Wu Zhijie, Li Chuanzhen, Yan Yujuan, Zhang Li
School of Stomatology, Hainan Medical University (Hainan Academy of Medical Science), Haikou, China.
Head and Neck Department, The Second Affiliated Hospital of Hainan Medical University, Haikou, China.
Medicine (Baltimore). 2025 May 9;104(19):e42417. doi: 10.1097/MD.0000000000042417.
Dietary habits have been confirmed to affect periodontal disease, but whether cheese intake is associated with periodontal disease remains unclear. This study aims to explore the causal relationship between cheese intake and periodontal disease by Mendelian randomization (MR) analysis. genome-wide association study data from the UK Biobank was utilized. In order to reveal the causal relationship between exposure (cheese intake) and outcome (periodontal disease), and to ensure the reliability of the conclusions, single nucleotide polymorphisms were rigorously selected as instrumental variables to replace the exposure. The following methods were applied for MR analysis: the inverse-variance weighted (IVW), MR-Egger, weighted median, simple mode and weighted mode methods. Sensitivity analyses included heterogeneity test, horizontal pleiotropy test and leave-one-out method. The IVW method indicated that the risk of periodontal diseases decreased as cheese intake increases (OR = 0.545, 95% CI = 0.364-0.816, P = .0032). Sensitivity analyses revealed no statistical evidence of heterogeneity or horizontal pleiotropy, confirming the robustness of the results. Increased cheese intake may reduce the risk of periodontal disease. This study provides genetic evidence supporting the inclusion of cheese in the diet for periodontal disease. Further research is needed to confirm these findings in different populations and to understand the underlying mechanisms.
饮食习惯已被证实会影响牙周疾病,但奶酪摄入量与牙周疾病之间是否存在关联仍不清楚。本研究旨在通过孟德尔随机化(MR)分析探讨奶酪摄入量与牙周疾病之间的因果关系。利用了英国生物银行的全基因组关联研究数据。为了揭示暴露因素(奶酪摄入量)与结局(牙周疾病)之间的因果关系,并确保结论的可靠性,严格选择单核苷酸多态性作为工具变量来替代暴露因素。采用以下方法进行MR分析:逆方差加权(IVW)、MR-Egger、加权中位数、简单模式和加权模式方法。敏感性分析包括异质性检验、水平多效性检验和留一法。IVW方法表明,随着奶酪摄入量的增加,牙周疾病的风险降低(OR = 0.545,95%CI = 0.364 - 0.816,P = 0.0032)。敏感性分析未发现异质性或水平多效性的统计学证据,证实了结果的稳健性。增加奶酪摄入量可能会降低牙周疾病的风险。本研究提供了遗传证据,支持在饮食中摄入奶酪以预防牙周疾病。需要进一步的研究在不同人群中证实这些发现,并了解其潜在机制。