饮食质量如何影响牙周病风险
  • 纳入923名健康年轻成年人,通过问卷评估饮食质量,并进行全口腔检查;
  • 调整混杂因素后,替代健康饮食指数(AHEI)及先验饮食质量评分(APDQS)与平均牙周探诊深度(MPD)、平均临床附着丧失(MAL)及牙周炎均无显著关联;
  • AHEI与探诊时出血百分比(%BOP)无显著关联,而APDQS与%BOP相关;
  • 高坚果摄入与较低的MPD及牙周炎风险相关,高红肉摄入与较高的MPD以及%BOP相关,高反式脂肪酸摄入与较高的%BOP相关。
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饮食模式和牙周病的关联的相关研究较少。近期发表于Journal of Clinical Periodontology的一项前瞻性队列研究发现,总体饮食质量评分与牙周病风险无显著关联,但摄入较多的坚果与牙周炎发病率较低有关,而摄入较多的红肉与较高的平均牙周探诊深度及探诊时出血百分比相关,摄入较多的反式脂肪酸与较高的探诊时出血百分比相关。
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Diet quality and periodontal disease: Results from the oral infections, glucose intolerance and insulin resistance study (ORIGINS)

饮食质量与牙周病:来自口腔感染、葡萄糖耐受不良和胰岛素抵抗研究(ORIGINS)的结果

10.1111/jcpe.13450

2021-03-12, Article

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Aims: This study examined the cross‐sectional association between diet quality and periodontal disease.
Materials and methods: In the Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS), 923 individuals completed the National Cancer Institute's validated Diet History Questionnaire 1, from which the Alternative Healthy Eating Index (AHEI) scores and A Priori Diet Quality Scores (APDQS) were calculated. Mean probing depth (MPD), mean clinical attachment loss (MAL) and % of sites bleeding on probing (%BOP) were derived from full‐mouth periodontal exams. Multivariable adjusted linear and logistic regression models assessed the associations between diet quality and MPD, MAL, %BOP, and the odds of periodontitis (defined via the CDC/AAP classification).
Results: Alternative Healthy Eating Index and APDQS were not associated with MPD, MAL, or periodontitis. While AHEI was also not associated with %BOP, the APDQS was associated with %BOP (p = .03). Higher nut consumption was related to lower MPD (p = .03) and periodontitis odds (p = .03). Higher red meat consumption was associated with higher MPD (p = .01) and %BOP (p = .05). Higher trans‐fatty acid consumption was also associated with increased %BOP (p = .05).
Conclusion: Overall diet quality scores were not associated with periodontal status. Future studies are necessary to replicate the associations observed in this study to minimize the risk of false discovery.

First Authors:
Francesco DeMayo

Correspondence Authors:
Ryan T Demmer

All Authors:
Francesco DeMayo,Rebecca Molinsky,Muna J Tahir,Sumith Roy,Jeanine M Genkinger,Panos N Papapanou,David R Jacobs Jr,Ryan T Demmer

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