PMID- 38158854 OWN - NLM STAT- MEDLINE DCOM- 20240315 LR - 20240403 IS - 1600-051X (Electronic) IS - 0303-6979 (Linking) VI - 51 IP - 4 DP - 2024 Apr TI - Association between polycyclic aromatic hydrocarbons and periodontitis: Results from a large population-based study. PG - 441-451 LID - 10.1111/jcpe.13919 [doi] AB - AIM: To explore the association between polycyclic aromatic hydrocarbons (PAHs) (measured using urinary metabolites) and periodontitis using data from the National Health and Nutrition Examination Survey 2009-2014. MATERIALS AND METHODS: Weighted binary logistic regression, Bayesian kernel machine regression (BKMR) and weighted quantile sum (WQS) regression were used to evaluate independent and joint associations between the six urinary monohydroxylated metabolites of PAHs (OH-PAHs) and periodontitis. RESULTS: In all, 3413 participants were included in this study. All six urinary OH-PAHs were present at higher levels in the periodontitis group compared with the non-periodontitis group (p < .001). Fully adjusted multivariable logistic regressions showed positive associations between the six urinary OH-PAHs and periodontitis (p < .05). Higher concentrations of OH-PAHs were also positively associated with attachment loss, periodontal pocket depth (PPD) and the number of tooth loss. BKMR and WQS regression yielded similar positive associations between OH-PAH mixtures and periodontitis. CONCLUSIONS: PAHs and their mixture are positively associated with periodontitis, which may provide novel insights into periodontitis prevention from an environmental exposure perspective. CI - (c) 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Wu, Yuxuan AU - Wu Y AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - Yang, Han AU - Yang H AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - Jin, Weiqiu AU - Jin W AD - Department of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. FAU - Wu, Yuying AU - Wu Y AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - Yu, Yiming AU - Yu Y AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - Chen, Qiansi AU - Chen Q AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - He, Baochang AU - He B AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. FAU - Yan, Fuhua AU - Yan F AUID- ORCID: 0000-0002-6963-3530 AD - Department of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. FAU - Li, Yanfen AU - Li Y AD - Department of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. FAU - Chen, Fa AU - Chen F AUID- ORCID: 0009-0007-1184-7839 AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China. AD - Clinical Research Unit, The Second Affiliated Hospital, Fujian Medical University, Quanzhou, China. LA - eng GR - 82301071/National Natural Science Foundation of China/ GR - XRCZX2018001/the High-level Talents research Start-up Project of Fujian Medical University/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231230 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 RN - 0 (Polycyclic Aromatic Hydrocarbons) SB - IM MH - Humans MH - Bayes Theorem MH - Nutrition Surveys MH - *Periodontitis/epidemiology MH - Periodontal Pocket MH - *Polycyclic Aromatic Hydrocarbons/adverse effects OTO - NOTNLM OT - National Health and Nutrition Examination Survey OT - periodontitis OT - polycyclic aromatic hydrocarbons EDAT- 2024/01/02 11:44 MHDA- 2024/03/15 06:44 CRDT- 2023/12/30 05:53 PHST- 2023/11/27 00:00 [revised] PHST- 2023/05/08 00:00 [received] PHST- 2023/12/01 00:00 [accepted] PHST- 2024/03/15 06:44 [medline] PHST- 2024/01/02 11:44 [pubmed] PHST- 2023/12/30 05:53 [entrez] AID - 10.1111/jcpe.13919 [doi] PST - ppublish SO - J Clin Periodontol. 2024 Apr;51(4):441-451. doi: 10.1111/jcpe.13919. Epub 2023 Dec 30.