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从特定饮食模式评估牙周炎风险:一项系统评价与荟萃分析。

Assessing periodontitis risk from specific dietary patterns: a systematic review and meta-analysis.

作者信息

Fan Ru-Yi, Chen Jia-Xi, Chen Li-Li, Sun Wei-Lian

机构信息

Department of Periodontology, School of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou, 310009, P. R. China.

Zhejiang Chinese Medical University, Hangzhou, P. R. China.

出版信息

Clin Oral Investig. 2025 Jan 3;29(1):43. doi: 10.1007/s00784-024-06125-z.

Abstract

AIMS

Our goal is to perform a meta-analysis to investigate the risk of periodontitis associated with specific dietary patterns.

METHODS

We employed the PRISMA methodology in a meta-analysis to examine the correlation between dietary patterns and the risk of periodontitis. We systematically searched three online databases from inception to November 2024 to identify relevant studies. Summary estimates with 95%CI were calculated to assess the relationship between specific dietary patterns and the risk of periodontitis. Cumulative estimates were synthesized using random-effects or fixed-effects models. Heterogeneity among studies was evaluated using Cochran's Q and I statistics.

RESULTS

In total, we included 19 articles that analyzed 5 dietary patterns The study showed that a diet high in inflammation-promoting foods significantly raised the likelihood of periodontitis (OR = 1.39, 95% CI, 1.09-1.77), in contrast, dietary patterns like the mediterranean diet (OR = 0.96, 95% CI, 0.94-0.98), plant-based diet (OR = 0.92, 95% CI, 0.86-0.98), or dairy-rich diet (OR = 0.76, 95% CI, 0.66-0.87) lowered the risk of periodontitis. The analysis revealed no statistically significant association between a western diet (OR = 1.07; 95% CI, 0.86-1.33) and the risk of periodontitis.

CONCLUSIONS

As dietary diversity and complexity continue to expand, there has been a concomitant increase in the prevalence of periodontal disease. This study has identified specific dietary patterns associated with the risk of periodontitis, particularly highlighting the heightened risk linked to pro-inflammatory diets. These findings emphasize the importance of implementing targeted dietary practices to reduce the incidence of this condition.

摘要

目的

我们的目标是进行一项荟萃分析,以研究与特定饮食模式相关的牙周炎风险。

方法

我们在荟萃分析中采用PRISMA方法,以检验饮食模式与牙周炎风险之间的相关性。我们系统地检索了三个在线数据库,从数据库建立至2024年11月,以识别相关研究。计算95%置信区间的汇总估计值,以评估特定饮食模式与牙周炎风险之间的关系。使用随机效应或固定效应模型合成累积估计值。使用Cochran's Q和I统计量评估研究之间的异质性。

结果

我们总共纳入了19篇分析5种饮食模式的文章。研究表明,富含促炎食物的饮食显著增加了患牙周炎的可能性(OR = 1.39,95%置信区间,1.09 - 1.77),相比之下,地中海饮食(OR = 0.96,95%置信区间,0.94 - 0.98)、植物性饮食(OR = 0.92,95%置信区间,0.86 - 0.98)或富含乳制品的饮食(OR = 0.76,95%置信区间,0.66 - 0.87)降低了牙周炎风险。分析显示,西方饮食(OR = 1.07;95%置信区间,0.86 - 1.33)与牙周炎风险之间无统计学显著关联。

结论

随着饮食多样性和复杂性不断增加,牙周疾病的患病率也随之上升。本研究确定了与牙周炎风险相关的特定饮食模式,尤其突出了促炎饮食相关的更高风险。这些发现强调了实施针对性饮食措施以降低该疾病发病率的重要性。

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