在NHANES中,健康生活方式组合与牙周炎之间的关联
J N Xu1,2,3,4,5,6, Y Q Huang7, J Wang1,2,3,4,5,6
1Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
BMC oral health
|February 4, 2024
概括
采用健康的生活方式,特别是不吸烟,适度饮酒,健康的体重指数 (BMI) 和充足的睡眠,可以显著降低牙周炎的风险. 吸烟是主要的风险因素,特定的生活方式组合提供了个性化的预防策略.
科学领域:
- 口腔健康 口腔健康
- 公共卫生 公共卫生
- 慢性疾病流行病学 慢性疾病流行病学
背景情况:
- 牙周炎与慢性全身性疾病有关.
- 健康的生活方式干预有益于慢性疾病和牙周炎.
- 结合健康生活方式因素对牙周炎的影响尚不清楚.
研究的目的:
- 调查牙周炎与各种健康生活方式组合之间的关联.
- 确定最佳的生活方式组合,以预防牙周炎.
主要方法:
- 来自国家健康和营养检查调查 (NHANES,2009-2014) 的5611名参与者的分析.
- 定义了六个健康生活方式因素:不吸烟,适度饮酒,适度体重指数 (BMI),体力活动,健康睡眠和适当的总能量摄入.
- 使用调整后勤回归来评估牙周炎与生活方式得分 (0-6) 之间的关联,探索各种组合场景.
主要成果:
- 较高的健康生活方式得分与较低的牙周炎患病率相关 (p < 0.05).
- 吸烟,饮酒,BMI和睡眠是区分牙周炎和健康组的重要因素 (p <0.05).
- 吸烟成为牙周炎的强有力的独立风险因素. 非吸烟,适度饮酒,适度BMI和健康睡眠的组合显示出最强的保护作用 (OR:0.33;95%CI:0.21-0.50).
结论:
- 吸烟,饮酒,BMI和睡眠与牙周炎有显著的关联,吸烟是主要的危险因素.
- 这项研究为有效的牙周炎预防策略提供基于证据的定制生活方式组合.
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