Association of Diet-Related Systemic Inflammation with Periodontitis and Tooth Loss: The Interaction Effect of Diabetes.
Association of Diet-Related Systemic Inflammation with Periodontitis and Tooth Loss: The Interaction Effect of Diabetes.
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DOI：
10.3390/nu14194118
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发表时间：
2022-10-03
期刊：
影响因子：
5.9
通讯作者：
Bai D
中科院分区：
文献类型：
--
作者：
Feng J;Jin K;Dong X;Qiu S;Han X;Yu Y;Bai D
饮食是影响炎症过程的一个重要因素。饮食相关的全身性炎症与牙周炎和牙齿脱落密切相关。然而，系统性条件在影响这种关联中的作用仍不清楚。采用2009 - 2014年国家健康与营养检查调查（NHANES）进行横断面分析。通过饮食炎症指数（DII）评估饮食相关的全身性炎症。采用多变量Cox回归模型研究DII与牙周结果（包括全牙周炎、牙齿脱落、严重牙齿脱落和牙齿脱落数量）之间的关系。检验DII与已建立协变量之间的相互作用效应。在10096名符合条件的参与者中，较高的DII评分与较高的促炎饮食潜力相对应，与牙周炎和牙齿脱落的风险增加有关。糖尿病与DII对全牙周炎有交互作用（p = 0.0136）。DII与其他已建立的协变量之间未发现显著的相互作用效应。食用抗炎饮食且没有糖尿病的参与者患牙周炎和牙齿脱落的风险最低。然而，在糖尿病的情况下，这种饮食的功效可能会被削弱甚至消除。控制口腔健康问题的饮食干预可能需要考虑到个人的代谢状况。
Diet is an important factor that can affect inflammatory processes. Diet-related systemic inflammation is closely linked to periodontitis and tooth loss. However, the role that systemic conditions play in influencing this association remains unclear. A cross-sectional analysis was conducted using the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2014. Diet-related systemic inflammation was assessed by the Dietary Inflammatory Index (DII). Multivariate Cox regression models were used to investigate the association between DII and periodontal results, including total periodontitis, tooth loss, severe tooth loss, and the number of teeth lost. The interaction effects between DII and established covariates were tested. Higher DII scores, corresponding to a higher pro-inflammatory potential of the diet, were associated with an increased risk of periodontitis and tooth loss among the 10,096 eligible participants. There was an interaction between diabetes and DII on total periodontitis (p = 0.0136). No significant interaction effect was detected between DII and other established covariates. Participants who consumed an anti-inflammatory diet, and did not have diabetes, experienced the lowest risks of periodontitis and tooth loss. However, in the context of diabetes, the efficacy of such a diet may be weakened or even eliminated. Dietary interventions to manage oral health problems may need to take the individual’s metabolic condition into account.
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影响因子：
4.2
作者：
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10.1016/j.jand.2017.09.030
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