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Effect of lifestyle on 6‐year periodontitis incidence or progression and tooth loss in older adults
dc.contributor.authorIwasaki, Masanori
dc.contributor.authorBorgnakke, Wenche S.
dc.contributor.authorOgawa, Hiroshi
dc.contributor.authorYamaga, Takayuki
dc.contributor.authorSato, Misuzu
dc.contributor.authorMinagawa, Kumiko
dc.contributor.authorAnsai, Toshihiro
dc.contributor.authorYoshihara, Akihiro
dc.contributor.authorMiyazaki, Hideo
dc.date.accessioned2018-09-04T20:09:26Z
dc.date.available2019-09-04T20:15:39Zen
dc.date.issued2018-08
dc.identifier.citationIwasaki, Masanori; Borgnakke, Wenche S.; Ogawa, Hiroshi; Yamaga, Takayuki; Sato, Misuzu; Minagawa, Kumiko; Ansai, Toshihiro; Yoshihara, Akihiro; Miyazaki, Hideo (2018). "Effect of lifestyle on 6‐year periodontitis incidence or progression and tooth loss in older adults." Journal of Clinical Periodontology 45(8): 896-908.
dc.identifier.issn0303-6979
dc.identifier.issn1600-051X
dc.identifier.urihttps://hdl.handle.net/2027.42/145573
dc.description.abstractAimTo evaluate the longitudinal association of combined healthy lifestyle factors with incidence or progression of periodontitis and tooth loss in older adults.Materials and methodsThis 6‐year study included 374 Japanese 70‐year olds with 7,157 teeth, from a source eligible baseline population of 554 individuals. Four lifestyle factors—cigarette smoking, physical activity, relative weight, and dietary quality—were scored as healthy (1 point) or unhealthy (0 point). Adding the individual scores generated the “healthy lifestyle score” (0–4 points). Multilevel mixed‐effects logistic regression models were applied to evaluate tooth‐specific associations between the baseline healthy lifestyle score and the incidence or progression of periodontitis (increase in clinical attachment loss ≥3 mm) and tooth loss.ResultsAfter 6 years, 19.0% of the teeth exhibited periodontitis incidence or progression and 8.2% were lost. Compared with a healthy lifestyle score of 0–1 (least healthy), the highest score (4 points) was associated with a significantly lower tooth‐specific risk of periodontitis (adjusted odds ratio = 0.32; 95% confidence interval: 0.16–0.62) and tooth loss (adjusted odds ratio = 0.42; 95% confidence interval: 0.23–0.77).ConclusionsSimultaneous adherence to multiple healthy lifestyle factors significantly lowers the risk of incidence or progression of periodontitis and tooth loss in older adults.
dc.publisherWiley Periodicals, Inc.
dc.subject.otheroral health
dc.subject.otherperiodontal diseases
dc.subject.othertooth loss
dc.subject.otherhealth behavior
dc.subject.otherepidemiology
dc.subject.otheraged
dc.subject.otherlife style
dc.subject.otherlongitudinal studies
dc.titleEffect of lifestyle on 6‐year periodontitis incidence or progression and tooth loss in older adults
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145573/1/jcpe12920_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145573/2/jcpe12920.pdf
dc.identifier.doi10.1111/jcpe.12920
dc.identifier.sourceJournal of Clinical Periodontology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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