{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T23:51:55Z","timestamp":1762300315464,"version":"build-2065373602"},"reference-count":33,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002586","name":"2022 Intramural Research Support Project of Hanseo University","doi-asserted-by":"publisher","award":["20222047"],"award-info":[{"award-number":["20222047"]}],"id":[{"id":"10.13039\/501100002586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The purpose of this study was to investigate the relationship between diet quality and periodontal disease, in adults aged \u226540 years, using data from the 7th (2016\u20132018) Korea National Health and Nutrition Survey (KNHANES), representing South Koreans. The subjects of this study were 7935 people aged \u226540 years, who responded to the items in the Korea Healthy Eating Index (KHEI) and underwent periodontal examination. Complex sample univariate and multivariate logistic regression analyses were conducted, to analyze the relationship between the diet quality and periodontal disease. The group with a low diet quality for energy intake balance, showed a higher risk of periodontal disease than the group with a high diet quality for energy intake balance, and it was confirmed that the diet quality in adults aged \u226540 years was related to periodontal disease. Therefore, regular diet evaluations, and the counseling of gingivitis and periodontitis patients by dental experts, will have a positive effect on the restoration and improvement of periodontal health in adults.<\/jats:p>","DOI":"10.3390\/ijerph20065039","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T04:35:41Z","timestamp":1678682141000},"page":"5039","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Relationship between Diet Quality and Periodontal Disease in South Korean Adults Aged \u226540 Years"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2347-5239","authenticated-orcid":false,"given":"Mi-Ra","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Dental Hygiene, Hanseo University, Seosan 31962, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"ref_1","first-page":"224","article-title":"Effects of multiple chronic diseases on periodontal disease in Korean adults","volume":"43","author":"Lee","year":"2018","journal-title":"J. Agric. Med. Community Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1111\/jcpe.13472","article-title":"Dietary inflammatory potential is associated with poor periodontal health: A population-based study","volume":"48","author":"Li","year":"2021","journal-title":"J. Clin. Periodontol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","article-title":"Oral diseases: A global public health challenge","volume":"394","author":"Peres","year":"2019","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1111\/prd.12267","article-title":"Periodontal inflammation: Integrating genes and dysbiosis","volume":"82","author":"Zhang","year":"2020","journal-title":"Periodontology 2000"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/j.1600-051X.2010.01663.x","article-title":"Micronutritional approaches to periodontal therapy","volume":"38","author":"Kuzmanova","year":"2011","journal-title":"J. Clin. Periodontol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/jre.12221","article-title":"Non-surgical periodontal therapy with systemic antibiotics in patients with untreated chronic periodontitis: A systematic review and meta-analysis","volume":"50","author":"Keestra","year":"2015","journal-title":"J. Periodontal Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jcpe.13290","article-title":"Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline","volume":"47","author":"Sanz","year":"2020","journal-title":"J. Clin. Periodontol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Najeeb, S., Zafar, M.S., Khurshid, Z., Zohaib, S., and Almas, K. (2016). The role of nutrition in periodontal health: An update. Nutrients, 8.","DOI":"10.3390\/nu8090530"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"283","DOI":"10.2147\/CCIDE.S288137","article-title":"Dietary factors affecting the prevalence and impact of periodontal disease","volume":"13","author":"Santonocito","year":"2021","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"ref_10","first-page":"583","article-title":"Oral implications of the vegan diet: Observational study","volume":"59","author":"Laffranchi","year":"2010","journal-title":"Minerva Stomatol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.3945\/ajcn.114.089656","article-title":"Added sugars and periodontal disease in young adults: An analysis of NHANES III data","volume":"100","author":"Lula","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1093\/ajcn\/83.6.1395","article-title":"Whole-grain and fiber intakes and periodontitis risk in men","volume":"83","author":"Merchant","year":"2006","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s12602-021-09803-6","article-title":"Synergistic effect of omega-3 and probiotic supplementation on preventing ligature-induced periodontitis","volume":"14","year":"2022","journal-title":"Probiotics Antimicrob. Proteins"},{"key":"ref_14","unstructured":"(2022, November 05). The Seventh (2016\u20132018) Korea National Health and Nutrition Examination Survey Analysis Guideline. Available online: https:\/\/knhanes.cdc.go.kr\/knhanes\/sub03\/sub03_06_02.do."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"419","DOI":"10.4163\/jnh.2015.48.5.419","article-title":"Development of Korean healthy eating index for adults using the Korea National Health and Nutrition Examination Survey data","volume":"48","author":"Yook","year":"2015","journal-title":"J. Nutr. Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"558","DOI":"10.4163\/jnh.2022.55.5.558","article-title":"Relationship between atopic dermatitis and the Korean Healthy Eating Index score of adults: Based on the 7th (2016\u20132018) Korea National Health and Nutrition Examination Survey","volume":"55","author":"Kim","year":"2022","journal-title":"J. Nutr. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/j.jand.2018.05.019","article-title":"Evaluation of the Healthy Eating Index-2015","volume":"118","author":"Reedy","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1177\/0022034521995157","article-title":"Host modulation and treatment of periodontal disease","volume":"100","author":"Balta","year":"2021","journal-title":"J. Dent. Res."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Martinon, P., Fraticelli, L., Giboreau, A., Dussart, C., Bourgeois, D., and Carrouel, F. (2021). Nutrition as a key modifiable factor for periodontitis and main chronic diseases. J. Clin. Med., 10.","DOI":"10.3390\/jcm10020197"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/S0011-8532(02)00103-9","article-title":"Nutrition, infection, and periodontal disease","volume":"47","author":"Boyd","year":"2003","journal-title":"Dent. Clin. N. Am."},{"key":"ref_21","first-page":"107","article-title":"The effects of dietary protein intake and quality on periodontal disease in Korean adults","volume":"22","author":"Hwang","year":"2022","journal-title":"J. Korean Soc. Dent. Hyg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1093\/ajcn\/61.2.430S","article-title":"Interface of malnutrition and periodontal diseases","volume":"61","author":"Enwonwu","year":"1995","journal-title":"Am. Clin. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"178","DOI":"10.14219\/jada.archive.2009.0131","article-title":"Potential mechanisms underpinning the nutritional modulation of periodontal inflammation","volume":"140","author":"Chapple","year":"2009","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1111\/jcpe.12926","article-title":"Better-quality diet is associated with lower odds of severe periodontitis in US Hispanics\/Latinos","volume":"45","author":"Salazar","year":"2018","journal-title":"J. Clin. Periodontol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2530","DOI":"10.3945\/jn.116.237065","article-title":"Dietary fiber intake is inversely associated with periodontal disease among US adults","volume":"146","author":"Nielsen","year":"2016","journal-title":"J. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1038\/ejcn.2013.101","article-title":"Periodontal conditions in vegetarians: A clinical study","volume":"67","author":"Staufenbiel","year":"2013","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/cdoe.12513","article-title":"Poor diet predicts periodontal disease development in 11-year follow-up study","volume":"48","author":"Jauhiainen","year":"2020","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1080\/07315724.2016.1185386","article-title":"Nutritional correlates of human oral microbiome","volume":"36","author":"Kato","year":"2017","journal-title":"J. Am. Coll. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"120","DOI":"10.4163\/jnh.2022.55.1.120","article-title":"Benefits of adherence to the Korea Healthy Eating Index on the risk factors and incidence of the metabolic syndrome: Analysis of the 7th (2016\u20132018) Korea National Health and Nutrition Examination Survey","volume":"55","author":"Choi","year":"2022","journal-title":"J. Nutr. Health"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Woelber, J.P., Bremer, K., Vach, K., K\u00f6nig, D., Hellwig, E., Ratka-Kr\u00fcger, P., Al-Ahmad, A., and Tennert, C. (2016). An oral health optimized diet can reduce gingival and periodontal inflammation in humans\u2014A randomized controlled pilot study. BMC Oral Health, 17.","DOI":"10.1186\/s12903-016-0257-1"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Altun, E., Walther, C., Borof, K., Petersen, E., Lieske, B., Kasapoudis, D., Navid Jalilvand, N., Beikler, T., Jagemann, B., and Zyriax, B.-C. (2021). Association between dietary pattern and periodontitis\u2014A cross-sectional study. Nutrients, 13.","DOI":"10.3390\/nu13114167"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1093\/ajcn\/87.5.1188","article-title":"High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects","volume":"87","author":"Dickinson","year":"2008","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Varela-L\u00f3pez, A., Giampieri, F., Bull\u00f3n, P., Battino, M., and Quiles, J.L. (2016). Role of lipids in the onset, progression and treatment of periodontal disease. A systematic review of studies in humans. Int. J. Mol. Sci., 17.","DOI":"10.3390\/ijms17081202"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5039\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:53:34Z","timestamp":1760122414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,13]]},"references-count":33,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20065039"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20065039","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,3,13]]}}}