2012
DOI: 10.1111/j.1532-5415.2011.03866.x
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High‐Fiber Foods Reduce Periodontal Disease Progression in Men Aged 65 and Older: The Veterans Affairs Normative Aging Study/Dental Longitudinal Study

Abstract: Benefits of higher intake of high-fiber foods, especially fruits, on slowing periodontal disease progression are most evident in men aged 65 and older.

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Cited by 35 publications
(32 citation statements)
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References 52 publications
(90 reference statements)
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“…23 Sample size or power calculations were reported in 5 studies. [24][25][26][27][28] Periodontal therapy was provided by a range of operators, including specialists, general dentists and hygienists. Overall, the methodological quality of all the observational studies was considered to be medium.…”
Section: Quality Assessmentmentioning
confidence: 99%
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“…23 Sample size or power calculations were reported in 5 studies. [24][25][26][27][28] Periodontal therapy was provided by a range of operators, including specialists, general dentists and hygienists. Overall, the methodological quality of all the observational studies was considered to be medium.…”
Section: Quality Assessmentmentioning
confidence: 99%
“…One study was conducted with children and teenagers, 29 15 studies involved adults, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] while older adults (≥65 years) participated in 9 studies. 22,24,25,27,28,[31][32][33]36 One study included pregnant women. 35 Among the studies selected for review, 4 involved dietary intervention experiments, 22,32-34 1 was a retrospective cohort study, 26 2 were prospective cohort studies, 24,36 and 8 were cross-sectional studies.…”
Section: Study Characteristicsmentioning
confidence: 99%
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“…An analysis of the dietary practices showed that 26.5% of children with an upper SES, in comparison to 8.7% with a lower SES, consumed fruit twice a day or more (Table ), which could also contribute to poor gingival health in the latter. Consumption of fruit provides high dietary fiber for mechanical cleansing, removes residual food debris, provides phytochemicals and vitamins A, E, and C, improves periodontal health by providing antioxidants, and boosts immunity . The increased salivary flow during fruit consumption also provides secretory immunoglobulin A as a first line of defense, and restricts the formation of a biofilm …”
Section: Discussionmentioning
confidence: 99%
“…3 However, physical activity and whole grain intake have been shown to predict PD independent of known risk factors of PD in prospective studies. [4][5][6] As physical activity and whole grain intake are not considered to be risk factors for PD, they were not measured or adjusted for in the observational studies evaluating the relationship between PD and ASVD. Unmeasured physical activity and whole grain intake can therefore link the two conditions even if PD does not really cause ASVD.…”
Section: Residual Confoundingmentioning
confidence: 99%