Division of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center School of Public Health, Houston, Texas, USA.
Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA.
J Clin Periodontol. 2022 Aug;49(8):758-767. doi: 10.1111/jcpe.13669. Epub 2022 Jun 10.
Periodontal disease is one of the most prevalent oral pathologies and a major chronic disease worldwide. Lifestyle habits such as poor nutrition and smoking have been established to contribute to the development of periodontal disease, but limited research has investigated whether physical activity and sedentary lifestyle play a role. The purpose of this study is to evaluate the association between physical activity, sedentary behaviour, and periodontal disease.
We used a nationally representative data set from the National Health and Nutrition Examination Survey (NHANES) 2011-2012. We examined the association between physical activity and sedentary behaviour and periodontal disease using multivariable logistic regression models and reported odds ratios (ORs).
Individuals with higher total physical activity, higher leisure time physical activity, and lower amount of total sedentary behaviour had lower periodontal disease prevalence. Adjusted multivariable regression models showed that higher sedentary behaviour (more than 7.5 h/day) was associated with higher odds of periodontal disease (OR = 1.17; 95% confidence interval = 1.00-1.36; p = .045).
The findings showed that higher sedentary behaviour is associated with higher odds of periodontal disease. Future prospective longitudinal studies and strategies are needed to investigate implications further and define the magnitude of the association between physical activity and periodontal disease.
牙周病是最常见的口腔疾病之一，也是全球主要的慢性疾病之一。不良营养和吸烟等生活方式习惯已被确定为导致牙周病发展的因素，但有限的研究调查了体力活动和久坐的生活方式是否起作用。本研究旨在评估体力活动、久坐行为与牙周病之间的关系。
我们使用了来自 2011-2012 年全国健康和营养调查（NHANES）的具有全国代表性的数据。我们使用多变量逻辑回归模型和报告的比值比（OR）来评估体力活动和久坐行为与牙周病之间的关联。
体力活动总量较高、休闲时间体力活动较高和总久坐时间较低的个体患牙周病的比例较低。调整后的多变量回归模型显示，较高的久坐行为（每天超过 7.5 小时）与牙周病的患病几率较高相关（OR=1.17；95%置信区间 1.00-1.36；p=0.045）。
研究结果表明，较高的久坐行为与较高的牙周病患病几率相关。需要进一步进行前瞻性纵向研究和制定策略，以探讨其影响并确定体力活动与牙周病之间关联的程度。
