AimTo investigate whether cardiovascular health (CVH) is associated with periodontitis.Materials and MethodsWe used data from the 2009 to 2014 National Health and Nutrition Examination Survey. We quantified CVH using Life's Essential 8, which includes four health behaviours (diet, smoking, physical activity and sleep) and four health factors (body mass index, blood cholesterol, glucose and pressure). We categorized scores as low (0–49), moderate (50–79) and high (80–100). We calculated subscores of health behaviours and factors and categorized them as low, moderate and high. We used logistic regression to assess the association of CVH with periodontitis, adjusting for age, gender, race/ethnicity, education, poverty index, marital status and health insurance. We computed odds ratios (ORs) and 95% confidence intervals (CIs).ResultsThis study included 9296 adults ≥30 years old. Multivariable‐adjusted models showed that subjects with moderate (OR, 0.62; 95% CI: 0.52–0.74) or high (OR, 0.43; 95% CI: 0.33–0.57) CVH had significantly lower odds of periodontitis compared to those with low CVH. These results were consistent in the health behaviours model, but the estimates in the health factors model were not significant.ConclusionsImproving CVH may help prevent periodontitis. Longitudinal studies are needed to confirm our findings.

中文翻译：

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Life's Essential 8 心血管健康评分与美国成人牙周炎的关联


目的调查心血管健康 （CVH） 是否与牙周炎相关。材料和方法我们使用了 2009 年至 2014 年全国健康和营养检查调查的数据。我们使用 Life's Essential 8 量化 CVH，其中包括四种健康行为（饮食、吸烟、身体活动和睡眠）和四种健康因素（体重指数、血液胆固醇、葡萄糖和压力）。我们将分数分为低 （0-49）、中等 （50-79） 和高 （80-100）。我们计算了健康行为和因素的子分数，并将其分为低、中和高。我们使用 logistic 回归来评估 CVH 与牙周炎的相关性，调整年龄、性别、种族/民族、教育程度、贫困指数、婚姻状况和健康保险。我们计算了比值比（odds ratios， ORs）和95%置信区间（confidence intervals， CIs）。结果本研究包括 9296 名 ≥30 岁的成年人。多变量调整模型显示，与低 CVH 患者相比，中度 （OR， 0.62;95% CI： 0.52-0.74） 或高 （OR， 0.43;95% CI： 0.33-0.57） CVH 的受试者患牙周炎的几率显著降低。这些结果在健康行为模型中是一致的，但健康因素模型中的估计值并不显著。结论改善 CVH 可能有助于预防牙周炎。需要纵向研究来证实我们的发现。