DOI QR코드

DOI QR Code

The effects of dietary protein intake and quality on periodontal disease in Korean adults

한국 성인의 단백질 섭취량과 식생활의 질이 치주질환에 미치는 영향

  • Hwang, Su-Yeon (Research Institute for Future Medical Science, Chungnam National University Sejong Hospital) ;
  • Park, Jung-Eun (Department of Dental Hygiene, College of Health Science, Dankook University)
  • 황수연 (세종충남대학교병원 미래의학연구원) ;
  • 박정은 (단국대학교 공공.보건과학대학 치위생학과)
  • Received : 2022.02.03
  • Accepted : 2022.03.23
  • Published : 2022.04.30

Abstract

Objectives: This study aimed to examine the effects of dietary protein intake and quality on periodontal disease in Korean adults. Methods: The data used for analysis were obtained from the 7th Korean National Health and Nutrition Examination Survey (2016-2018). Data were analyzed using chi-square and t-test. Additionally, multiple logistic regression analysis was performed to assess the association between dietary protein intake and quality and periodontal disease. Statistical significance level was set at <0.05. Results: Multiple logistic regression analysis of dietary protein intake and periodontal disease in the model adjusted for socioeconomic factors showed that were significantly related to the Q1 (odds ratio [OR]: 1.18, 95% confidence interval [CI]: 1.01-1.39). However, this correlation was not significant in the model in which all variables were corrected. Moreover, analysis of the dietary protein quality and periodontal disease in model 4, which was adjusted for socioeconomic variables, showed that were significantly related to the low score (OR: 1.13, 95% CI: 1.00-1.27). Conclusions: The results showed a significant association between periodontal disease and poor intake and quality of dietary protein in the Korean adult population.

Keywords

Acknowledgement

This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2021R1G1A1094490).

References

  1. Hujoel PP, Lingstrom P. Nutrition, dental caries and periodontal disease: a narrative review. J Clin Periodontol 2017;44(S18):S79-84. https://doi.org/10.1111/jcpe.12672
  2. Najeeb S, Zafar MS, Khurshid Z, Zohaib S, Almas K. The role of nutrition in periodontal health: an update. Nutrients 2016;8(9):530. https://doi.org/10.3390/nu8090530
  3. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol 2018;89(S1):S159-72. https://doi.org/10.1002/JPER.18-0006
  4. Leite FRM, Nascimento GG, Scheutz F, Lopez R. Effect of smoking on periodontitis: a systematic review and meta - regression. Am J Prev Med 2018;54(6):831-41. https://doi.org/10.1016/j.amepre.2018.02.014
  5. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci 2017;11(2):72-80.
  6. Boyd LD, Madden TE. Nutrition, infection, and periodontal disease. Dent Clin North Am 2003;47(2):337-54. https://doi.org/10.1016/s0011-8532(02)00103-9
  7. Maggini S, Maldonado P, Cardim P, Fernandez Newball, C, Sota Latino E. Vitamins C, D and zinc: synergistic roles in immune function and infections. Vitam Miner 2017;6(2):1-10. https://doi.org/10.4172/2376-1318.1000167
  8. Marcos A, Nova E, Montero A. Changes in the immune system are conditioned by nutrition. Eur J Clin Nutr 2003;57(S1):S66-9. https://doi.org/10.1038/sj.ejcn.1601819
  9. Martindale RG, McClave SA, Vanek VW, McCarthy M, Roberts P, Taylor B, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: society of critical care medicine and American society for parenteral and enteral nutrition: executive summary. Crit Care Med 2009;37(5):1757-61. https://doi.org/10.1097/CCM.0b013e3181a40116
  10. Pindborg JJ, Bhat M, Roed-Petersen B. Oral changes in South Indian children with severe protein deficiency. J Periodontol 1967;38(3):218-21. https://doi.org/10.1902/jop.1967.38.3.218
  11. Seck T, Moreau JL. Dental lesions. After - effects of kwashiorkor. Inf Dent 1982;64(13):1259-68.
  12. Dodington DW, Young HE, Beaudette JR, Fritz PC, Ward WE. Improved healing after non - surgical periodontal therapy Is associated with higher protein intake in patients who are non - smokers. Nutrients 2021;13(11):3722. https://doi.org/10.3390/nu13113722
  13. Hwang SY, Kim HY. Relationship between consumption of nutrition and periodontal diseases in Korean menopausal women: based on the Korea national health and nutrition examination survey in 2013. J Korean Soc Dent Hyg 2018;18(1):93-101. https://doi.org/10.13065/jksdh.2018.18.01.93
  14. Shin HS. The number of teeth is associated with diet quality in Korean adult population. Arch Oral Biol 2020;118:104882. https://doi.org/10.1016/j.archoralbio.2020.104882
  15. World Health Organization. Oral health surveys: basic methods. 4th ed. World Health Organization publication: Geneva, Switzerland, 1997.
  16. Joint WHO/FAO/UNU Expert Consultation. Protein and amino acid requirements in human nutrition. World Health Organ Tech Rep Ser 2007;935:1-265.
  17. Kwon DH, Park HA, Cho YG, Kim KW, Kim NH. Different associations of socioeconomic status on protein intake in the Korean elderly population: a cross - sectional analysis of the Korea national health and nutrition examination survey. Nutrients 2019;12(1):10. https://doi.org/10.3390/nu12010010
  18. Yook SM, Park SH, Moon HK, Kim K, Shim JE, Hwang JY. Development of Korean healthy eating index for adults using the Korea national health and nutrition examination survey data. J Nutr Health 2015;48(5):419-28. https://doi.org/10.4163/jnh.2015.48.5.419
  19. Al-Zahrani MS, Borawski EA, Bissada NF. Periodontitis and three health - enhancing behaviors: maintaining normal weight, engaging in recommended level of exercise, and consuming a high - quality diet. J Periodontol 2005;76(8):1362-6. https://doi.org/10.1902/jop.2005.76.8.1362
  20. Kim MJ, Lim JY. The effect of socioeconomic status on the prevalence of chronic disease in the elderly: focusing on nutrient intake. J Health and Social Welfare Review 2017;37(4):125-45. https://doi.org/10.15709/hswr.2017.37.4.125
  21. Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 2003;103(1):61-6. https://doi.org/10.1053/jada.2003.50003
  22. Willett WC, Hu FB. Not the time to abandon the food frequency questionnaire: point. Cancer Epidemiol Biomarkers Prev 2006;15(10):1757-8. https://doi.org/10.1158/1055-9965.EPI-06-0388
  23. Ritchie CS, Joshipura K, Hung HC, Douglass CW. Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes. Crit Rev Oral Biol Med 2002;13(3):291-300. https://doi.org/10.1177/154411130201300306
  24. O'Connor JP, Milledge KL, O'Leary F, Cumming R, Eberhard J, Hirani V. Poor dietary intake of nutrients and food groups are associated with, increased risk of periodontal disease among community - dwelling older adults: a systematic literature review. Nutr Rev 2020;78(2):175-88. https://doi.org/10.1093/nutrit/nuz035
  25. Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, et al. Evidence - based recommendations for optimal dietary protein intake in older people: a position paper from the PROT - AGE Study Group. J Am Med Dir Assoc 2013;14(8):542-59. https://doi.org/10.1016/j.jamda.2013.05.021
  26. Darling AL, Manders RJF, Sahni S, Zhu K, Hewitt CE, Prince RL, et al. Dietary protein and bone health across the life - course: an updated systematic review and meta - analysis over 40 years. Osteoporos Int 2019;30(4):741-61. https://doi.org/10.1007/s00198-019-04933-8
  27. Willett WC, Hu FB. Not the time to abandon the food frequency questionnaire: point. Cancer Epidemiol Biomarkers Prev 2006;15(10):1757-8. https://doi.org/10.1158/1055-9965.EPI-06-0388
  28. Shin SR, Lee SM. Relation between the total diet quality based on Korean Healthy Eating Index and the incidence of metabolic syndrome constituents and metabolic syndrome among a prospective cohort of Korean adults. Korean J Community Nutr 2020;25(1):61-70. https://doi.org/10.5720/kjcn.2020.25.1.61