Research Unit for Dietary Studies, Institute of Preventive Medicine, Frederiksberg Hospital, Copenhagen, Denmark.
Nutrients. 2012 Sep;4(9):1219-29. doi: 10.3390/nu4091219. Epub 2012 Sep 4.
This cross-sectional study investigates whether calcium intakes from dairy and non-dairy sources, and absolute intakes of various dairy products, are associated with periodontitis. The calcium intake (mg/day) of 135 older Danish adults was estimated by a diet history interview and divided into dairy and non-dairy calcium. Dairy food intake (g/day) was classified into four groups: milk, cheese, fermented foods and other foods. Periodontitis was defined as the number of teeth with attachment loss ≥3 mm. Intakes of total dairy calcium (Incidence-rate ratio (IRR) = 0.97; p = 0.021), calcium from milk (IRR = 0.97; p = 0.025) and fermented foods (IRR = 0.96; p = 0.03) were inversely and significantly associated with periodontitis after adjustment for age, gender, education, sucrose intake, alcohol consumption, smoking, physical activity, vitamin D intake, heart disease, visits to the dentist, use of dental floss and bleeding on probing, but non-dairy calcium, calcium from cheese and other types of dairy food intakes were not. Total dairy foods (IRR = 0.96; p = 0.003), milk (IRR = 0.96; p = 0.028) and fermented foods intakes (IRR = 0.97; p = 0.029) were associated with reduced risk of periodontitis, but cheese and other dairy foods intakes were not. These results suggest that dairy calcium, particularly from milk and fermented products, may protect against periodontitis. Prospective studies are required to confirm these findings.
本横断面研究旨在探讨来源于乳制品和非乳制品的钙摄入量,以及各种乳制品的绝对摄入量是否与牙周炎有关。通过饮食史访谈估计了 135 名丹麦老年人的钙摄入量(mg/天),并将其分为乳制品钙和非乳制品钙。乳制品食物摄入量(g/天)分为四组:牛奶、奶酪、发酵食品和其他食品。牙周炎定义为附着丧失≥3mm 的牙齿数。调整年龄、性别、教育程度、蔗糖摄入量、酒精摄入量、吸烟、身体活动、维生素 D 摄入量、心脏病、看牙医次数、使用牙线和探测出血后,总乳制品钙(发病率比(IRR)=0.97;p=0.021)、牛奶钙(IRR=0.97;p=0.025)和发酵食品钙(IRR=0.96;p=0.03)与牙周炎呈负相关且具有统计学意义,但非乳制品钙、奶酪钙和其他类型乳制品钙摄入量则不然。总乳制品(IRR=0.96;p=0.003)、牛奶(IRR=0.96;p=0.028)和发酵食品摄入量(IRR=0.97;p=0.029)与牙周炎风险降低相关,但奶酪和其他乳制品食物摄入量则不然。这些结果表明,乳制品钙,特别是来自牛奶和发酵产品的钙,可能对预防牙周炎有一定作用。需要前瞻性研究来证实这些发现。