Association between Dietary Pattern and Periodontitis—A Cross-Sectional Study

Altun, Ersin; Walther, Carolin; Borof, Katrin; Petersen, Elina; Lieske, Berit; Kasapoudis, Dimitros; Jalilvand, Navid; Beikler, Thomas; Jagemann, Bettina; Zyriax, Birgit-Christiane; Aarabi, Ghazal

doi:10.3390/nu13114167

Cited by 44 publications

(51 citation statements)

References 39 publications

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“…Our group recently investigated the MedD in a 6-week randomized clinical trial and found comparable results to the studies above [ 13 ]. The findings of that study were in accordance with a cross-sectional study that reported lower odds of periodontitis when the participants adhered to the MedD [ 14 ]. Accordingly, the MedD offers advantages both for general and oral health and should therefore be recommended to dental patients.…”

Section: Introductionsupporting

confidence: 89%

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How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis

Bartha

Exner²,

Meyer

et al. 2022

Nutrients

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This study aimed to evaluate the Mediterranean Diet Adherence Screener (MEDAS) in a study investigating the anti-inflammatory effect of a 6-week Mediterranean diet intervention on periodontal parameters. Data from a randomized clinical trial were analyzed for correlations between the MEDAS score and oral inflammatory parameters (bleeding on probing (BOP), gingival index (GI), and periodontal inflamed surface area (PISA)) and select nutrient intakes estimated by a food frequency questionnaire (FFQ) and a 24-h dietary recall (24dr). A mixed model, calculations of Spearman ρ, Lin’s Concordance Coefficient (CC), and Mann–Whitney U test were used for the statistical analyses. The MEDAS score was significantly negatively correlated with periodontal inflammation (BOP: CoE −0.391, p < 0.001; GI −0.407, p < 0.001; PISA −0.348, p = 0.001) and positively correlated with poly unsaturated fatty acids/total fat, vitamin C, and fiber intake estimates obtained from the FFQ and 24dr (ρ 0.38–0.77). The FFQ and 24dr produced heterogeneously comparable intake results for most nutrients (CC 0–0.79, Spearman ρ 0.16–0.65). Within the limitations of this study, the MEDAS was able to indicate nutritional habits associated with different levels of periodontal inflammation. Accordingly, the MEDAS can be a sufficient and useful diet screener in dental studies. Due to its correlation with oral inflammatory parameters, the MEDAS might also be useful in dental practice.

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Section: Introductionsupporting

confidence: 89%

“…Our results confirm the findings of Altun et al (2021). In their cross-sectional study, they found a lower risk for periodontal disease when adherence to the MedD was increased, and they used the MEDAS as an evaluation tool [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis

Bartha

Exner²,

Meyer

et al. 2022

Nutrients

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“…Overall, we found that women had a higher DASH score, whereas men were twice as often assigned the “low” DASH category. The same was found in an analysis of periodontitis [ 22 ]. Higher adherence to the DASH or the MEDAS diet was associated with less conventional cardiovascular risk factors and the prevalence of MetS.…”

Section: Discussionsupporting

confidence: 81%

Association of Dietary Pattern, Lifestyle and Chronotype with Metabolic Syndrome in Elderly—Lessons from the Population-Based Hamburg City Health Study

Terschüren

Damerau

Harth

et al. 2021

IJERPH

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In aging populations, the increasing prevalence of metabolic syndrome and the resulting elevated risk of developing non-communicable diseases is a major challenge for worldwide health care. The elderly population-based Hamburg City Health Study (HCHS) allows investigating the association in the relevant age group 45–74 years. For 3513 of 10,000 participants, self-reported information on dietary patterns (DASH, MEDAS), chronotype, lifestyle, and data on metabolic syndrome parameters was available. Overall, having a “low” DASH score was a statistically significant risk factor (OR 1.23; 95% CI 1.01–1.48). Only for “late” chronotype, a slightly elevated OR (1.06) was found, but no statistically significant effect on the outcome of metabolic syndrome. Still, considering chronotype vastly improved the model. However, a trend of an increasing predicted probability from early to late chronotype was found for participants with low adherence to the DASH diet. Future research should focus on options for prevention in persons with late chronotype, so they can be supported better in adherence to, e.g., DASH diet to lower their risk.

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“…An important recommendation combining the prevention of PD and ASCVD is to recommend a healthy diet. As indicated by Altun et al, the use of DASH diet/Mediterranean diet reduced the risk of PD (OR = 0.92; 95% CI: 0.87–0.97, p < 0.001 and OR = 0.93; 95% CI: 0.91–0.96, p < 0.001, respectively) [ 156 ]. These diets are also effective and recommended in the prevention of ASCVD [ 154 ].…”

Section: Discussionmentioning

confidence: 99%

Unexpected Relationships: Periodontal Diseases: Atherosclerosis–Plaque Destabilization? From the Teeth to a Coronary Event

Czerniuk

Surma

Romańczyk

et al. 2022

Biology

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Atherosclerotic cardiovascular disease (ASCVD) and periodontal disease (PD) are global health problems. High frequency of ASCVD is associated with the spread of many risk factors, including poor diet, sedentary lifestyle, diabetes, hyperlipidemia, obesity, smoking, hypertension, chronic kidney disease, hypertension, hyperhomocysteinemia, hyperuricemia, excessive stress, virus infection, genetic predisposition, etc. The pathogenesis of ASCVD is complex, while inflammation plays an important role. PD is a chronic, multifactorial inflammatory disease caused by dysbiosis of the oral microbiota, causing the progressive destruction of the bone and periodontal tissues surrounding the teeth. The main etiological factor of PD is the bacteria, which are capable of activating the immune response of the host inducing an inflammatory response. PD is associated with a mixed microbiota, with the evident predominance of anaerobic bacteria and microaerophilic. The “red complex” is an aggregate of three oral bacteria: Tannerella forsythia Treponema denticola and Porphyromonas gingivalis responsible for severe clinical manifestation of PD. ASCVD and PD share a number of risk factors, and it is difficult to establish a causal relationship between these diseases. The influence of PD on ASCVD should be treated as a factor increasing the risk of atherosclerotic plaque destabilization and cardiovascular events. The results of observational studies indicate that PD significantly increases the risk of ASCVD. In interventional studies, PD treatment was found to have a beneficial effect in the prevention and control of ASCVD. This comprehensive review summarizes the current knowledge of the relationship between PD and ASCVD.

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Association between Dietary Pattern and Periodontitis—A Cross-Sectional Study

Cited by 44 publications

References 39 publications

How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis

How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis

Association of Dietary Pattern, Lifestyle and Chronotype with Metabolic Syndrome in Elderly—Lessons from the Population-Based Hamburg City Health Study

Unexpected Relationships: Periodontal Diseases: Atherosclerosis–Plaque Destabilization? From the Teeth to a Coronary Event

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