Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics/Latinos

Christian R. Salazar, Nadia Laniado, Yasmin Mossavar-Rahmani, Luisa N. Borrell, Qibin Qi, Daniela Sotres-Alvarez, Douglas E. Morse, Richard H. Singer, Robert C. Kaplan, Victor Badner, Ira B. Lamster

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)780-790
Number of pages11
JournalJournal of Clinical Periodontology
Volume45
Issue number7
DOIs
StatePublished - Jul 1 2018

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Periodontitis
Hispanic Americans
Diet
Dental Education
Oral Diagnosis
Energy Intake
Insurance
Mouth
Fruit
Tooth
Smoking
Health

Keywords

  • diet quality
  • hispanics
  • latinos
  • periodontal disease
  • periodontal inflammation
  • periodontitis

ASJC Scopus subject areas

  • Periodontics

Cite this

Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics/Latinos. / Salazar, Christian R.; Laniado, Nadia; Mossavar-Rahmani, Yasmin; Borrell, Luisa N.; Qi, Qibin; Sotres-Alvarez, Daniela; Morse, Douglas E.; Singer, Richard H.; Kaplan, Robert C.; Badner, Victor; Lamster, Ira B.

In: Journal of Clinical Periodontology, Vol. 45, No. 7, 01.07.2018, p. 780-790.

Research output: Contribution to journalArticle

Salazar, CR, Laniado, N, Mossavar-Rahmani, Y, Borrell, LN, Qi, Q, Sotres-Alvarez, D, Morse, DE, Singer, RH, Kaplan, RC, Badner, V & Lamster, IB 2018, 'Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics/Latinos', Journal of Clinical Periodontology, vol. 45, no. 7, pp. 780-790. https://doi.org/10.1111/jcpe.12926
Salazar, Christian R. ; Laniado, Nadia ; Mossavar-Rahmani, Yasmin ; Borrell, Luisa N. ; Qi, Qibin ; Sotres-Alvarez, Daniela ; Morse, Douglas E. ; Singer, Richard H. ; Kaplan, Robert C. ; Badner, Victor ; Lamster, Ira B. / Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics/Latinos. In: Journal of Clinical Periodontology. 2018 ; Vol. 45, No. 7. pp. 780-790.
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AU - Salazar, Christian R.

AU - Laniado, Nadia

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AU - Borrell, Luisa N.

AU - Qi, Qibin

AU - Sotres-Alvarez, Daniela

AU - Morse, Douglas E.

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AU - Kaplan, Robert C.

AU - Badner, Victor

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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.

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