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Adherence to the dietary guidelines and prevalence of periodontal disaese: The Buffalo osteoperio study.

机译：遵守饮食指南和牙周疾病的患病率：布法罗骨质疏松研究。

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摘要

Background: Nutrition has been hypothesized to play a role in periodontal disease risk through numerous proposed mechanisms which include diet's influence on oxidative stress, inflammation, wound healing and glycemic control. The majority of previous studies examining associations between nutrition and periodontal disease have examined single nutrients or foods with respect to periodontal disease risk. Overall dietary patterns, rather than measure of single nutrients and foods, may better reflect overall nutritional status, however, few studies have examined the association between diet quality and periodontal disease.;Purpose: We examined the cross-sectional relationship between diet quality, scored using the Healthy Eating Index-2005 (HEI-2005), and periodontal disease prevalence among postmenopausal women in the Buffalo Osteoporosis and Periodontal Disease (OsteoPerio) study, an ancillary study of the Women's Health Initiative Observational Study (WHI OS).;Methods: Diet quality was collected using a modified Block food frequency questionnaire self-administered at WHI OS baseline (1993-1997), and scored according to the HEI-2005. Measures of periodontal disease (clinical attachment loss (CAL) and pocket depth (PD)) were collected at OsteoPerio Study baseline (1997-2001), which coincided with the WHI OS three year follow-up. Prevalent disease was defined using the Centers of Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) classification. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for moderate/severe, moderate, and severe periodontal disease compared to no/mild periodontal disease by quartiles of the HEI-2005 diet score. Linear regression models were used to analyze the relationship between quartiles of HEI-2005 score and continuous outcome measures of whole-mouth mean and worst-site CAL and PD. Beta-coefficients (beta) and standard errors (SE) for the outcome measures of CAL and PD corresponding to quartile of HEI-2005 diet quality score were estimated. Both logistic and linear regression models were adjusted for age, income, recreational physical activity, and frequency of flossing.;Results: A moderate association was observed between diet quality and periodontal disease defined by the CDC/AAP classification. The adjusted odds of moderate/severe periodontal disease was 18% less for those in HEI-2005 diet Quartile 4 compared to those in Quartile 1, but this result was not statistically significant (OR= 0.82 (0.56, 1.21), p-trend= 0.175). Results were similar when we examined the adjusted models for the odds of moderate or severe periodontal disease. Further adjustment for hypothesized variables in the causal pathway (e.g. total energy intake, body mass index, waist circumference, and waist to hip ratio) did not change the results. Linear regression analyses with continuous measures of CAL and PD showed that women in HEI-2005 Quartile 4 had on average 0.13 mm (p-value=0.02) lower whole-mouth CAL and 0.07 mm (p-value=0.02) lower whole-mouth mean PD as compared to Quartile 1. This relationship was not observed for worst site CAL or PD.;Conclusions: In this cross sectional study of postmenopausal women, we observed a moderate association between diet quality, defined with the HEI-2005, and prevalence of periodontal disease defined using the CDC/AAP definition. Differently, continuous whole-mean mouth measures of CAL and PD were significantly associated with diet quality, while worst-site measures were not.
机译：背景：营养被认为是通过许多提议的机制在牙周疾病风险中起作用的，这些机制包括饮食对氧化应激，炎症，伤口愈合和血糖控制的影响。以前的大多数研究营养与牙周疾病之间关系的研究都已经就牙周疾病风险检查了单一营养素或食物。总体饮食模式而不是单一营养素和食物的量度可能更好地反映了总体营养状况，但是，很少有研究检查饮食质量与牙周疾病之间的关系。目的：我们研究了饮食质量与评分之间的横断面关系使用《 2005年健康饮食指数》（HEI-2005）和《水牛城骨质疏松症和牙周病》（OsteoPerio）研究中的绝经后妇女牙周病患病率（妇女健康倡议观察研究（WHI OS）的辅助研究）;方法：使用在WHI OS基线（1993-1997年）自我管理的改良版Block Food频率问卷收集饮食质量，并根据HEI-2005进行评分。在OsteoPerio研究基线（1997-2001年）收集了牙周疾病的测量值（临床依恋丧失（CAL）和囊袋深度（PD）），这与WHI OS的三年随访相吻合。流行病是使用疾病控制与预防中心/美国牙周病学会（CDC / AAP）分类定义的。用逻辑回归分析通过HEI-2005饮食评分的四分位数计算中度/重度，中度和重度牙周疾病与无/轻度牙周疾病的比值比（OR）和95％置信区间（CI）。使用线性回归模型分析HEI-2005分数的四分位数与全口均值和最差站点CAL和PD的连续结果测度之间的关系。估计与HEI-2005饮食质量得分的四分位数相对应的CAL和PD结局指标的Beta系数（beta）和标准误（SE）。分别对年龄，收入，娱乐体力活动和使用牙线的频率进行逻辑和线性回归模型的调整。结果：通过CDC / AAP分类确定的饮食质量与牙周疾病之间存在中等关联。与四分位数1相比，HEI-2005饮食四分位数4的中度/重度牙周病的校正几率低18％，但该结果无统计学意义（OR = 0.82（0.56，1.21），p趋势= 0.175）。当我们检查调整后的中度或重度牙周疾病模型的结果相似。对因果路径中的假设变量（例如，总能量摄入，体重指数，腰围和腰臀比）进行进一步调整不会改变结果。线性回归分析以及CAL和PD的连续测量表明，在HEI-2005四分位数4中，女性的全口平均CAL值降低了0.13 mm（p值= 0.02），全口的平均降低了0.07 mm（p值= 0.02）与四分位数1相比，平均PD。未观察到最差部位CAL或PD的这种关系。结论：在此绝经后妇女的横断面研究中，我们观察到饮食质量（由HEI-2005定义）与患病率之间存在中等关联使用CDC / AAP定义定义的牙周疾病。不同的是，连续的CAL和PD全口径测量与饮食质量显着相关，而最差的位置则与饮食质量无关。

著录项

  • 作者

    Kumar, Swapna.;

  • 作者单位

    State University of New York at Buffalo.;

  • 授予单位 State University of New York at Buffalo.;
  • 学科 Health Sciences Epidemiology.;Health Sciences Nutrition.;Health Sciences Dentistry.;Health Sciences Public Health.
  • 学位 M.S.
  • 年度 2013
  • 页码 76 p.
  • 总页数 76
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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