J.-L.P. O'Connor, K.L. Milledge, F. O'Leary, and V. Hirani are with the Nutrition and Dietetics Group, School of Life and Environmental Sciences, the Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
K.L. Milledge, R.Cumming, and V. Hirani are with the Centre for Education and Research on Ageing, University of Sydney, Ageing and Alzheimer's Institute, Concord Hospital, New South Wales, Sydney, Australia.
Nutr Rev. 2020 Feb 1;78(2):175-188. doi: 10.1093/nutrit/nuz035.
Periodontal disease is a chronic inflammatory gum condition that is more prevalent in older populations. The development of periodontal disease has been directly linked to inflammatory dietary habits.
This systematic review aimed to 1) describe the relationship and 2) describe the direction of the relationship between dietary intake (nutrients and food groups) and periodontal disease in community-dwelling, older adults. PRISMA guidelines were followed for this review.
A systematic search of the databases MEDLINE, EMBASE, Global Health, CINAHL, Science Direct, Informit, and Cochrane Library was conducted from the earliest possible date until September 2018. Search terms were related to main themes: "periodontal disease," "gingivitis," "gum diseases," "dietary intake" and "older adults." The search produced 779 records, and after additional publications were obtained and duplicates were removed, 666 publications underwent title and abstract screening. Included papers were written in English and were based on populations of healthy, older adults living in community-based settings. Nine papers met inclusion criteria and were included in this review.
Sample size, participant characteristics, inclusion and exclusion criteria, periodontal measures, dietary measures, confounders, and results were sorted by study type, author, year, and country.
Quality of the extracted data was analyzed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system.
Inverse associations were found between fatty acids, vitamin C, vitamin E, beta-carotene, fiber, calcium, dairy, fruits, and vegetables and risk of periodontal disease. Overall, this review found a relationship between poor dietary intake and increased risk of periodontal disease; however, this needs to be further explored.
PROSPERO Registration Number CRD42017065022.
牙周病是一种慢性炎症性牙龈疾病，在老年人群中更为普遍。牙周病的发展与炎症性饮食习惯直接相关。
本系统评价旨在 1）描述饮食摄入（营养素和食物组）与社区居住的老年人牙周病之间的关系和 2）描述这种关系的方向。本综述遵循 PRISMA 指南。
从最早可能的日期到 2018 年 9 月，对 MEDLINE、EMBASE、全球健康、CINAHL、Science Direct、Informit 和 Cochrane Library 数据库进行了系统搜索。检索词与主要主题有关：“牙周病”、“牙龈炎”、“牙龈疾病”、“饮食摄入”和“老年人”。搜索产生了 779 条记录，在获得了更多的出版物并删除了重复项后，有 666 篇出版物经过了标题和摘要筛选。纳入的论文用英文撰写，基于居住在社区环境中的健康老年人的人群。有 9 篇论文符合纳入标准，并纳入本综述。
按研究类型、作者、年份和国家对样本量、参与者特征、纳入和排除标准、牙周措施、饮食措施、混杂因素和结果进行排序。
使用推荐评估、制定与评价分级（GRADE）系统分析提取数据的质量。
脂肪酸、维生素 C、维生素 E、β-胡萝卜素、纤维、钙、乳制品、水果和蔬菜与牙周病的风险呈负相关。总的来说，本综述发现了不良饮食摄入与牙周病风险增加之间的关系；然而，这需要进一步探讨。
PROSPERO 注册号 CRD42017065022。
