Association between the Mediterranean Diet Index and self-reported Gingival Health Status Indicators in a population of Chilean adults: a cross-sectional study.


Journal

Journal of applied oral science : revista FOB
ISSN: 1678-7765
Titre abrégé: J Appl Oral Sci
Pays: Brazil
ID NLM: 101189774

Informations de publication

Date de publication:
2023
Historique:
received: 21 03 2023
accepted: 30 05 2023
medline: 6 7 2023
pubmed: 5 7 2023
entrez: 5 7 2023
Statut: epublish

Résumé

Despite the recognized impact of diet on non-communicable diseases, the association between the Mediterranean diet and periodontal diseases is still uncertain. This study aimed to determine the association between adherence to the Mediterranean Diet Index (MDI) and self-reported gingival health status in Chilean adults, exploring the feasibility of using validated web-based survey questionnaires. Cross-sectional data were collected from a representative sample of a population of Chilean adults (18-60 years old) using a low-cost and time-saving methodology. By the PsyToolkit platform, anonymous survey data were downloaded and analyzed in bivariate (crude) and backward stepwise selection multivariate logistic regression models adjusted for sociodemographic determinants, smoking, and dental attendance using STATA 17. Odds ratios (OR) [95% confidence intervals] were estimated. In total, 351 complete statistical data were mostly obtained from female university students who had never smoked and reported having visited a dentist in the previous year. Multivariate regression models showed an association between MDI and very good/good gingival health status (OR 1.18 [95% CI 1.04-1.34], p=0.013), absence of bleeding on toothbrushing (OR 1.12 [95% CI 1.01-1.25], p=0.035), and absence of clinical signs of gingival inflammation (OR 1.24 [95% CI 1.10-1.40], p<0.001), after controlling for age, sex, educational level, smoking, and dental attendance. We associated adherence to the Mediterranean diet with better self-reported gingival health status in a population of Chilean adults in an entirely web-based research environment. Longitudinal studies with random sampling are required to establish the effect of diet on gingival and periodontal health. Nevertheless, this evidence could contribute to the design of low-cost surveillance programs to reduce the burden of periodontal disease and related "common risk factors".

Sections du résumé

BACKGROUND BACKGROUND
Despite the recognized impact of diet on non-communicable diseases, the association between the Mediterranean diet and periodontal diseases is still uncertain. This study aimed to determine the association between adherence to the Mediterranean Diet Index (MDI) and self-reported gingival health status in Chilean adults, exploring the feasibility of using validated web-based survey questionnaires.
METHODOLOGY METHODS
Cross-sectional data were collected from a representative sample of a population of Chilean adults (18-60 years old) using a low-cost and time-saving methodology. By the PsyToolkit platform, anonymous survey data were downloaded and analyzed in bivariate (crude) and backward stepwise selection multivariate logistic regression models adjusted for sociodemographic determinants, smoking, and dental attendance using STATA 17. Odds ratios (OR) [95% confidence intervals] were estimated.
RESULTS RESULTS
In total, 351 complete statistical data were mostly obtained from female university students who had never smoked and reported having visited a dentist in the previous year. Multivariate regression models showed an association between MDI and very good/good gingival health status (OR 1.18 [95% CI 1.04-1.34], p=0.013), absence of bleeding on toothbrushing (OR 1.12 [95% CI 1.01-1.25], p=0.035), and absence of clinical signs of gingival inflammation (OR 1.24 [95% CI 1.10-1.40], p<0.001), after controlling for age, sex, educational level, smoking, and dental attendance.
CONCLUSIONS CONCLUSIONS
We associated adherence to the Mediterranean diet with better self-reported gingival health status in a population of Chilean adults in an entirely web-based research environment. Longitudinal studies with random sampling are required to establish the effect of diet on gingival and periodontal health. Nevertheless, this evidence could contribute to the design of low-cost surveillance programs to reduce the burden of periodontal disease and related "common risk factors".

Identifiants

pubmed: 37403879
pii: S1678-77572023000100431
doi: 10.1590/1678-7757-2023-0100
pmc: PMC10317129
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e20230100

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Auteurs

Gustavo Sáenz-Ravello (G)

Universidad de Chile, Facultad de Odontología, Centro de Epidemiologia y Vigilancia de las Enfermedades Orales (CEVEO), Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Departmento de Odontología Conservadora, Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Santiago, Chile.

Loreto Matamala (L)

Universidad de Chile, Facultad de Odontología, Departmento de Odontología Conservadora, Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Santiago, Chile.

Patricia Cisternas (P)

Universidad de Chile, Facultad de Odontología, Santiago, Chile.

Jorge Gamonal (J)

Universidad de Chile, Facultad de Odontología, Centro de Epidemiologia y Vigilancia de las Enfermedades Orales (CEVEO), Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Departmento de Odontología Conservadora, Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Santiago, Chile.

Patricia Hernández (P)

Universidad de Chile, Facultad de Odontología, Departmento de Odontología Conservadora, Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Santiago, Chile.

Nidia Castro Dos Santos (NCD)

Universidade Guarulhos, Divisão de Pesquisa Odontológica, Guarulhos, SP, Brasil.
The Forsyth Institute, Cambridge, MA, United States.

Ke Deng (K)

The University of Hong Kong, Faculty of Dentistry, Division of Periodontology and Implant Dentistry, Hong Kong SAR, China.

Mauricio Baeza (M)

Universidad de Chile, Facultad de Odontología, Centro de Epidemiologia y Vigilancia de las Enfermedades Orales (CEVEO), Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Departmento de Odontología Conservadora, Santiago, Chile.
Universidad de Chile, Facultad de Odontología, Santiago, Chile.

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