Park Ji-A, Lee Jung-Hwa, Lee Hyo-Jin, Jin Bo-Hyoung, Bae Kwang-Hak
Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University, Seoul, South Korea.
Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
Biol Trace Elem Res. 2017 Aug;178(2):171-179. doi: 10.1007/s12011-016-0914-x. Epub 2016 Dec 29.
The purpose of this study was to investigate whether the intakes of some kinds of vitamins and minerals are associated with periodontitis in a nationally representative sample of young adults. This study comprised 2049 young adults aged 19-39 years who took both periodontal examination and nutrition survey. The vitamin and mineral intakes were calculated from dietary intake data gained by complete one-day 24-h recall interviews, and the intake levels for each nutrient were classified by the Recommended Nutrient Intake (RNI) in Dietary Reference Intakes for Koreans and median values. Periodontitis was assessed using Community Periodontal Index (CPI). Multivariate logistic regression analyses were performed in a whole sample and subgroups with the strata of gender or smoking, following a complex sampling design. In analyses according to RNI, a lower intake of niacin was significantly associated with periodontitis in young adults (odd ratio [OR] 1.47, 95% confidential interval [CI] 1.09-2.00) and in its subgroup of women (OR 1.70; 95% CI 1.10-2.64) and current non-smokers (OR 1.75; 95% CI 1.22-2.51). Whereas, in analyses according to median intake values, there were significant associations of periodontitis with a lower intake of niacin in women (OR 1.58; 95% CI 1.02-2.46) and current non-smokers (OR 1.50; 95% CI 1.01-2.22), with lower intake of vitamin C in women (OR 1.66; 95% CI 1.04-2.64) and in current non-smokers (OR 1.49; 95% CI 1.04-2.14), with lower intake of iron in women (OR 1.85; 95% CI 1.11-3.07), and with lower intake of vitamin A marginally in women (OR 1.56; 95% CI 1.00-2.44). In young adults, periodonitis is significantly associated with the lower intakes of niacin, vitamin C, and iron, especially in women and current non-smokers.
本研究旨在调查在具有全国代表性的年轻成年人样本中，某些维生素和矿物质的摄入量是否与牙周炎有关。该研究纳入了2049名年龄在19至39岁之间的年轻成年人，他们均接受了牙周检查和营养调查。维生素和矿物质摄入量通过完整的一天24小时回顾性访谈获得的饮食摄入数据计算得出，每种营养素的摄入水平根据韩国人的膳食参考摄入量（RNI）和中位数进行分类。使用社区牙周指数（CPI）评估牙周炎。按照复杂抽样设计，在整个样本以及按性别或吸烟分层的亚组中进行多变量逻辑回归分析。在根据RNI进行的分析中，烟酸摄入量较低与年轻成年人牙周炎显著相关（比值比[OR]为1.47，95%置信区间[CI]为1.09 - 2.00），在女性亚组中（OR为1.70；95% CI为1.10 - 2.64）以及当前非吸烟者中（OR为1.75；95% CI为1.22 - 2.51）也是如此。然而，在根据中位数摄入量进行的分析中，牙周炎与女性烟酸摄入量较低（OR为1.58；95% CI为1.02 - 2.46）以及当前非吸烟者（OR为1.50；95% CI为1.01 - 2.22）、女性维生素C摄入量较低（OR为1.66；95% CI为1.04 - 2.64）以及当前非吸烟者（OR为1.49；95% CI为1.04 - 2.14）、女性铁摄入量较低（OR为1.85；95% CI为1.11 - 3.07）以及女性维生素A摄入量略低（OR为1.56；95% CI为1.00 - 2.44）存在显著关联。在年轻成年人中，牙周炎与烟酸、维生素C和铁的摄入量较低显著相关，尤其是在女性和当前非吸烟者中。
