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每日两次猕猴桃摄入对治疗前后牙周及全身状况的影响:一项随机临床试验。

The effect of twice daily kiwifruit consumption on periodontal and systemic conditions before and after treatment: A randomized clinical trial.

机构信息

Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy.

出版信息

J Periodontol. 2018 Mar;89(3):285-293. doi: 10.1002/JPER.17-0148. Epub 2018 Feb 27.

DOI:10.1002/JPER.17-0148
PMID:29520772
Abstract

BACKGROUND

To assess the nutraceutical effects of twice/daily intake of kiwifruit on periodontal parameters and systemic health before and after initial periodontal treatment (IPT).

METHODS

At baseline, participants were randomly assigned to test and control group, and either consumed two kiwifruits/day for 5 months or no kiwifruit. In the first 2 months, no periodontal treatment was delivered (2 M). Subsequently, a session of full-mouth IPT within 24 hours was performed. Participants were then re-assessed after 3 months (5 M). Blood samples, evaluating systemic biomarkers and vital signs, were also collected atbaseline, 2 M, and 5 M.

RESULTS

Groups were balanced at baseline. At 2 M no within-groups differences could be detected for any parameter but the bleeding score, which decreased significantly in the kiwifruit group by 6.67% ± 11.90% (P < 0.01). Comparison of test and control group showed that 2 months of kiwifruit consumption resulted in significant lower values of bleeding, plaque, and attachment loss. After IPT both groups demonstrated substantial significant clinical benefits however the control group showed significant greater reductions of bleeding, plaque and attachment loss than the test group. Systemic biomarkers and vital signs did not show clinically relevant differences between test and control group.

CONCLUSIONS

Kiwifruit consumption reduces gingival inflammation despite the lack of any periodontal instrumentation or patient's behavioral changes. No adjunctive effect to periodontal treatment of dietary intake of kiwifruit was noted. (NCT NCT03084484).

摘要

背景

评估每日两次摄入猕猴桃对牙周参数和初始牙周治疗(IPT)前后全身健康的营养作用。

方法

在基线时,参与者被随机分配到测试组和对照组,并在 5 个月内每天食用两个猕猴桃或不食用猕猴桃。在前 2 个月内不进行牙周治疗(2M)。随后,在 24 小时内进行一次全口 IPT。参与者在 3 个月后(5M)再次进行评估。还在基线、2M 和 5M 时采集血液样本,评估全身生物标志物和生命体征。

结果

两组在基线时平衡。在 2M 时,除了出血评分外,没有任何参数在组内发生变化,但猕猴桃组的出血评分显著下降了 6.67%±11.90%(P<0.01)。测试组和对照组之间的比较表明,猕猴桃的摄入持续 2 个月会导致出血、菌斑和附着丧失的显著降低。IPT 后,两组均显示出显著的临床获益,但对照组的出血、菌斑和附着丧失的减少显著大于测试组。测试组和对照组之间的全身生物标志物和生命体征没有显示出临床相关的差异。

结论

尽管没有任何牙周仪器或患者行为的改变,猕猴桃的摄入可减少牙龈炎症。猕猴桃的饮食摄入对牙周治疗没有辅助作用。(NCT NCT03084484)。

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