1. A high-fiber, low-fat diet improves periodontal disease markers in high-risk subjects: a pilot study
- Author
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Hiroshi Maegawa, Keiko Kondo, Yasutami Shigeta, Satoshi Ugi, Osamu Sekine, Atsunori Kashiwagi, Katsutaro Morino, Takeshi Yoshizaki, Atsushi Ishikado, Taketoshi Makino, George L. King, Hiromi Iwakawa, Sadae Kajiwara, Mika Kurihara, Hiromichi Imanaka, Yoshihiko Nishio, Syoko Uesaki, and Keiko Nakao
- Subjects
Adult ,Blood Glucose ,Dietary Fiber ,Male ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,Bleeding on probing ,Pilot Projects ,Systemic inflammation ,Gastroenterology ,Body Mass Index ,Impaired glucose tolerance ,Endocrinology ,Periodontal disease ,Diabetes mellitus ,Internal medicine ,Glucose Intolerance ,Dietary Carbohydrates ,medicine ,Humans ,Insulin ,Diet, Fat-Restricted ,Periodontal Diseases ,Triglycerides ,Nutrition and Dietetics ,business.industry ,Body Weight ,Cholesterol, HDL ,Cholesterol, LDL ,Feeding Behavior ,Middle Aged ,medicine.disease ,Low fat diet ,Dietary Fats ,Surgery ,C-Reactive Protein ,Clinical attachment loss ,Female ,Dietary Proteins ,Waist Circumference ,medicine.symptom ,Energy Intake ,business ,Body mass index ,Biomarkers - Abstract
Periodontal disease is related to aging, smoking habits, diabetes mellitus, and systemic inflammation. However, there remains limited evidence about causality from intervention studies. An effective diet for prevention of periodontal disease has not been well established. The current study was an intervention study examining the effects of a high-fiber, low-fat diet on periodontal disease markers in high-risk subjects. Forty-seven volunteers were interviewed for recruitment into the study. Twenty-one volunteers with a body mass index of at least 25.0 kg/m(2) or with impaired glucose tolerance were enrolled in the study. After a 2- to 3-week run-in period, subjects were provided with a test meal consisting of high fiber and low fat (30 kcal/kg of ideal body weight) 3 times a day for 8 weeks and followed by a regular diet for 24 weeks. Four hundred twenty-five teeth from 17 subjects were analyzed. Periodontal disease markers assessed as probing depth (2.28 vs 2.21 vs 2.13 mm; P < .0001), clinical attachment loss (6.11 vs 6.06 vs 5.98 mm; P < .0001), and bleeding on probing (16.2 vs 13.2 vs 14.6 %; P = .005) showed significant reductions after the test-meal period, and these improvements persisted until the follow-up period. Body weight (P < .0001), HbA1c (P < .0001), and high-sensitivity C-reactive protein (P = .038) levels showed improvement after the test-meal period; they returned to baseline levels after the follow-up period. In conclusion, treatment with a high-fiber, low-fat diet for 8 weeks effectively improved periodontal disease markers as well as metabolic profiles, at least in part, by effects other than the reduction of total energy intake.
- Published
- 2014
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