Periodontitis and tooth loss have negative impact on dietary intake: A cross‐sectional study with stable coronary artery disease patients

Abstract

Background Despite the association between cardiovascular diseases and periodontitis, there are scarce data on the impact of oral health in the dietary intake of patients with coronary artery disease (CAD). The aim of this study was to assess the association between dietary intake with periodontitis and present teeth in individuals with stable CAD. Methods This cross‐sectional study included 115 patients with stable CAD (76 males, aged 61.0 ± 8.3 years) who were under cardiovascular care in an outpatient clinic for at least 3 months. Dietary intake was recorded applying a food frequency questionnaire previously validated. Periodontal examinations were performed by two calibrated examiners in six sites per tooth from all present teeth. Blood samples were collected to determine serum levels of lipids. Multivariable logistic and linear regression models were fitted to evaluate the association between dietary outcomes and oral health variables. Results Individuals with periodontitis had significantly higher percentage of total energy intake from fried foods, sweets, and beans, and also had lower consumption of fruits than those without periodontitis. Presence of periodontitis was associated with lower percentage of individuals who reached the nutritional recommendation of monounsaturated fatty acids and higher blood concentration of triglycerides. Having a greater number of present teeth (≥20 teeth) was associated with higher intake of fibers and total calories. Conclusion In patients with stable CAD, the presence of periodontitis and tooth loss were associated with a poor dietary intake of nutrients and healthy foods, which are important for cardiovascular prevention.

Effect of tooth loss and nutritional status on outcomes after ischemic stroke

“…These nutrients have an antioxidant effect [22], and adequate intake is necessary for the prevention of many non-communicable diseases (NCDs) including CVDs [23]. In fact, it is reported that having a greater number of present teeth (20) was associated with higher intake of fiber and total calories in patients with stable coronary artery disease [24]. Therefore, tooth loss, nutrition, and NCDs are closely related.…”

Relationship between Subjective Oral Discomfort and Health-Related Quality of Life in the South Korean Elderly Population

“…Oral health is essential in preserving a healthy life in later years. Thus, oral health in the elderly population plays an important role in maintaining a balanced diet and healthy digestion and is closely related to systemic diseases [1,2]. Furthermore, with age the salivary glands undergo morphological changes, which gradually reduce saliva secretion.…”

Masticatory function and nutritional status in institutionalized elderly: influence of denture use

“…The impact of masticatory function and nutritional status on the general health and quality of life of the elderly has been extensively addressed in the literature [6,13,14]. A recent study has shown that patients with tooth loss above 20 teeth have lower consumption of healthy food and lower nutrient intake, which increases the risk of cardiovascular disease [13]. In addition, institutionalized elderly people who do not have posterior occlusal pairs and use a pasty diet were at higher risk of death after one year of follow-up [14].…”