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首页> 外文期刊>The British Journal of Nutrition >The relationship between inflammatory dietary pattern and incidence of periodontitis
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The relationship between inflammatory dietary pattern and incidence of periodontitis

机译：炎症饮食模式与牙周炎发病率的关系

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Abstract The long-term inflammatory impact of diet could potentially elevate the risk of periodontal disease through modification of systemic inflammation. The aim of the present study was to prospectively investigate the associations between a food-based, reduced rank regression (RRR)-derived, empirical dietary inflammatory pattern (EDIP) and incidence of periodontitis. The study population was composed of 34 940 men from the Health Professionals Follow-Up Study, who were free of periodontal disease and major illnesses at baseline (1986). Participants provided medical and dental history through mailed questionnaires every 2 years and dietary data through validated semi-quantitative FFQ every 4 years. We used Cox proportional hazard models to examine the associations between EDIP scores and validated self-reported incidence of periodontal disease over a 24-year follow-up period. No overall association between EDIP and the risk of periodontitis was observed; the hazard ratio comparing the highest EDIP quintile (most proinflammatory diet) with the lowest quintile was 0·99 (95 CI 0·89, 1·10, P-value for trend = 0·97). A secondary analysis showed that among obese non-smokers (i.e. never and former smokers at baseline), the hazard ratio for periodontitis comparing the highest EDIP quintile with the lowest was 1·39 (95 CI 0·98, 1·96, P-value for trend = 0·03). In conclusion, no overall association was detected between EDIP and incidence of self-reported periodontitis in the study population. From the subgroups evaluated, EDIP was significantly associated with increased risk of periodontitis only among non-smokers who were obese. Hence, this association must be interpreted with caution.
机译：摘要 饮食的长期炎症影响可能通过改变全身炎症而增加牙周病的风险。本研究的目的是前瞻性地研究基于食物的、降低等级回归 （RRR） 衍生的经验性饮食炎症模式 （EDIP） 与牙周炎发病率之间的关联。研究人群由来自卫生专业人员随访研究的 34 940 名男性组成，他们在基线（1986 年）没有牙周病和重大疾病。参与者每 2 年通过邮寄问卷提供病史和牙科病史，每 4 年通过经过验证的半定量 FFQ 提供饮食数据。在24年的随访期间，我们使用Cox比例风险模型来检查EDIP评分与经验证的自我报告的牙周病发病率之间的关联。未观察到EDIP与牙周炎风险之间的总体关联;将最高EDITI五分位数（最促炎饮食）与最低五分位数进行比较的风险比为0.99（95%CI 0.89,1.10，趋势的P值=0.97）。二次分析显示，在肥胖的非吸烟者（即基线时从不吸烟和既往吸烟者）中，将最高EDIP五分位数与最低五分位数进行比较的牙周炎风险比为1.39（95%CI 0.98,1.96，趋势P值=0.03）。总之，在研究人群中，EDIP与自我报告的牙周炎发病率之间没有发现总体关联。在评估的亚组中，EDIP仅在肥胖的非吸烟者中与牙周炎风险增加显着相关。因此，必须谨慎解释这种关联。

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