Association between Dietary Pattern and Periodontitis-A Cross-Sectional Study.

Association between Dietary Pattern and Periodontitis-A Cross-Sectional Study.
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DOI:
10.3390/nu13114167
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发表时间:
2021-11-21
期刊:
影响因子:
5.9
通讯作者:
Aarabi G
Aarabi G
中科院分区:
医学2区
文献类型:
--
作者:
Altun E;Walther C;Borof K;Petersen E;Lieske B;Kasapoudis D;Jalilvand N;Beikler T;Jagemann B;Zyriax BC;Aarabi G

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这项研究的目的是在一项基于北方人群的队列研究中,调查特定已知饮食模式与牙周病患病率之间的关系。我们对汉堡城市健康研究(HCHS)的6209名参与者的数据进行了评估。HCHS是一项前瞻性队列研究,已在ClinicalTrial.gov(NCT03934957)注册。膳食摄入量采用食物频率问卷(FFQ2)进行评估。牙周检查包括探诊深度、牙龈退缩、菌斑指数、探诊时出血情况。描述性分析按牙周炎严重程度分层。使用有序Logistic回归模型来确定这种关联。顺序回归分析显示,在未调整的模型(OR:0.9295%CI:0.87,0.97;P<0.001/OR:0.93;95%CI:0.91,0.96;P<0.001)和调整后的模型(OR:0.94;95%CI:0.89,1.00;P<0.0365/OR:0.97;95%可信区间:0.941.00;P<0.0359)。目前的横断面研究发现,对DASH和地中海饮食的更高依从性与受牙周病影响的几率较低(无论疾病严重程度如何)之间存在显著关联。未来需要进行随机对照试验,以评估大量和微量营养对牙周炎发病/进展的影响程度。
The aim of the study was to investigate the relationship between specific known dietary patterns and the prevalence of periodontal disease in a northern population-based cohort study. We evaluated data from 6209 participants of the Hamburg City Health Study (HCHS). The HCHS is a prospective cohort study and is registered at ClinicalTrial.gov (NCT03934957). Dietary intake was assessed with the food frequency questionnaire (FFQ2). Periodontal examination included probing depth, gingival recession, plaque index, and bleeding on probing. Descriptive analyses were stratified by periodontitis severity. Ordinal logistic regression models were used to determine the association. Ordinal regression analyses revealed a significant association between higher adherence to the DASH diet/Mediterranean diet and lower odds to be affected by periodontal diseases in an unadjusted model (OR: 0.92; 95% CI: 0.87, 0.97; p < 0.001/OR: 0.93; 95% CI: 0.91, 0.96; p < 0.001) and an adjusted model (age, sex, diabetes) (OR: 0.94; 95% CI: 0.89, 1.00; p < 0.0365/OR: 0.97; 95% CI: 0.94, 1.00; p < 0.0359). The current cross-sectional study identified a significant association between higher adherence to the DASH and Mediterranean diets and lower odds to be affected by periodontal diseases (irrespective of disease severity). Future randomized controlled trials are needed to evaluate to which extent macro- and micronutrition can affect periodontitis initiation/progression.
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