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遵守国家膳食指南与口腔健康对生活质量的影响相关。

Adherence to National Dietary Guidelines in Association with Oral Health Impact on Quality of Life.

机构信息

Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13/INSERM U1153/INRA U1125/CNAM, COMUE Sorbonne Paris Cité F-93017 Bobigny, France.

Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté F-21000 Dijon, France.

出版信息

Nutrients. 2018 Apr 24;10(5):527. doi: 10.3390/nu10050527.

Abstract

We aimed to assess the association between oral health, in terms of its impact on quality of life, and diet quality expressed as adherence to dietary guidelines. We analyzed cross-sectional data from the French NutriNet-Santé general population-based e-cohort (N = 18,263 adults; mean age = 56.5 ± 13.8 years). The main independent variable, oral health-related quality of life, was assessed in 2016 with the GOHAI instrument (maximum score = 60). The main dependent variable, diet’s nutritional quality, was assessed with the mPNNS-GS score (maximum score = 13.5) measuring adherence to French dietary guidelines and computed on the basis of repeated 24-h dietary records. Multivariable linear regression models were fit. Mean GOHAI score was 54.5 ± 4.3 and mean mPNNS-GS score was 7.7 ± 1.6. Among participants aged 18⁻64 years, those scoring ≤50 on GOHAI (poor oral health with a detrimental impact on quality of life) were less likely to adhere to dietary guidelines than participants scoring 57⁻60 points (good oral health) (beta = −0.18, 95% CI: −0.26, −0.09; < 0.0001). Among participants aged 65+ years, those scoring 51⁻56 points on GOHAI (average oral health with some negative impact on quality of life) were less likely to adhere to dietary guidelines than were participants scoring in the range 57⁻60 (beta = −0.23, 95% CI: −0.33, −0.13; < 0.0001). The findings suggested modest age-dependent associations between oral health-related quality of life and diet quality. Confirmation is needed longitudinally with representative samples and accounting for diet quality evolution.

摘要

我们旨在评估口腔健康(以对生活质量的影响来衡量)与饮食质量(通过对饮食指南的依从性来表达)之间的关联。我们分析了法国 NutriNet-Santé 基于一般人群的电子队列(N=18263 名成年人;平均年龄=56.5±13.8 岁)的横断面数据。主要的独立变量,即口腔健康相关的生活质量,是在 2016 年用 GOHAI 工具(最高得分为 60)来评估的。主要的因变量,即饮食的营养质量,是用 mPNNS-GS 评分(最高得分为 13.5)来衡量的,该评分衡量了对法国饮食指南的依从性,并基于重复的 24 小时饮食记录计算得出。使用多变量线性回归模型进行拟合。GOHAI 的平均得分是 54.5±4.3,mPNNS-GS 的平均得分是 7.7±1.6。在 18-64 岁的参与者中,那些在 GOHAI 上得分 ≤50(口腔健康状况差,对生活质量有不利影响)的人比得分 57-60 分(口腔健康状况良好)的人更不可能遵守饮食指南(β=−0.18,95%置信区间:−0.26,−0.09; < 0.0001)。在 65 岁及以上的参与者中,那些在 GOHAI 上得分 51-56 分(口腔健康状况一般,对生活质量有一些负面影响)的人比得分在 57-60 分范围内的人更不可能遵守饮食指南(β=−0.23,95%置信区间:−0.33,−0.13; < 0.0001)。研究结果表明,口腔健康相关的生活质量和饮食质量之间存在适度的、与年龄相关的关联。需要在代表性样本中进行纵向研究,并考虑饮食质量的演变,以确认这一结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba18/5986407/ddd4d4e4a5f5/nutrients-10-00527-g001.jpg

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