Behavioral and metabolic risk factors associated with periodontitis in Brazil, 1990-2019: a multidimensional analysis for the Global Burden of Disease Study 2019.

التفاصيل البيبلوغرافية
العنوان:	Behavioral and metabolic risk factors associated with periodontitis in Brazil, 1990-2019: a multidimensional analysis for the Global Burden of Disease Study 2019.
المؤلفون:	Alves-Costa S; Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, MA, Brazil., Leite FRM; National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, Oral Health ACP, Singapore, Singapore.; Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark., Ladeira LLC; Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, MA, Brazil., Lima-Soares F; Postgraduate Program of Health Sciences, Federal University of Maranhão, São Luís, MA, Brazil., de Andrade Paes AM; Postgraduate Program of Health Sciences, Federal University of Maranhão, São Luís, MA, Brazil., de Souza BF; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil., Nascimento GG; National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore. ggn@duke-nus.edu.sg.; Duke-NUS Medical School, Oral Health ACP, Singapore, Singapore. ggn@duke-nus.edu.sg.; Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark. ggn@duke-nus.edu.sg.; National Dental Research Institute Singapore, National Dental Centre Singapore, 5 Second Hospital Avenue, 168938, Singapore, Singapore. ggn@duke-nus.edu.sg., Ribeiro CCC; Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, MA, Brazil.; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
المصدر:	Clinical oral investigations [Clin Oral Investig] 2023 Dec; Vol. 27 (12), pp. 7909-7917. Date of Electronic Publication: 2023 Nov 27.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig
أسماء مطبوعة:	Publication: Berlin : Springer-Verlag Original Publication: Berlin : Springer, c1997-
مواضيع طبية MeSH:	Periodontitis/epidemiology , Periodontitis/complications , Risk Factors*, Adult ; Humans ; Brazil/epidemiology ; Dyslipidemias/epidemiology ; Global Burden of Disease ; Hyperglycemia/complications ; Obesity/epidemiology ; Obesity/etiology ; Overweight/complications ; Overweight/epidemiology ; Middle Aged ; Sugar-Sweetened Beverages
مستخلص:	Objectives: Periodontitis is a non-communicable disease (NCD) that may be linked to other NCDs through shared risk factors. Accordingly, we analyzed the relationship between periodontitis and behavioral and metabolic risks common to NCDs in Brazilian adults over three decades. Methods: Indicators of periodontitis, behavioral risks (smoking, alcohol use, sugar-sweetened beverages (SSB), and physical activity), and metabolic risks (overweight/obesity, dyslipidemia, hyperglycemia, and hypertension) in Brazilian adults (25-49 y-old) between 1990 to 2019 were obtained from the Global Burden of Disease Study 2019. Data were adjusted for Gini index. Fixed-effects and Prais-Winsten regressions were performed (p < 0.05). Results: The prevalence of periodontitis has increased among Brazilians since 2005. High-SSB diet, alcohol use, and metabolic risks increased between 1990-2019, whereas smoking decreased. In crude models, periodontitis prevalence increased with alcohol use (2545.1; 95%CI: 2307.9-2782.3), high-SSB diet (365.5; 95%CI: 322.5-408.4), low physical activity (1784.4; 95%CI: 763.7-2805.0), overweight/obesity (172.3; 95%CI: 156.3-188.4), dyslipidemia (734.5; 95%CI: 624.7-844.2), and hyperglycemia (1774.3; 95%CI: 1555.9-1992.7). After adjustment for the Gini index, periodontitis prevalence raised with a high-SBB diet (1416.0; 95%CI: 1120.2-1711.8), overweight/obesity (629.9; 95%CI: 573.1-686.8), dyslipidemia (2035.8; 95%CI: 1728.1-2343.5), and hyperglycemia (8918.1; 95%CI: 7979.8-9856.3). Conclusions: Periodontitis has increased in Brazil since 2005, despite the smoking reduction. Sugar-sweetened beverage was the behavioral risk that mostly accompanied the periodontal trend. Clinical Relevance: Our results support upstream strategies targeting commercial, social, political, and structural determinants to tackle NCDs and reduce oral health inequities. (© 2023. The Author(s).)
References:	World Health Organization (2021) Noncommunicable diseases. In: World Health Organization. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases . Accessed 13 Jan 2022. Peres MA, Macpherson LMD, Weyant RJ et al (2019) Oral diseases: a global public health challenge. The Lancet 394:249–260. https://doi.org/10.1016/S0140-6736(19)31146-8. (PMID: 10.1016/S0140-6736(19)31146-8) Bengtsson VW, Persson GR, Berglund JS, Renvert S (2021) Periodontitis related to cardiovascular events and mortality: a long-time longitudinal study. Clin Oral Investig 25:4085–4095. (PMID: 10.1007/s00784-020-03739-x335064298137476) Tonetti MS, Greenwell H, Kornman KS (2018) Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 89:S159–S172. https://doi.org/10.1002/JPER.18-0006. (PMID: 10.1002/JPER.18-000629926952) Pulikkotil SJ, Nath S, Muthukumaraswamy et al (2020) Alcohol consumption is associated with periodontitis. A systematic review and meta-analysis of observational studies. Community Dent Health 37:12–21. https://doi.org/10.1922/CDH_4569Pulikkotil10. (PMID: 10.1922/CDH_4569Pulikkotil1032031339) Gupta V, Dawar A, Bhadauria US et al (2022) Sugar-sweetened beverages and periodontal disease: A systematic review. Oral Dis. https://doi.org/10.1111/ODI.14368. (PMID: 10.1111/ODI.1436836062371) Salamonowicz M, Zalewska A, Maciejczyk M (2019) Oral consequences of obesity and metabolic syndrome in children and adolescents. Dent Med Probl 56:97–104. https://doi.org/10.17219/dmp/102620. Railson de Ferreira O, Corrêa MG, Magno MB et al (2019) Physical activity reduces the prevalence of periodontal disease: Systematic review and meta-analysis. Front Physiol 10:234. https://doi.org/10.3389/fphys.2019.00234. (PMID: 10.3389/fphys.2019.002346438044) Gaspar RS, Rezende LFM, Laurindo FRM (2022) Analysing the impact of modifiable risk factors on cardiovascular disease mortality in Brazil. PLoS ONE 17:e0269549. https://doi.org/10.1371/journal.pone.0269549. (PMID: 10.1371/journal.pone.0269549357317299216570) Portes LH, Machado CV, Turci SRB et al (2018) Tobacco Control Policies in Brazil: a 30-year assessment. Ciênc Saúde Colet 23:1837–1848. https://doi.org/10.1590/1413-81232018236.05202018. (PMID: 10.1590/1413-81232018236.05202018) Chen MX, Zhong YJ, Dong QQ et al (2021) Global, regional, and national burden of severe periodontitis, 1990–2019: An analysis of the Global Burden of Disease Study 2019. J Clin Periodontol 48:1165–1188. https://doi.org/10.1111/jcpe.13506. (PMID: 10.1111/jcpe.1350634101223) Bryazka D, Reitsma MB, Griswold MG et al (2022) Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020. The Lancet 400:185–235. https://doi.org/10.1016/S0140-6736(22)00847-9. (PMID: 10.1016/S0140-6736(22)00847-9) Global Burden of Disease Collaborative Network (2020) Global Burden of Disease Study 2019 (GBD 2019) Results. https://vizhub.healthdata.org/gbd-results/ . Accessed 22 Oct 2023. Vos T, Lim SS, Abbafati C et al (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet 396:1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9. (PMID: 10.1016/S0140-6736(20)30925-9) Murray CJL, Aravkin AY, Zheng P et al (2020) Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet 396:1223–1249. https://doi.org/10.1016/S0140-6736(20)30752-2. (PMID: 10.1016/S0140-6736(20)30752-2) Global Burden of Disease Collaborative Network (2020) Periodontal diseases — Level 4 cause. In: Institute for Health Metrics and Evaluation. https://www.healthdata.org/results/gbd_summaries/2019/periodontal-diseases-level-4-cause . Accessed 22 Oct 2023. Abadie A, Athey S, Imbens GW, Wooldridge JM (2022) When should you adjust standard errors for clustering? Q J Econ 138:1–35. https://doi.org/10.1093/qje/qjac038. (PMID: 10.1093/qje/qjac038) Costa Junior S da, Araujo PG, Frichembruder K, Hugo FN (2021) Brazilian Oral Health Policy: metasynthesis of studies on the Oral Health Network. Rev Saúde Pública 55:105. https://doi.org/10.11606/s1518-8787.2021055003454. Gaspar RS, Rossi L, Hone T, Dornelles AZ (2021) Income inequality and non-communicable disease mortality and morbidity in Brazil States: a longitudinal analysis 2002–2017. Lancet Reg Health - Am 2:100042. https://doi.org/10.1016/j.lana.2021.100042. (PMID: 10.1016/j.lana.2021.100042367790379904117) Antunes JLF, Cardoso MRA (2015) Using time series analysis in epidemiological studies. Epidemiol Serv Saúde 24:565–576. https://doi.org/10.5123/S1679-49742015000300024. (PMID: 10.5123/S1679-49742015000300024) Lana A, Rodríguez-Artalejo F, Lopez-Garcia E (2014) Consumption of sugar-sweetened beverages is positively related to insulin resistance and higher plasma leptin concentrations in men and nonoverweight women. J Nutr 144:1099–1105. https://doi.org/10.3945/JN.114.195230. (PMID: 10.3945/JN.114.19523024828025) Lustig RH (2010) Fructose: Metabolic, Hedonic, and Societal Parallels with Ethanol. J Am Diet Assoc 110:1307–1321. https://doi.org/10.1016/j.jada.2010.06.008. (PMID: 10.1016/j.jada.2010.06.00820800122) Sczepanik FSC, Grossi ML, Casati M et al (2020) Periodontitis is an inflammatory disease of oxidative stress: We should treat it that way. Periodontology 2000 84:45–68. https://doi.org/10.1111/prd.12342. (PMID: 10.1111/prd.1234232844417) Johnson RK, Appel LJ, Brands M et al (2009) Dietary Sugars Intake and Cardiovascular Health. Circulation 120:1011–1020. https://doi.org/10.1161/CIRCULATIONAHA.109.192627. (PMID: 10.1161/CIRCULATIONAHA.109.19262719704096) Moreira ARO, Batista RFL, Ladeira LLC et al (2021) Higher sugar intake is associated with periodontal disease in adolescents. Clin Oral Investig 25:983–991. https://doi.org/10.1007/s00784-020-03387-1. (PMID: 10.1007/s00784-020-03387-132519237) Lula ECO, Ribeiro CCC, Hugo FN et al (2014) Added sugars and periodontal disease in young adults: an analysis of NHANES III data. Am J Clin Nutr 100:1182–1187. https://doi.org/10.3945/ajcn.114.089656. (PMID: 10.3945/ajcn.114.08965625240081) Hajishengallis G (2014) The inflammophilic character of the periodontitis-associated microbiota. Mol Oral Microbiol 29:248–257. https://doi.org/10.1111/omi.12065. (PMID: 10.1111/omi.12065249760684232466) Loos BG, Van Dyke TE (2020) The role of inflammation and genetics in periodontal disease. Periodontology 2000 83:26. https://doi.org/10.1111/PRD.12297. (PMID: 10.1111/PRD.12297323858777319430) Susin C, Wagner MC, Haas AN et al (2015) The association between alcohol consumption and periodontitis in southern Brazilian adults. J Periodontal Res 50:622–628. https://doi.org/10.1111/jre.12242. (PMID: 10.1111/jre.1224225399772) Liangpunsakul S, Toh E, Ross RA et al (2017) Quantity of alcohol drinking positively correlates with serum levels of endotoxin and markers of monocyte activation. Sci Rep 7:4462. https://doi.org/10.1038/s41598-017-04669-7. (PMID: 10.1038/s41598-017-04669-7286672545493657) Boyd J, Sexton O, Angus C et al (2022) Causal mechanisms proposed for the alcohol harm paradox—a systematic review. Addiction 117:33–56. https://doi.org/10.1111/add.15567. (PMID: 10.1111/add.1556733999487) Christiansen T, Paulsen SK, Bruun JM et al (2010) Diet-induced weight loss and exercise alone and in combination enhance the expression of adiponectin receptors in adipose tissue and skeletal muscle, but only diet-induced weight loss enhanced circulating adiponectin. J Clin Endocrinol Metab 95:911–919. https://doi.org/10.1210/jc.2008-2505. (PMID: 10.1210/jc.2008-250519996310) Guerreiro VA, Carvalho D, Freitas P (2022) Obesity, adipose tissue, and inflammation answered in questions. J Obes 2022:1–11. https://doi.org/10.1155/2022/2252516. (PMID: 10.1155/2022/2252516) Iwashita M, Hayashi M, Nishimura Y, Yamashita A (2021) The link between periodontal inflammation and obesity. Curr Oral Health Rep 8:76–83. https://doi.org/10.1007/S40496-021-00296-4. (PMID: 10.1007/S40496-021-00296-4346115058485103) Lamster IB, Pagan M (2017) Periodontal disease and the metabolic syndrome. Int Dent J 67:67–77. https://doi.org/10.1111/IDJ.12264. (PMID: 10.1111/IDJ.1226427861820) Cassiano LS, Peres MA, Motta JVS et al (2022) Periodontitis is associated with consumption of processed and ultra-processed foods: findings from a population-based study. Nutrients 14:3735. https://doi.org/10.3390/nu14183735. (PMID: 10.3390/nu14183735361451119503140) da Costa Louzada ML, Martins APB, Canella DS et al (2015) Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica 49:38. https://doi.org/10.1590/S0034-8910.2015049006132. (PMID: 10.1590/S0034-8910.201504900613226176747) Bastos TF, de Paula Barbosa Medina L, da Silva Sousa NF et al (2019) Income inequalities in oral health and access to dental services in the Brazilian population: National health survey, 2013. Rev Bras Epidemiol 22:E190015.SUPL.2. https://doi.org/10.1590/1980-549720190015.supl.2.
معلومات مُعتمدة:	8881.200487/2018-01 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 0810/2020/88881.510244/2020-01 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
فهرسة مساهمة:	Keywords: Behavioral risk factors; Metabolic risk factors; Noncommunicable diseases; Periodontitis
تواريخ الأحداث:	Date Created: 20231126 Date Completed: 20231220 Latest Revision: 20240112
رمز التحديث:	20240112
مُعرف محوري في PubMed:	PMC10713794
DOI:	10.1007/s00784-023-05384-6
PMID:	38008803
قاعدة البيانات:	MEDLINE

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تدمد:	1436-3771
DOI:	10.1007/s00784-023-05384-6