Wang Jiantao, Lv Jian, Wang Wanchun, Jiang Xiubo
Department of Epidemiology and Health Statistics, the Medical College of Qingdao University, Qingdao, Shandong Province, China.
Department of Prevention, Qingdao Stomatological Hospital, Qingdao, Shandong Province, China.
J Clin Periodontol. 2016 Jul;43(7):572-83. doi: 10.1111/jcpe.12556. Epub 2016 May 12.
A meta-analysis was conducted to quantitatively summarize the evidence from observational studies on alcohol consumption and risk of periodontitis.
A comprehensive literature search was performed in PubMed, Web of Science and Embase databases to identify eligible studies published in English. Pooled relative risks (RRs) with 95% confidence intervals (CIs) were calculated by random-effects models. Restricted cubic splines were used to assess the dose-response relationship.
Eighteen studies were included in our meta-analysis. The pooled RR of periodontitis for the highest with the lowest alcohol consumption was 1.59 (95% CI: 1.37-1.85). Significant associations were also found in stratified analysis by gender [males: (1.25, 95% CI: 1.11-1.41), females (2.15, 95% CI: 1.36-3.41)] and study design [cohort studies: 1.28 (1.04-1.57) and cross-sectional studies: 1.66 (1.39-1.99)]. A linear dose-response relationship was found between alcohol consumption and periodontitis risk, and the risk of periodontitis increased by 0.4% [95% CI (1.002-1.007) (p = 0.002)] for each 1 g/day increment in alcohol consumption.
This meta-analysis suggested that alcohol consumption was associated with an increased risk of periodontitis.
进行一项荟萃分析,以定量总结关于饮酒与牙周炎风险的观察性研究证据。
在PubMed、科学网和Embase数据库中进行全面的文献检索,以识别用英文发表的符合条件的研究。采用随机效应模型计算合并相对风险(RRs)及95%置信区间(CIs)。使用受限立方样条来评估剂量反应关系。
18项研究纳入我们的荟萃分析。饮酒量最高组与最低组相比,牙周炎的合并RR为1.59(95%CI:1.37 - 1.85)。在按性别分层分析中也发现了显著关联[男性:(1.25,95%CI:1.11 - 1.41),女性(2.15,95%CI:1.36 - 3.41)]以及按研究设计分层分析中[队列研究:1.28(1.04 - 1.57),横断面研究:1.66(1.39 - 1.99)]。饮酒量与牙周炎风险之间存在线性剂量反应关系,饮酒量每增加1克/天,牙周炎风险增加0.4% [95%CI(1.002 - 1.007)(p = 0.002)]。
这项荟萃分析表明,饮酒与牙周炎风险增加有关。