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Erschienen in: Clinical Oral Investigations 3/2024

01.03.2024 | Research

The relationship of dietary flavonoids and periodontitis in US population: a cross-sectional NHANES analysis

verfasst von: Yundong Liu, Tao Yin, Mi He, Changyun Fang, Shifang Peng

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2024

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Abstract

Objectives

We investigated the association between dietary flavonoids intake and periodontitis.

Materials and methods

This cross-sectional study analyzed data from the US National Health and Nutrition Examination Survey 2009–2010 on 3025 participants aged between 30 and 80 years who had full-mouth periodontal examination and dietary flavonoids intake data. This study used periodontal pocket depth (PPD) and clinical attachment loss (CAL) as periodontitis markers. Data were analyzed using multivariate linear regression.

Results

After adjusting confounders, the middle tertile of total dietary flavonoids was associated with decreased mean PPD (0.06 mm, P = 0.016) and mean CAL (0.13 mm, P = 0.001) and the top tertile of total dietary flavonoids was significantly associated with decreases in mean PPD (0.05 mm, P = 0.029) and mean CAL (0.11 mm, P = 0.010). Both the middle and top tertiles of total flavonoids intake were significantly related with decreased mean CAL in females, those flossing 0 days/week, overweight and non-diabetic population but not in males, smokers, those flossing 1–6 days/week and diabetic population. Higher anthocyanidins, flavones and flavonols intake was significantly associated with decreased mean PPD and mean CAL while higher flavanones intake was only significantly associated with decreased mean CAL. Higher anthocyanidins intake was particularly related with greatest decreases in mean CAL (top tertile: 0.22 mm, middle tertile: 0.17 mm, both P < 0.010). However, no significant associations were found between isoflavones and flavan_3_ols intake and mean CAL.

Conclusions

Higher dietary flavonoids intake may be beneficial for periodontal health.

Clinical relevance

Additional anthocyanidins, flavanones, flavones and flavonols intake was associated with improved periodontal health.
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Literatur
1.
Zurück zum Zitat Uy S, Deng K, Fok CTC, Fok MR, Pelekos G, Tonetti MS (2022) Food intake, masticatory function, tooth mobility, loss of posterior support, and diminished quality of life are associated with more advanced periodontitis stage diagnosis. J Clin Periodontol 49:240–250. https://doi.org/10.1111/jcpe.13588CrossRefPubMed Uy S, Deng K, Fok CTC, Fok MR, Pelekos G, Tonetti MS (2022) Food intake, masticatory function, tooth mobility, loss of posterior support, and diminished quality of life are associated with more advanced periodontitis stage diagnosis. J Clin Periodontol 49:240–250. https://​doi.​org/​10.​1111/​jcpe.​13588CrossRefPubMed
8.
Zurück zum Zitat Khocht A, Orlich M, Paster B, Bellinger D, Lenoir L, Irani C, Fraser G (2021) Cross-sectional comparisons of subgingival microbiome and gingival fluid inflammatory cytokines in periodontally healthy vegetarians versus non-vegetarians. J Periodontal Res 56:1079–1090. https://doi.org/10.1111/jre.12922CrossRefPubMed Khocht A, Orlich M, Paster B, Bellinger D, Lenoir L, Irani C, Fraser G (2021) Cross-sectional comparisons of subgingival microbiome and gingival fluid inflammatory cytokines in periodontally healthy vegetarians versus non-vegetarians. J Periodontal Res 56:1079–1090. https://​doi.​org/​10.​1111/​jre.​12922CrossRefPubMed
11.
19.
Zurück zum Zitat Katanasaka Y, Yoshida N, Naitou H, Naruta R, Miyazaki Y, Sunagawa Y, Funamoto M, Shimizu K, Shimizu S, Sari N, Yamakage H, Satoh-Asahara N, Hasegawa K, Morimoto T (2021) Effect of Theaflavin on oral Bacteria in Japanese subjects: a Randomized, Placebo-Controlled, double-blind study. J Med Food 24:1186–1190. https://doi.org/10.1089/jmf.2021.K.0050CrossRefPubMed Katanasaka Y, Yoshida N, Naitou H, Naruta R, Miyazaki Y, Sunagawa Y, Funamoto M, Shimizu K, Shimizu S, Sari N, Yamakage H, Satoh-Asahara N, Hasegawa K, Morimoto T (2021) Effect of Theaflavin on oral Bacteria in Japanese subjects: a Randomized, Placebo-Controlled, double-blind study. J Med Food 24:1186–1190. https://​doi.​org/​10.​1089/​jmf.​2021.​K.​0050CrossRefPubMed
20.
Zurück zum Zitat Carvalho JS, Ramadan D, de Paiva Goncalves V, Maquera-Huacho PM, Assis RP, Lima TFO, Brunetti IL, Spolidorio DMP, Cesar T, Manthey JA, Spolidorio LC (2021) Impact of citrus flavonoid supplementation on inflammation in lipopolysaccharide-induced periodontal disease in mice. Food Funct 12:5007–5017. https://doi.org/10.1039/d0fo03338cCrossRefPubMed Carvalho JS, Ramadan D, de Paiva Goncalves V, Maquera-Huacho PM, Assis RP, Lima TFO, Brunetti IL, Spolidorio DMP, Cesar T, Manthey JA, Spolidorio LC (2021) Impact of citrus flavonoid supplementation on inflammation in lipopolysaccharide-induced periodontal disease in mice. Food Funct 12:5007–5017. https://​doi.​org/​10.​1039/​d0fo03338cCrossRefPubMed
22.
25.
Zurück zum Zitat Nawrot-Hadzik I, Matkowski A, Kubasiewicz-Ross P, Hadzik J (2021) Proanthocyanidins and Flavan-3-ols in the Prevention and Treatment of Periodontitis-Immunomodulatory effects, Animal and Clinical studies. Nutrients 13. https://doi.org/10.3390/nu13010239 Nawrot-Hadzik I, Matkowski A, Kubasiewicz-Ross P, Hadzik J (2021) Proanthocyanidins and Flavan-3-ols in the Prevention and Treatment of Periodontitis-Immunomodulatory effects, Animal and Clinical studies. Nutrients 13. https://​doi.​org/​10.​3390/​nu13010239
26.
Zurück zum Zitat Nawrot-Hadzik I, Matkowski A, Hadzik J, Dobrowolska-Czopor B, Olchowy C, Dominiak M, Kubasiewicz-Ross P (2021) Proanthocyanidins and Flavan-3-Ols in the Prevention and Treatment of Periodontitis-Antibacterial effects. Nutrients 13. https://doi.org/10.3390/nu13010165 Nawrot-Hadzik I, Matkowski A, Hadzik J, Dobrowolska-Czopor B, Olchowy C, Dominiak M, Kubasiewicz-Ross P (2021) Proanthocyanidins and Flavan-3-Ols in the Prevention and Treatment of Periodontitis-Antibacterial effects. Nutrients 13. https://​doi.​org/​10.​3390/​nu13010165
36.
Zurück zum Zitat Yelins’ka AM, Liashenko LI, Kostenko VO (2019) Quercetin potentiates antiradical properties of epigallocatechin-3-gallate in periodontium of rats under systemic and local administration of lipopolisaccharide of salmonella typhi. Wiad Lek 72:1499–1503CrossRefPubMed Yelins’ka AM, Liashenko LI, Kostenko VO (2019) Quercetin potentiates antiradical properties of epigallocatechin-3-gallate in periodontium of rats under systemic and local administration of lipopolisaccharide of salmonella typhi. Wiad Lek 72:1499–1503CrossRefPubMed
38.
Zurück zum Zitat Li M, Li R, Jin Q, Pang J, Xu Z (2017) The efficacy of proanthocyanidins and secnidazole in the treatment of chronic periodontitis after scaling and root planing therapy. J Biol Regul Homeost Agents 31:93–97PubMed Li M, Li R, Jin Q, Pang J, Xu Z (2017) The efficacy of proanthocyanidins and secnidazole in the treatment of chronic periodontitis after scaling and root planing therapy. J Biol Regul Homeost Agents 31:93–97PubMed
39.
Zurück zum Zitat Diaz Sanchez RM, Castillo-Dali G, Fernandez-Olavarria A, Mosquera-Perez R, Delgado-Munoz JM, Gutierrez-Perez JL, Torres-Lagares D (2017) A prospective, Double-Blind, randomized, controlled clinical trial in the Gingivitis Prevention with an oligomeric Proanthocyanidin Nutritional supplement. Mediators Inflamm 2017:7460780. https://doi.org/10.1155/2017/7460780CrossRefPubMedPubMedCentral Diaz Sanchez RM, Castillo-Dali G, Fernandez-Olavarria A, Mosquera-Perez R, Delgado-Munoz JM, Gutierrez-Perez JL, Torres-Lagares D (2017) A prospective, Double-Blind, randomized, controlled clinical trial in the Gingivitis Prevention with an oligomeric Proanthocyanidin Nutritional supplement. Mediators Inflamm 2017:7460780. https://​doi.​org/​10.​1155/​2017/​7460780CrossRefPubMedPubMedCentral
47.
Metadaten
Titel
The relationship of dietary flavonoids and periodontitis in US population: a cross-sectional NHANES analysis
verfasst von
Yundong Liu
Tao Yin
Mi He
Changyun Fang
Shifang Peng
Publikationsdatum
01.03.2024
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 3/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-024-05561-1

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