TY - JOUR
T1 - Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics/Latinos
AU - Salazar, Christian R.
AU - Laniado, Nadia
AU - Mossavar-Rahmani, Yasmin
AU - Borrell, Luisa N.
AU - Qi, Qibin
AU - Sotres-Alvarez, Daniela
AU - Morse, Douglas E.
AU - Singer, Richard H.
AU - Kaplan, Robert C.
AU - Badner, Victor
AU - Lamster, Ira B.
N1 - Publisher Copyright:
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2018/7
Y1 - 2018/7
N2 - Aim: We investigated the cross-sectional association between diet quality and severe periodontitis in a sample of diverse Hispanics from the Hispanic Community Health Study/Study of Latinos. Materials and methods: A total of 13,920 Hispanic/Latinos aged 18–74 years of different heritages underwent a full-mouth oral examination and completed two 24-hr dietary recalls during 2008–2011. Severe periodontitis was defined as having ≥30% tooth sites with clinical attachment loss ≥5 mm. Diet quality was assessed using the Alternative Healthy Eating Index (AHEI-2010). We evaluated the association of diet quality with severe periodontitis adjusting for age, sex, nativity status, income, education, last dental visit, current insurance, cigarette smoking, diabetes, and energy intake. Results: Relative to those at the lowest quartile of diet quality, individuals at the highest quartile had significantly lower odds of severe periodontitis (adjusted OR = 0.57, 95% CI: 0.39–0.82), with evidence of a dose–response relationship across AHEI quartiles. Among AHEI-2010 components, higher consumption of whole grains and fruits, and lower consumption of red/processed meats were associated with lower odds of severe periodontitis. Conclusion: Better-quality diet was associated with lower prevalence of severe periodontitis although the causal pathways need to be clarified in future work.
AB - Aim: We investigated the cross-sectional association between diet quality and severe periodontitis in a sample of diverse Hispanics from the Hispanic Community Health Study/Study of Latinos. Materials and methods: A total of 13,920 Hispanic/Latinos aged 18–74 years of different heritages underwent a full-mouth oral examination and completed two 24-hr dietary recalls during 2008–2011. Severe periodontitis was defined as having ≥30% tooth sites with clinical attachment loss ≥5 mm. Diet quality was assessed using the Alternative Healthy Eating Index (AHEI-2010). We evaluated the association of diet quality with severe periodontitis adjusting for age, sex, nativity status, income, education, last dental visit, current insurance, cigarette smoking, diabetes, and energy intake. Results: Relative to those at the lowest quartile of diet quality, individuals at the highest quartile had significantly lower odds of severe periodontitis (adjusted OR = 0.57, 95% CI: 0.39–0.82), with evidence of a dose–response relationship across AHEI quartiles. Among AHEI-2010 components, higher consumption of whole grains and fruits, and lower consumption of red/processed meats were associated with lower odds of severe periodontitis. Conclusion: Better-quality diet was associated with lower prevalence of severe periodontitis although the causal pathways need to be clarified in future work.
KW - diet quality
KW - hispanics
KW - latinos
KW - periodontal disease
KW - periodontal inflammation
KW - periodontitis
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U2 - 10.1111/jcpe.12926
DO - 10.1111/jcpe.12926
M3 - Article
C2 - 29779261
AN - SCOPUS:85049074405
SN - 0303-6979
VL - 45
SP - 780
EP - 790
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
IS - 7
ER -