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