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Objectives <p>To explore the relationship between Life’s Essential 8 (LE-8) and periodontitis, specifically focusing on identifying the specific factors within LE-8 significantly linked to periodontitis.</p> Materials and methods <p>This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (2009–2014), involving 8160 participants with available LE-8 metrics and periodontal examination results. The LE-8 metrics, encompassing diet, physical activity, nicotine exposure, sleep health, body mass index, blood liquids, blood glucose, and blood pressure were collected for analysis. Periodontitis diagnosis followed CDC-AAP guidelines.</p> Results <p>4049 subjects with periodontitis (mean age, 54.80&#xa0;years; 57.93% male) and 4111 subjects without periodontitis (mean age, 48.66&#xa0;years; 42.61% male) were included in this study. Periodontitis subjects had lower total LE-8 scores (64.62 [63.94, 65.30]) than periodontitis-free subjects (71.34 [70.65, 72.03]). The risk of periodontitis risk significantly decreased with increasing LE-8 score. Specific factors within LE-8, including avoidance of nicotine (Adjusted OR = 0.90 [0.88, 0.92]), healthy sleep (Adjusted OR = 0.95 [0.92, 0.99]), and healthy levels of blood glucose (Adjusted OR = 0.94 [0.90, 0.98]) were negatively associated with periodontitis presences.</p> Conclusions <p>Higher scores in life’s essential 8 metrics, particularly in nicotine exposure, sleep health, and blood glucose, may benefit periodontal health.</p> Clinical relevance <p>Adopting a healthy lifestyle reduces the risk of periodontitis. Avoiding smoking, sufficient sleep, and stable blood glucose are linked to lower periodontitis risk. Healthcare professionals should advise individuals with lower life’s essential 8 scores to prioritize oral care.</p>

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Association between life’s essential 8 and periodontitis: evidence from NHANES 2009–2014

  • 期刊论文

  • 发表日期：

    2024年12月31日

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  • Zhikang Wang,
  • Rui Pu,
  • Jing Zhang,
  • Ying Wang,
  • Guoli Yang

摘要

Objectives

To explore the relationship between Life’s Essential 8 (LE-8) and periodontitis, specifically focusing on identifying the specific factors within LE-8 significantly linked to periodontitis.

Materials and methods

This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (2009–2014), involving 8160 participants with available LE-8 metrics and periodontal examination results. The LE-8 metrics, encompassing diet, physical activity, nicotine exposure, sleep health, body mass index, blood liquids, blood glucose, and blood pressure were collected for analysis. Periodontitis diagnosis followed CDC-AAP guidelines.

Results

4049 subjects with periodontitis (mean age, 54.80 years; 57.93% male) and 4111 subjects without periodontitis (mean age, 48.66 years; 42.61% male) were included in this study. Periodontitis subjects had lower total LE-8 scores (64.62 [63.94, 65.30]) than periodontitis-free subjects (71.34 [70.65, 72.03]). The risk of periodontitis risk significantly decreased with increasing LE-8 score. Specific factors within LE-8, including avoidance of nicotine (Adjusted OR = 0.90 [0.88, 0.92]), healthy sleep (Adjusted OR = 0.95 [0.92, 0.99]), and healthy levels of blood glucose (Adjusted OR = 0.94 [0.90, 0.98]) were negatively associated with periodontitis presences.

Conclusions

Higher scores in life’s essential 8 metrics, particularly in nicotine exposure, sleep health, and blood glucose, may benefit periodontal health.

Clinical relevance

Adopting a healthy lifestyle reduces the risk of periodontitis. Avoiding smoking, sufficient sleep, and stable blood glucose are linked to lower periodontitis risk. Healthcare professionals should advise individuals with lower life’s essential 8 scores to prioritize oral care.