Effect of lifestyle on 6-year periodontitis incidence or progression and tooth loss in older adults

Journal of Clinical Periodontology
Masanori IwasakiHideo Miyazaki

Abstract

To evaluate the longitudinal association of combined healthy lifestyle factors with incidence or progression of periodontitis and tooth loss in older adults. This 6-year study included 374 Japanese 70-year olds with 7,157 teeth, from a source eligible baseline population of 554 individuals. Four lifestyle factors-cigarette smoking, physical activity, relative weight, and dietary quality-were scored as healthy (1 point) or unhealthy (0 point). Adding the individual scores generated the "healthy lifestyle score" (0-4 points). Multilevel mixed-effects logistic regression models were applied to evaluate tooth-specific associations between the baseline healthy lifestyle score and the incidence or progression of periodontitis (increase in clinical attachment loss ≥3 mm) and tooth loss. After 6 years, 19.0% of the teeth exhibited periodontitis incidence or progression and 8.2% were lost. Compared with a healthy lifestyle score of 0-1 (least healthy), the highest score (4 points) was associated with a significantly lower tooth-specific risk of periodontitis (adjusted odds ratio = 0.32; 95% confidence interval: 0.16-0.62) and tooth loss (adjusted odds ratio = 0.42; 95% confidence interval: 0.23-0.77). Simultaneous adherence to multiple ...Continue Reading

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Citations

Nov 14, 2019·BMC Oral Health·Maria Luisa Silveira SoutoCláudio Mendes Pannuti
Sep 26, 2020·Digestive Diseases and Sciences·Anthony A XuLi Jiao
Jan 1, 2021·Journal of Periodontal Research·Masanori IwasakiHideo Miyazaki
Jan 21, 2021·The British Journal of Nutrition·Eftychia KotroniaSheena E Ramsay

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