Association between healthy lifestyle combinations and periodontitis in NHANES
Abstract Background Periodontitis is closely associated with chronic systemic diseases. Healthy lifestyle interventions have health-enhancing effects on chronic systemic disorders and periodontitis, but the extent to which healthy lifestyle combinations are associated with periodontitis is unclear....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-024-03937-z |
| _version_ | 1797272991311069184 |
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| author | J.N. Xu Y.Q. Huang J. Wang H.L. Wang C. Sun Wentao Shi Xinquan Jiang |
| author_facet | J.N. Xu Y.Q. Huang J. Wang H.L. Wang C. Sun Wentao Shi Xinquan Jiang |
| author_sort | J.N. Xu |
| collection | DOAJ |
| description | Abstract Background Periodontitis is closely associated with chronic systemic diseases. Healthy lifestyle interventions have health-enhancing effects on chronic systemic disorders and periodontitis, but the extent to which healthy lifestyle combinations are associated with periodontitis is unclear. Therefore, this study aimed to investigate the association between periodontitis and different healthy lifestyle combinations. Methods 5611 participants were included from the National Health and Nutrition Examination Survey (NHANES, 2009–2014). Six healthy lifestyles factors were defined as fulfilling either: non-smoking, moderate drinking, moderate body mass index (BMI), physical activity, healthy sleep and appropriate total energy intake. Then, the adjusted logistic regression models were performed to identify the association between the periodontitis and the scoring system composed of six lifestyles (0–6 scale). Finally, different scenarios were dynamically and randomly combined to identify the optimal and personalized combination mode. Results Higher healthy lifestyle scores were significantly associated with lower periodontitis prevalence (p < 0.05). Four lifestyle factors (smoking, drinking, BMI, and sleep) significantly varied between the periodontitis and healthy groups (p < 0.05). Smoking was considered as a strong independent risk factor for periodontitis in both former and current smokers. Results further indicated that the combination of these four lifestyles played the most essential role in determining the magnitude of periodontitis occurrence (odds ratio [OR]: 0.33; 95% confidence interval [CI]: 0.21 to 0.50). In the total population, the majority of three lifestyle combinations outperformed the two combination models, whereas the two-combination of nonsmoking-drinking (OR: 0.39; 95% CI: 0.27 to 0.58) had relatively lower periodontitis prevalence than the three-combination of healthy drinking-BMI-sleep (OR: 0.42; 95% CI: 0.26 to 0.66). Conclusion This cross-sectional study suggests that smoking, drinking, BMI, and sleep are significantly related with periodontitis and smoking is the principal risk factor related among them. This study provides various customized lifestyle combinations for periodontitis prevention. |
| first_indexed | 2024-03-07T14:38:11Z |
| format | Article |
| id | doaj.art-cb2d6fa3f07e436dbb7fe1ce9cea8148 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-07T14:38:11Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-cb2d6fa3f07e436dbb7fe1ce9cea81482024-03-05T20:33:48ZengBMCBMC Oral Health1472-68312024-02-0124111210.1186/s12903-024-03937-zAssociation between healthy lifestyle combinations and periodontitis in NHANESJ.N. Xu0Y.Q. Huang1J. Wang2H.L. Wang3C. Sun4Wentao Shi5Xinquan Jiang6Department of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineSchool of public health, Shanghai Jiao Tong University School of MedicineDepartment of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineCollege of Stomatology, Shanghai Jiao Tong UniversityCollege of Stomatology, Shanghai Jiao Tong UniversityDepartment of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineAbstract Background Periodontitis is closely associated with chronic systemic diseases. Healthy lifestyle interventions have health-enhancing effects on chronic systemic disorders and periodontitis, but the extent to which healthy lifestyle combinations are associated with periodontitis is unclear. Therefore, this study aimed to investigate the association between periodontitis and different healthy lifestyle combinations. Methods 5611 participants were included from the National Health and Nutrition Examination Survey (NHANES, 2009–2014). Six healthy lifestyles factors were defined as fulfilling either: non-smoking, moderate drinking, moderate body mass index (BMI), physical activity, healthy sleep and appropriate total energy intake. Then, the adjusted logistic regression models were performed to identify the association between the periodontitis and the scoring system composed of six lifestyles (0–6 scale). Finally, different scenarios were dynamically and randomly combined to identify the optimal and personalized combination mode. Results Higher healthy lifestyle scores were significantly associated with lower periodontitis prevalence (p < 0.05). Four lifestyle factors (smoking, drinking, BMI, and sleep) significantly varied between the periodontitis and healthy groups (p < 0.05). Smoking was considered as a strong independent risk factor for periodontitis in both former and current smokers. Results further indicated that the combination of these four lifestyles played the most essential role in determining the magnitude of periodontitis occurrence (odds ratio [OR]: 0.33; 95% confidence interval [CI]: 0.21 to 0.50). In the total population, the majority of three lifestyle combinations outperformed the two combination models, whereas the two-combination of nonsmoking-drinking (OR: 0.39; 95% CI: 0.27 to 0.58) had relatively lower periodontitis prevalence than the three-combination of healthy drinking-BMI-sleep (OR: 0.42; 95% CI: 0.26 to 0.66). Conclusion This cross-sectional study suggests that smoking, drinking, BMI, and sleep are significantly related with periodontitis and smoking is the principal risk factor related among them. This study provides various customized lifestyle combinations for periodontitis prevention.https://doi.org/10.1186/s12903-024-03937-zHealthy lifestyleCross-sectional studiesPeriodontitisNHANESCombined effect |
| spellingShingle | J.N. Xu Y.Q. Huang J. Wang H.L. Wang C. Sun Wentao Shi Xinquan Jiang Association between healthy lifestyle combinations and periodontitis in NHANES BMC Oral Health Healthy lifestyle Cross-sectional studies Periodontitis NHANES Combined effect |
| title | Association between healthy lifestyle combinations and periodontitis in NHANES |
| title_full | Association between healthy lifestyle combinations and periodontitis in NHANES |
| title_fullStr | Association between healthy lifestyle combinations and periodontitis in NHANES |
| title_full_unstemmed | Association between healthy lifestyle combinations and periodontitis in NHANES |
| title_short | Association between healthy lifestyle combinations and periodontitis in NHANES |
| title_sort | association between healthy lifestyle combinations and periodontitis in nhanes |
| topic | Healthy lifestyle Cross-sectional studies Periodontitis NHANES Combined effect |
| url | https://doi.org/10.1186/s12903-024-03937-z |
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