The association between tooth loss and the self-reported intake of selected CVD-related nutrients and foods among US women
The association between tooth loss and the self-reported intake of selected CVD-related nutrients and foods among US women
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DOI：
10.1111/j.1600-0528.2005.00200.x
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发表时间：
2005-06-01
影响因子：
2.3
通讯作者：
Joshipura, KJ
中科院分区：
文献类型：
--
作者：
Hung, HC;Colditz, G;Joshipura, KJ
目的：许多研究报告了口腔健康与心血管疾病之间的关联；由于牙列状态受损导致的营养不良被认为是一个中介。我们的目的是评估牙齿脱落与自我报告的水果和蔬菜消费之间的关系，并选择与心血管疾病相关的营养素。方法：共有83,104名美国妇女于1990年和1994年完成了食物频率问卷（FFQ），并于1992年报告了天然牙的数量，并将其纳入饮食摄入量与天然牙数量之间的横断面分析。还进行了一项纵向分析，以评估1990-1992年期间牙齿脱落是否与1990- 1994年期间饮食变化有关。结果：在调整了年龄、总热量摄入、吸烟和身体活动等因素后，与有25-32颗牙齿的女性相比，无牙女性的饮食摄入似乎与心血管疾病风险增加有关，包括饱和脂肪、反式脂肪、胆固醇和维生素B-12的摄入量显著增加，多不饱和脂肪、纤维、胡萝卜素、维生素C、维生素E、维生素B-6、叶酸、钾、蔬菜、水果和水果（不含果汁）的摄入量明显减少。在纵向分析中，失去更多牙齿的女性更有可能改变饮食方式，这可能会增加患心血管疾病的风险。他们还倾向于避免吃硬的食物，比如生胡萝卜、新鲜苹果或梨。结论：牙齿较少的女性饮食不健康，如水果和蔬菜摄入量减少，这可能增加心血管疾病的风险。饮食可以部分解释口腔健康和心血管疾病之间的联系。
Objectives: Many studies have reported associations between oral health and cardiovascular diseases; poor nutritional status due to impaired dentition status has been suggested as a mediator. Our objective is to evaluate the associations between tooth loss and the self-reported consumption of fruits and vegetables and selected CVD-related nutrients. Methods: A total of 83,104 US women who completed a food frequency questionnaire (FFQ) in 1990 and 1994 and reported number of natural teeth in 1992, were included in a cross-sectional analysis relating dietary intake to number of natural teeth. A longitudinal analysis was also conducted to evaluate whether tooth loss in 1990-1992 was associated with change in diet between 1990 and 1994. Results: After adjusting for age, total calorie intake, smoking and physical activity, edentulous women appeared to have dietary intake associated with increased risk for CVD, including significantly higher intake of saturated fat, trans fat, cholesterol and vitamin B-12, and lower intake of polyunsaturated fat, fiber, carotene, vitamin C, vitamin E, vitamin B-6, folate, potassium, vegetables, fruits, and fruits excluding juices compared with women with 25-32 teeth. In the longitudinal analyses, women who lost more teeth were more likely to change their diet in ways that would potentially increase risk for development of CVD. They also tended to avoid hard foods, such as raw carrot, fresh apple or pear. Conclusions: Women with fewer teeth have unhealthier diets such as decreased intake of fruits and vegetables, which could increase CVD risk. Diet may partially explain associations between oral health and cardiovascular disease.