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美国成年人镁缺乏评分与牙周炎的相关性:NHANES 2009-2014 研究结果。

Association between magnesium depletion score and periodontitis in US adults: results from NHANES 2009-2014.

机构信息

Huizhou Stomatological Hospital, Guangdong, China.

Department of Stomatology, Hunan University of Medicine, No. 492, Jinxi South Road, Hecheng District, Huaihua, 418000, Hunan, China.

出版信息

BMC Oral Health. 2024 Oct 24;24(1):1274. doi: 10.1186/s12903-024-05048-1.

Abstract

BACKGROUND

This study aims to explore the relationship between magnesium depletion score (MDS) and periodontitis in US adults using data from the National Health and Nutritional Examination Survey (NHANES) 2009-2014.

METHODS

This cross-sectional study's outcome was periodontitis, defined by the CDC/AAP using clinical periodontal parameters. The exposure of this study was MDS, which was calculated according to four parameters (diuretic use, proton pump inhibitor use, renal function and alcohol consumption). Weighted univariable and multivariable logistic regression analyses were performed to explore the association between MDS intake and periodontitis. Confounding factors included in the adjusted model were age, sex, race, income, smoking status, dietary magnesium, obesity, diabetes, hypertension, education level, recreational activity, and work activity.

RESULTS

A total of 8,628 participants over the age 30 were included in our study. Individuals with high level of magnesium deficiency were more likely referred to poorer periodontal health in both crude model (OR = 2.01, 95% CI: 1.54-2.61, p < 0.0001) and fully adjusted model (OR = 1.35, 95% CI: 1.03-1.77, p = 0.03).

CONCLUSIONS

MDS is positively associated with moderate/severe periodontitis. Further longitudinal studies are needed to understand the impact of MDS on periodontitis.

摘要

背景

本研究旨在利用美国国家健康和营养调查(NHANES)2009-2014 年的数据,探讨镁缺乏评分(MDS)与牙周炎在美国成年人中的关系。

方法

本横断面研究的结局是牙周炎,由疾病预防控制中心/美国牙周病学会使用临床牙周参数定义。本研究的暴露因素是 MDS,根据四个参数(利尿剂使用、质子泵抑制剂使用、肾功能和饮酒)计算。采用加权单变量和多变量逻辑回归分析探讨 MDS 摄入与牙周炎之间的关系。调整模型中纳入的混杂因素包括年龄、性别、种族、收入、吸烟状况、膳食镁、肥胖、糖尿病、高血压、教育水平、娱乐活动和工作活动。

结果

共有 8628 名 30 岁以上的参与者纳入本研究。在未调整模型(OR=2.01,95%CI:1.54-2.61,p<0.0001)和完全调整模型(OR=1.35,95%CI:1.03-1.77,p=0.03)中,镁缺乏程度较高的个体更有可能出现较差的牙周健康状况。

结论

MDS 与中重度牙周炎呈正相关。需要进一步的纵向研究来了解 MDS 对牙周炎的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9998/11520107/6c4aaaae73e0/12903_2024_5048_Fig1_HTML.jpg

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