CoChat
Sign Up
Cited by 49Oral microbiology and periodontitis researchDental Health and Care UtilizationNutritional Studies and Diet

High‐Fiber Foods Reduce Periodontal Disease Progression in Men Aged 65 and Older: The Veterans Affairs Normative Aging Study/Dental Longitudinal Study

Schwartz, Natalie, Kaye, Elizabeth Krall, Nunn, Martha E., Spiro, Avron, Garcia, Raul I.·2012·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.2011.03866.x
Open this paper in CoChat — free account

Abstract

Objectives: To determine whether foods that are good to excellent sources of fiber reduce periodontal disease progression in men. Design: Prospective, observational study. Setting: Greater Boston, M assachusetts, metropolitan area. Participants: Six hundred twenty‐five community‐dwelling men participating in the Department of Veterans Affairs Dental Longitudinal Study. Measurements: Dental and physical examinations were conducted every 3 to 5 years. Diet was assessed using food frequency questionnaires ( FFQs ). Mean follow‐up was 15 years (range: 2–24 years). Periodontal disease progression on each tooth was defined as alveolar bone loss ( ABL ) advancement of 40% or more, probing pocket depth ( PPD ) of 2 mm or more, or tooth loss. Good and excellent fiber sources provided 2.5 g or more of fiber per serving. Multivariate proportional hazards regression estimated hazard ratios ( HRs ) and 95% confidence intervals ( CIs ) of periodontal disease progression and tooth loss in relation to fiber sources, stratified according to age younger than 65 versus 65 and older, and controlled for smoking, body mass index, calculus, baseline periodontal disease level, caries, education, exercise, carotene, thiamin and caffeine intake, and tooth brushing. Results: In men aged 65 and older, each serving of good to excellent sources of total fiber was associated with lower risk of ABL progression ( HR = 0.76, 95% CI = 0.60–0.95) and tooth loss ( HR = 0.72, 95% CI = 0.53–0.97). Of the different food groups, only fruits that were good to excellent sources of fiber were associated with lower risk of progression of ABL ( HR = 0.86 per serving, 95% CI = 0.78–0.95), PPD ( HR = 0.95, 95% CI = 0.91–0.99), and tooth loss ( HR = 0.88, 95% CI = 0.78–0.99). No significant associations were seen in men younger than 65. Conclusion: Benefits of higher intake of high‐fiber foods, especially fruits, on slowing periodontal disease progression are most evident in men aged 65 and older.

Integrity signals

Registry

Crossref · 10.1111/j.1532-5415.2011.03866.x

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Consumption of whole grains and fruit has been shown to reduce periodontal disease progression and improve periodontal disease status among high-risk subjects.

    “Consumption of whole grains and fruit has also been shown to reduce periodontal disease progression and improve periodontal disease status among high‐risk subjects.”

    From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [273]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Schwartz, N., Kaye, E. K., Nunn, M. E., Spiro, A., & Garcia, R. I.
Affiliations
  • University of Connecticut (US)
  • Veterans Affairs Boston Healthcare System Boston Massachusetts
  • Boston University (US)
  • VA Boston Healthcare System (US)
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2012-02-08
Volume
60
Issue
4
Pages
676-683
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.2011.03866.x
OpenAlex
W2059055862
Cited by
49
References
50
Citations by year
2026: 4 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 2 · 2012: 1
FWCI
3.86
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
high-fiber foods, dietary fiber, periodontal disease progression, alveolar bone loss, probing depth, tooth loss, older men, fruits, aging, oral health, diet and oral disease
MeSH terms
Adult, Aged, Aged, 80 and over, Aging, Dental Health Surveys, Dietary Fiber, Follow-Up Studies, Humans, Male, Middle Aged, Oral Health, Periodontal Diseases, Prospective Studies, Risk Factors, Time Factors, United States, United States Department of Veterans Affairs, Veterans, Incidence, Disease Progression

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review