1. The association of reproductive health factors with periodontitis in 45–80 years old US women from NHANES 2009–2014.
- Author
-
Liu, Yundong, Yin, Tao, He, Mi, Fang, Changyun, and Peng, Shifang
- Abstract
Objectives: We investigated the association of female reproductive factors with periodontitis. Materials and methods: This cross-sectional study analyzed data from the US National Health and Nutrition Examination Survey 2009–2014 on 2321 women aged 45–80 years who had full-mouth periodontal examination and reproductive questionnaire. The 2018 World Workshop Classification of Periodontal and Peri-implant Diseases was used to classify periodontitis stages. Results: After adjustment, > 3 pregnancies or live births were associated with increased stage III/IV periodontitis but age at first birth (AFB) > 23 years and female hormone use were associated with decreased stage III/IV periodontitis, while there were no associations of oral contraceptive use or menopause status with stage III/IV periodontitis. Stage III/IV periodontitis was more common in women with > 3 pregnancies or live births and AFB ≤ 23 years or never using female hormones but less common in women with ≥ 3 pregnancies or > 3 live births and AFB > 23 years or using female hormones. >3 pregnancies or live births were related with increased stage III/IV periodontitis and increased AFB was related with lowered stage III/IV periodontitis in overweight and smoking subgroups but using female hormone was related with reduced stage III/IV periodontitis in nonsmoking, non-overweight and black subgroups. Conclusions: >3 pregnancies/live births were related with severe periodontitis but AFB > 23 years and female hormone use were related with ameliorating periodontitis. Clinical Relevance: Women with > 3 pregnancies/live births should receive intensive periodontal interventions. Female hormone therapy or AFB > 23 years may be beneficial for periodontal health of > 3 pregnancies/live births women. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF