{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:39:51Z","timestamp":1792521591698,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82301157"],"award-info":[{"award-number":["82301157"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate how functional tooth units (FTUs) and oral conditions are associated with dietary quality through multidimensional measures within a unified analytic framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Data were drawn from 6291 adults in the 2011\u20132014 National Health and Nutrition Examination Survey. Dentition status was assessed using FTUs and tooth count, and oral disease status was classified based on both untreated caries and periodontitis. Dietary outcomes derived from two 24\u2010h dietary recalls included the Healthy Eating Index\u20102020 (HEI\u20102020), Dietary Approaches to Stop Hypertension index (DASH), alternate Mediterranean diet score (MED), Dietary Inflammation Index (DII), food groups and nutrient intakes. Distributional differences and associations between oral conditions and dietary outcomes were assessed using survey\u2010weighted analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants with adequate FTUs had higher dietary quality than participants with impaired FTUs or edentulous participants. In fully adjusted models, each additional FTU was associated with higher HEI\u20102020 scores (\u03b2\u2009=\u20090.41, 95% CI: 0.29\u20130.54), lower DII scores (\u03b2\u2009=\u2009\u22120.06, 95% CI: \u22120.09 to \u22120.04) and more reported food items (\u03b2\u2009=\u20090.09, 95% CI: 0.04\u20130.14). Among dentate adults, untreated caries status was linked to less favourable dietary profiles after FTUs adjustment. In disease extent analyses, Decay% was associated with higher dietary quality indices than Decay + Filling% or periodontal parameters. After full adjustment, only Decay% remained significantly associated with added sugar intake in the analyses for foods and nutrients. In addition, oral conditions were significantly associated with overall food or nutrient variation, whereas sociodemographic factors accounted for a larger proportion of overall variation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Oral conditions show distinct associations with dietary quality. Impaired FTUs are linked to poorer dietary quality; coexisting caries and periodontitis are associated with the least favourable dietary quality. Oral conditions may help identify adults with less favourable dietary profiles, although sociodemographic factors explained greater overall dietary variation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70165","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T01:16:22Z","timestamp":1783991782000},"page":"1529-1545","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Functional Tooth Units, Oral Disease Status and Dietary Quality in a Representative US Population"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-8947","authenticated-orcid":false,"given":"Yu","family":"Xie","sequence":"first","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1464-968X","authenticated-orcid":false,"given":"Mengning","family":"Bi","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Yu","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Shen","sequence":"additional","affiliation":[{"name":"School of Public Health, The Second Affiliated Hospital Zhejiang University School of Medicine  Hangzhou China"},{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6592-7876","authenticated-orcid":false,"given":"Hairui","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0133-7516","authenticated-orcid":false,"given":"Yuan","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Roccuzzo","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2389-8752","authenticated-orcid":false,"given":"Changzheng","family":"Yuan","sequence":"additional","affiliation":[{"name":"School of Public Health, The Second Affiliated Hospital Zhejiang University School of Medicine  Hangzhou China"},{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2743-0137","authenticated-orcid":false,"given":"Maurizio S.","family":"Tonetti","sequence":"additional","affiliation":[{"name":"Shanghai PerioImplant Innovation Center and Oral Biomedical Intelligence Technology (ORAL\u2010BIT) Laboratory, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"National Clinical Research Center of Oral Diseases and National Center of Stomatology, College of Stomatology Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"European Research Group on Periodontology (ERGOPerio)  Genova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199704173361601"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41387\u2010025\u201000383\u2010w"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201003895\u20106"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12685"},{"issue":"177","key":"e_1_2_9_6_1","first-page":"1","article-title":"National Health and Nutrition Examination Survey: Estimation Procedures, 2011\u20102014","volume":"2","author":"Chen T. C.","year":"2018","journal-title":"Vital and Health Statistics"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1358863x04vm552xx"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(22)00122\u20102"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380\u2010023\u201001975\u20107"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2012.110664"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2017.10.012"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12408"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103913(97)70100\u20108"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12672"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2021.03.012"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20108223(95)00300\u20102"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13472"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.968073"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15224833"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980021003566"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1079\/phn2003589"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.1082500"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910308200209"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2023.12.019"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advnut.2025.100482"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1079\/phn2000116"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345010800020201"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.11.006"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.13346"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980013002115"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2008.01847.x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2010.02197.x"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckad097"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13953"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20102358.2008.00244.x"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2024.08.021"}],"container-title":["Journal of Clinical Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.70165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpe.70165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.70165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:31:25Z","timestamp":1789608685000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.70165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":35,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jcpe.70165"],"URL":"https:\/\/doi.org\/10.1111\/jcpe.70165","archive":["Portico"],"relation":{},"ISSN":["0303-6979","1600-051X"],"issn-type":[{"value":"0303-6979","type":"print"},{"value":"1600-051X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"assertion":[{"value":"2025-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}