Dietary Fiber Intake Is Inversely Associated with Periodontal Disease among US Adults
Dietary Fiber Intake Is Inversely Associated with Periodontal Disease among US Adults
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DOI：
10.3945/jn.116.237065
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发表时间：
2016-12-01
影响因子：
4.2
通讯作者：
Dye, Bruce A.
中科院分区：
文献类型：
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作者：
Nielsen, Samara Joy;Trak-Fellermeier, Maria Angelica;Dye, Bruce A.
背景：美国约47%的成年人患有牙周病。饮食指南推荐提供足够纤维的饮食。更健康的饮食习惯，特别是纤维摄入量的增加，可能有助于牙周病的预防。目的：我们的目标是评估美国成年人(30岁)膳食纤维摄入量及其来源与牙周病的关系。方法：使用参加2009-2012年NHANES的6052名成年人的数据。牙周病的定义(根据CDC/美国牙周病学学会)分为重度、中度、轻度和无。摄入量通过24小时饮食回忆进行评估。结果：在多因素Logistic模型中，膳食纤维摄入量最低的四分位数(OR：1.30；95%CI：1.00，1.69)与中重度牙周炎(轻度-无牙周炎)相关。在多变量多因素Logistic模型中，膳食纤维摄入量最低的四分位数与牙周炎的严重程度相关(OR：1.27；95%CI：1.00，1.62)。在调整后的Logistic模型中，全谷物摄入量与中重度牙周炎无关。然而，在调整后的多项Logistic模型中，食用全谷物最低四分之一的成年人比食用全谷物最高四分位数的成年人更有可能患上更严重的牙周病(OR：1.32；95%CI：1.08，1.62)。在完全调整的Logistic和多项Logistic模型中，水果和蔬菜的摄入量与牙周炎没有显著的相关性。结论：我们在30岁的美国成年人中发现膳食纤维摄入量与牙周病呈负相关。牙周病与全谷物摄入量低有关，但与水果和蔬菜摄入量低无关。
Background: Approximately 47% of adults in the United States have periodontal disease. Dietary guidelines recommend a diet providing adequate fiber. Healthier dietary habits, particularly an increased fiber intake, may contribute to periodontal disease prevention.Objective: Our objective was to evaluate the relation of dietary fiber intake and its sources with periodontal disease in the US adult population (>= 30 y of age).Methods: Data from 6052 adults participating in NHANES 2009-2012 were used. Periodontal disease was defined (according to the CDC/American Academy of Periodontology) as severe, moderate, mild, and none. Intake was assessed by 24-h dietary recalls. The relation between periodontal disease and dietary fiber, whole-grain, and fruit and vegetable intakes were evaluated by using multivariate models, adjusting for sociodemographic characteristics and dentition status.Results: In the multivariate logistic model, the lowest quartile of dietary fiber was associated with moderate-severe periodontitis (compared with mild-none) compared with the highest dietary fiber intake quartile (OR: 1.30; 95% CI: 1.00, 1.69). In the multivariate multinomial logistic model, intake in the lowest quartile of dietary fiber was associated with higher severity of periodontitis than dietary fiber intake in the highest quartile (OR: 1.27; 95% CI: 1.00, 1.62). In the adjusted logistic model, whole-grain intake was not associated with moderate-severe periodontitis. However, in the adjusted multinomial logistic model, adults consuming whole grains in the lowest quartile were more likely to have more severe periodontal disease than were adults consuming whole grains in the highest quartile (OR: 1.32; 95% CI: 1.08, 1.62). In fully adjusted logistic and multinomial logistic models, fruit and vegetable intake was not significantly associated with periodontitis.Conclusions: We found an inverse relation between dietary fiber intake and periodontal disease among US adults >= 30 y old. Periodontal disease was associated with low whole-grain intake but not with low fruit and vegetable intake.