Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA.
Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA.
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DOI：
10.1017/s0007114521000180
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发表时间：
2021-07-14
期刊：
影响因子：
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通讯作者：
Ramsay SE
中科院分区：
文献类型：
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作者：
Kotronia E;Brown H;Papacosta AO;Lennon LT;Weyant RJ;Whincup PH;Wannamethee SG;Ramsay SE
我们的目的是调查不良的口腔健康与老年人的饮食质量和摄入量的关系。我们还研究了饮食质量的变化是否与口腔健康问题有关。使用了来自英国区域心脏研究（BRHS）（包括71 - 92岁的英国男性）和健康、衰老和身体组成（HABC）研究（包括71 - 80岁的美国男性和女性）的数据。牙科数据包括牙齿脱落，牙周病，口干和自我评价的口腔健康。饮食数据包括饮食质量（基于老年人饮食指数（BRHS）和健康饮食评分（HABC研究））和几种营养素。在BRHS中，还评估了10年（1998 - 2000年至2010 - 2012年）饮食质量的变化。在BRHS中，牙齿脱落，自我评价的口腔健康状况一般/较差以及口腔健康问题的积累与调整后的不良饮食质量相关。据报道，加工肉类的高摄入量也存在类似的关联。口腔健康状况不佳与饱和脂肪中能量含量百分比的前四分位数相关（自评口腔健康，OR 1·34，95% CI 1·02，1·77）。在HABC研究中，没有观察到调整后饮食质量的显著相关性。牙周病与来自饱和脂肪的能量含量百分比的前四分位数相关（OR 1.48，95%CI 1.09，2.01）。在BRHS中，持续的低饮食质量与牙齿脱落和口腔健康问题积累的风险较高相关。有口腔健康问题的老年人饮食较差，摄入的营养丰富的食物较少。持续不良的饮食质量与以后生活中的口腔健康问题有关。
We aimed to investigate the associations of poor oral health cross-sectionally with diet quality and intake in older people. We also examined whether change in diet quality is associated with oral health problems. Data from the British Regional Heart Study (BRHS) comprising British males aged 71–92 years and the Health, Aging and Body Composition (HABC) Study comprising American males and females aged 71–80 years were used. Dental data included tooth loss, periodontal disease, dry mouth and self-rated oral health. Dietary data included diet quality (based on Elderly Dietary Index (BRHS) and Healthy Eating Score (HABC Study)) and several nutrients. In the BRHS, change in diet quality over 10 years (1998–2000 to 2010–2012) was also assessed. In the BRHS, tooth loss, fair/poor self-rated oral health and accumulation of oral health problems were associated with poor diet quality, after adjustment. Similar associations were reported for high intake of processed meat. Poor oral health was associated with the top quartile of percentage of energy content from saturated fat (self-rated oral health, OR 1·34, 95 % CI 1·02, 1·77). In the HABC Study, no significant associations were observed for diet quality after adjustment. Periodontal disease was associated with the top quartile of percentage of energy content from saturated fat (OR 1·48, 95 % CI 1·09, 2·01). In the BRHS, persistent low diet quality was associated with higher risk of tooth loss and accumulation of oral health problems. Older individuals with oral health problems had poorer diets and consumed fewer nutrient-rich foods. Persistent poor diet quality was associated with oral health problems later in life.