Intake and serum levels of micronutrients and chronic oral diseases burden

• Published in: Oral diseases Vol. 30; no. 4; pp. 2685 - 2694
• Main Authors: Costa, Susilena Arouche, Nascimento, Gustavo G., Leite, Fábio R. M., Ribeiro, Cecilia Claudia Costa, Fatima Carvalho Souza, Soraia
• Format: Journal Article
• Language: English
• Published: Denmark Wiley Subscription Services, Inc 01.05.2024
• Subjects: Adolescent; Adult; Aged; Calcium - blood; Chronic Disease; Chronic illnesses; Cross-Sectional Studies; Dental caries; Diet; Female; Humans; Male; Micronutrients; Micronutrients - blood; Middle Aged; missing teeth; Mouth Diseases - blood; nutrition; Nutrition Surveys; Obesity; Obesity - blood; Oral diseases; Periodontitis; Phosphorus - blood; Serum levels; Vitamin D; Vitamin D - blood; Young Adult; dental caries; nutrition; diet; missing teeth; periodontitis
• ISSN: 1354-523X; 1601-0825; 1601-0825
• DOI: 10.1111/odi.14640

Objective To investigate pathways from micronutrient intake and serum levels to Chronic Oral Diseases Burden. Methods We analyzed cross‐sectional data from NHANES III (n = 7936) and NHANES 2011–2014 (n = 4929). The exposure was the intake and serum levels of vitamin D, calcium, and phosphorus. Considering the high correlation of those micronutrients in the diet, they were analyzed as a latent variable dubbed Micronutrient intake. The outcome was the Chronic Oral Diseases Burden, a latent variable formed by probing pocket depth, clinical attachment loss, furcation involvement, caries, and missing teeth. Pathways triggered by gender, age, socioeconomic status, obesity, smoking, and alcohol were also estimated using structural equation modeling. Results In both NHANES cycles, micronutrient intake (p‐value < 0.05) and vitamin D serum (p‐value < 0.05) were associated with a lower Chronic Oral Diseases Burden. Micronutrient intake reduced the Chronic Oral Diseases Burden via vitamin D serum (p‐value < 0.05). Obesity increased the Chronic Oral Diseases Burden by reducing vitamin D serum (p‐value < 0.05). Conclusion Higher micronutrient intake and higher vitamin D serum levels seem to reduce Chronic Oral Diseases Burden. Healthy diet policies may jointly tackle caries, periodontitis, obesity, and other non‐communicable diseases.