Effect of lifestyle on 6-year periodontitis incidence or progression and tooth loss in older adults
Effect of lifestyle on 6-year periodontitis incidence or progression and tooth loss in older adults
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DOI：
10.1111/jcpe.12920
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发表时间：
2018-08-01
影响因子：
6.7
通讯作者：
Miyazaki, Hideo
中科院分区：
文献类型：
--
作者：
Iwasaki, Masanori;Borgnakke, Wenche S.;Miyazaki, Hideo
AimTo评估联合健康的生活方式因素与牙周炎和牙齿脱落的发病率或进展在老年adults.Materials and MethodsThis 6年的研究包括374日本70岁的奥尔兹与7,157颗牙齿，从一个源符合基线人口554人的纵向关联。四种生活方式因素--吸烟、体力活动、相对体重和饮食质量被分为健康（1分）或不健康（0分）。将个人评分相加生成健康生活方式评分（0-4分）。多水平混合效应Logistic回归模型被应用于评估牙齿之间的具体关联的基线健康生活方式评分和牙周炎的发病率或进展（增加临床附着损失3 mm）和牙齿loss.ResultsAfter 6年，19.0%的牙齿表现出牙周炎的发病率或进展和8.2%丢失。与健康生活方式评分0-1相比（最不健康），最高分（4分）与显著较低的牙齿特异性牙周炎风险相关（调整后的比值比=0.32; 95%置信区间：0.16-0.62）和牙齿脱落（调整后的比值比=0.42; 95%置信区间：0.23-0.77）结论同时坚持多种健康的生活方式因素可显著降低老年人牙周炎和牙齿脱落的发病率或进展的风险。成年人了
AimTo evaluate the longitudinal association of combined healthy lifestyle factors with incidence or progression of periodontitis and tooth loss in older adults.Materials and methodsThis 6-year study included 374 Japanese 70-year olds with 7,157 teeth, from a source eligible baseline population of 554 individuals. Four lifestyle factorscigarette smoking, physical activity, relative weight, and dietary qualitywere scored as healthy (1 point) or unhealthy (0 point). Adding the individual scores generated the healthy lifestyle score (0-4 points). Multilevel mixed-effects logistic regression models were applied to evaluate tooth-specific associations between the baseline healthy lifestyle score and the incidence or progression of periodontitis (increase in clinical attachment loss 3mm) and tooth loss.ResultsAfter 6years, 19.0% of the teeth exhibited periodontitis incidence or progression and 8.2% were lost. Compared with a healthy lifestyle score of 0-1 (least healthy), the highest score (4 points) was associated with a significantly lower tooth-specific risk of periodontitis (adjusted odds ratio=0.32; 95% confidence interval: 0.16-0.62) and tooth loss (adjusted odds ratio=0.42; 95% confidence interval: 0.23-0.77).ConclusionsSimultaneous adherence to multiple healthy lifestyle factors significantly lowers the risk of incidence or progression of periodontitis and tooth loss in older adults.