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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.

DOI:10.1007/s00784-024-06125-z
PMID:39751926
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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Association between the Dietary Index for Gut Microbiota and periodontitis: mediation by systemic inflammation.肠道微生物群饮食指数与牙周炎之间的关联:通过全身炎症介导。
Front Nutr. 2025 Aug 13;12:1612199. doi: 10.3389/fnut.2025.1612199. eCollection 2025.

本文引用的文献

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Association of specific nutritional intake with periodontitis.特定营养摄入与牙周炎的关系。
BMC Oral Health. 2024 May 30;24(1):640. doi: 10.1186/s12903-024-04384-6.
2
Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe.牙周病与心血管病、糖尿病和呼吸道疾病:欧洲牙周病学会和世界家庭医生组织欧洲分会共识报告摘要。
Eur J Gen Pract. 2024 Dec;30(1):2320120. doi: 10.1080/13814788.2024.2320120. Epub 2024 Mar 21.
3
Mediterranean diet: a potential player in the link between oral microbiome and oral diseases.
地中海饮食:口腔微生物群与口腔疾病之间联系的潜在影响因素。
J Oral Microbiol. 2024 Mar 19;16(1):2329474. doi: 10.1080/20002297.2024.2329474. eCollection 2024.
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The bidirectional association between diabetes and periodontitis, from basic to clinical.糖尿病与牙周炎之间的双向关联:从基础到临床
Jpn Dent Sci Rev. 2024 Dec;60:15-21. doi: 10.1016/j.jdsr.2023.12.002. Epub 2023 Dec 12.
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Is inflammatory potential of the diet related to oral and periodontal health?饮食的炎症潜能与口腔及牙周健康有关吗?
Food Sci Nutr. 2023 Aug 28;11(11):7155-7159. doi: 10.1002/fsn3.3641. eCollection 2023 Nov.
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Association between Mediterranean diet and periodontitis among US adults: The mediating roles of obesity indicators.美国成年人中地中海饮食与牙周炎之间的关联:肥胖指标的中介作用。
J Periodontal Res. 2024 Feb;59(1):32-41. doi: 10.1111/jre.13195. Epub 2023 Oct 16.
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A pro-inflammatory diet is associated with an increased odds of periodontitis: finding from a case-control study.促炎饮食与牙周炎几率增加相关:一项病例对照研究的发现。
BMC Nutr. 2023 Sep 27;9(1):109. doi: 10.1186/s40795-023-00760-7.
8
Could dietary restrictions affect periodontal disease? A systematic review.饮食限制会影响牙周病吗?系统综述。
Clin Oral Investig. 2023 Aug;27(8):4107-4116. doi: 10.1007/s00784-023-05052-9. Epub 2023 May 18.
9
Association between inflammatory potential of diet and periodontitis disease risks: Results from a Korean population-based cohort study.饮食炎症潜能与牙周炎发病风险的相关性:基于韩国人群的队列研究结果。
J Clin Periodontol. 2023 Jul;50(7):952-963. doi: 10.1111/jcpe.13817. Epub 2023 Apr 21.
10
Association between the quality of plant-based diets and periodontitis in the U.S. general population.美国普通人群中植物性饮食质量与牙周炎之间的关联。
J Clin Periodontol. 2023 May;50(5):591-603. doi: 10.1111/jcpe.13785. Epub 2023 Feb 13.