2):1-12.
  17. Semba RD, Blaum CS, Bartali B, Xue QL, Ricks MO, Guralnik JM, et al. Denture Use, Malnutrition, Frailty, and Mortality among Older Women Living in the Community. The Journal of Nutrition, Health & Aging 2006;10(2):161-167.