饮食模式和牙周炎:一个系统的审查
Xinyi Shi1, Peijun Zhu1, Mi Du2
1School of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, China.
Journal of periodontal research
|September 9, 2024
概括
坚持高质量的饮食,以健康饮食指数等指数衡量,与牙周炎风险降低有关. 这一系统性审查强调了饮食的重点.
科学领域:
- 口腔卫生流行病学 口腔卫生流行病学
- 营养科学 营养科学
- 系统审查方法论 系统审查方法论
背景情况:
- 牙周炎是一种普遍存在的口腔疾病,具有重大公共卫生影响.
- 饮食模式越来越被认为是各种慢性疾病,包括炎症疾病的潜在可改变的风险因素.
- 特定饮食指数与牙周炎风险和严重程度之间的关联需要全面调查.
研究的目的:
- 系统地审查和综合证据,以指数为基础的饮食模式和牙周炎之间的关联.
- 评估牙周炎的风险和严重程度与以既定指数评估的饮食质量相关.
主要方法:
- 进行了系统审查,搜索了四个公共数据库的相关研究.
- 研究选择,质量评估 (使用乔安娜·布里格斯研究所检查清单) 和数据提取由两位研究人员独立进行.
- 包括25项研究 (23个横截面,2个潜在队列),使用饮食指数,如健康饮食指数 (HEI),地中海饮食得分 (MDS) 和饮食炎症指数 (DII).
主要成果:
- 更高的饮食质量,由更高的HEI和MDS得分和更低的DII得分表明,与更健康的牙周状况有关.
- 使用HEI进行的四项研究的子组元分析表明,对牙周炎风险具有统计学上显著的保护作用 (OR [95% CI] = 0.77 [0.68,0.88]).
- 饮食评估方法包括经过验证的食物频率问卷 (FFQ),24小时的饮食回忆和特定的坚持问卷 (QueMD).
结论:
- 在健康饮食指数和地中海饮食得分上得分高,在饮食炎症指数上得分低,与牙周炎的风险降低和严重程度更好有关.
- 基于这些指数的标准化饮食指南可能有助于预防牙周炎.
- 需要进一步的前性研究和临床试验来确定因果关系.
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