A cross-sectional study of the association between periodontitis and physical activity in the Japanese population
A cross-sectional study of the association between periodontitis and physical activity in the Japanese population
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DOI：
10.1111/jre.13095
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发表时间：
2023-01-15
影响因子：
3.5
通讯作者：
Aida, Jun
中科院分区：
文献类型：
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作者：
Iwasaki, Masanori;Yoshihara, Akihiro;Aida, Jun
本研究的目的是确定日本人群中体力活动（PA）是否与牙周炎相关。背景在日本人群中PA和牙周炎之间的潜在联系尚未得到彻底研究。方法我们使用的横截面数据来自日本公共卫生中心为基础的前瞻性研究的下一代口腔健康研究。牙周炎是通过全口牙周检查确定的。使用经验证的问卷对PA进行评估。我们进行了多变量有序逻辑回归分析，以评估总PA（第一个五分位数被设置为参考类别）与牙周炎（三个类别：无/轻度，中度和重度）的关联，按性别分层。牙周炎与领域和强度特异性PA的关联也在单独的逻辑回归模型中进行了研究。结果本研究包括2160名日本成年人[1414名女性和746名男性;平均（标准差）年龄58.1（9.6）岁]。在调整潜在的混杂因素后，总PA与女性牙周炎的存在和严重程度呈负相关。在总PA的第二至第五个五分位数（与第一个五分位数相比）中，牙周炎的多变量校正比值比（95%置信区间）分别为0.81（0.59-1.12）、0.74（0.53-1.02）、0.77（0.55-1.06）和0.64（0.46-0.89）（趋势p = 0.01）。当我们进一步研究牙周炎与领域特异性PA和强度特异性PA的关系时，我们没有发现不同的结果。相比之下，PA与男性牙周炎无关。结论总PA与日本女性牙周炎的存在和严重程度呈反比线性相关，但与日本男性无关。需要进一步的前瞻性研究来确定PA和牙周炎之间的关联。
ObjectiveThe aim of this study was to determine whether physical activity (PA) is associated with periodontitis in the Japanese population. BackgroundThe potential association between PA and periodontitis has not been thoroughly investigated in the Japanese population. MethodsWe used cross-sectional data from the Japan Public Health Center-based Prospective Study for the Next-Generation Oral Health Study. Periodontitis was determined by a full-mouth periodontal examination. PA was assessed using a validated questionnaire. We performed multivariable ordinal logistic regression analyses to assess the association of total PA (the first quintile was set as the reference category) with periodontitis (three categories: no/mild, moderate, and severe), stratified by sex. The associations of periodontitis with domain- and intensity-specific PA were also studied in separate logistic regression models. ResultsThis study included 2160 Japanese adults [1414 women and 746 men; mean (standard deviation) age 58.1 (9.6) years]. After adjusting for potential confounders, total PA was inversely associated with the presence and severity of periodontitis in women. The multivariable-adjusted odds ratios (95% confidence intervals) for periodontitis in the second to fifth quintiles (compared with the first quintile) of total PA were 0.81 (0.59-1.12), 0.74 (0.53-1.02), 0.77 (0.55-1.06), and 0.64 (0.46-0.89), respectively (p for trend = .01). We did not find different results when we further investigated the associations of periodontitis with domain- and intensity-specific PA. By contrast, PA was not associated with periodontitis in men. ConclusionTotal PA had an inverse, linear association with the presence and severity of periodontitis in Japanese women but not in Japanese men. Further prospective studies are required to determine the association between PA and periodontitis.