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01.01.2024 | Research

The association of aldehyde exposure with the risk of periodontitis: NHANES 2013–2014

verfasst von: Xing Cui, Guirong Zhu, Junyan Lin, Catherine Huihan Chu, Kang Li, Liwen Fan, Changyue Xing, Lin Wang, Yongchu Pan

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2024

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Abstract

Objectives

Three distinct models were utilized to investigate the combined impacts of serum aldehyde exposure and periodontitis.

Materials and methods

We performed a cross-sectional analysis using data from 525 participants in the 2013–2014 National Health and Nutrition Examination Survey (NHANES). The directed acyclic graphs (DAG) were used to select a minimal sufficient adjustment set of variables (MSAs). To investigate the relationship between aldehydes and periodontitis, we established three models including multiple logistic regression model, restricted cubic spline (RCS) model, and Bayesian kernel machine regression (BKMR) model.

Results

After taking all covariates into account, the multiple logistic regression model revealed that elevated concentrations of isopentanaldehyde and propanaldehyde were strongly associated with periodontitis (isopentanaldehyde: OR: 2.38, 95% CI: 1.34–4.23; propanaldehyde: OR: 1.51, 95% CI: 1.08–2.13). Furthermore, the third tertile concentration of isopentanaldehyde was associated with a 2.04-fold increase in the incidence of periodontitis (95% CI: 1.05–3.95) compared to the first tertile concentration, with a P for trend = 0.04. RCS models showed an “L”-shaped relationship between isopentanaldehyde and periodontitis (P for nonlinear association < 0.01), with inflection point of 0.43 ng/mL. BKMR identified a strong connection between mixed aldehydes and periodontitis, with isopentanaldehyde exhibiting the greatest posterior inclusion probability (PIP) with 0.901 and propanaldehyde exhibiting a PIP with 0.775.

Conclusions

Isopentanaldehyde and propanaldehyde are positively associated with the risk of periodontitis.

Clinical relevance

Periodontitis may be associated with exposure to mixed aldehyde. This study emphasizes the important role of aldehydes in primary prevention of periodontitis.

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Titel: The association of aldehyde exposure with the risk of periodontitis: NHANES 2013–2014
verfasst von: Xing Cui
Guirong Zhu
Junyan Lin
Catherine Huihan Chu
Kang Li
Liwen Fan
Changyue Xing
Lin Wang
Yongchu Pan
Publikationsdatum: 01.01.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05451-y

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The association of aldehyde exposure with the risk of periodontitis: NHANES 2013–2014