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Effect of the Mediterranean diet on gingivitis: A randomized controlled trial

Aim This study aimed to investigate the effects of a 6‐week Mediterranean diet (MD) intervention on gingival inflammatory and anthropometric parameters of patients with gingivitis. Materials and methods Forty‐two participants were allocated to MD group (MDG) or control group (CG). After a 2‐week equ...

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Published in:Journal of clinical periodontology 2022-02, Vol.49 (2), p.111-122
Main Authors: Bartha, Valentin, Exner, Lea, Schweikert, Daniela, Woelber, Johan Peter, Vach, Kirstin, Meyer, Anna‐Lisa, Basrai, Maryam, Bischoff, Stephan C., Meller, Christian, Wolff, Diana
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container_end_page 122
container_issue 2
container_start_page 111
container_title Journal of clinical periodontology
container_volume 49
creator Bartha, Valentin
Exner, Lea
Schweikert, Daniela
Woelber, Johan Peter
Vach, Kirstin
Meyer, Anna‐Lisa
Basrai, Maryam
Bischoff, Stephan C.
Meller, Christian
Wolff, Diana
description Aim This study aimed to investigate the effects of a 6‐week Mediterranean diet (MD) intervention on gingival inflammatory and anthropometric parameters of patients with gingivitis. Materials and methods Forty‐two participants were allocated to MD group (MDG) or control group (CG). After a 2‐week equilibration period regarding dental care procedures, only MDG changed their diet to MD for 6 weeks, supported by a diet counselling. Gingival and anthropometric parameters were assessed at baseline (T0), Week 2 (T1, beginning of MD intervention), and Week 8 (T2). Adherence to MD was assessed by the Mediterranean Diet Adherence Screener (MEDAS); dietary behaviour was evaluated by the German Health Interview and Examination Survey for Adults Food Frequency Questionnaire (DEGS‐FFQ). Results Plaque values remained constant in both groups. Inflammatory periodontal and anthropometric parameters decreased in the MDG only (gingival index: T1 1.51 ± 0.21, T2 1.49 ± 0.24; bleeding on probing: T1 51.00 ± 14.65, T2 39.93 ± 13.74; body weight: T1 79.01 ± 15.62, T2 77.29 ± 17.00; waist circumference: T1 84.41 ± 10.1, T2 83.17 ± 10.47 (p 
doi_str_mv 10.1111/jcpe.13576
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Materials and methods Forty‐two participants were allocated to MD group (MDG) or control group (CG). After a 2‐week equilibration period regarding dental care procedures, only MDG changed their diet to MD for 6 weeks, supported by a diet counselling. Gingival and anthropometric parameters were assessed at baseline (T0), Week 2 (T1, beginning of MD intervention), and Week 8 (T2). Adherence to MD was assessed by the Mediterranean Diet Adherence Screener (MEDAS); dietary behaviour was evaluated by the German Health Interview and Examination Survey for Adults Food Frequency Questionnaire (DEGS‐FFQ). Results Plaque values remained constant in both groups. Inflammatory periodontal and anthropometric parameters decreased in the MDG only (gingival index: T1 1.51 ± 0.21, T2 1.49 ± 0.24; bleeding on probing: T1 51.00 ± 14.65, T2 39.93 ± 13.74; body weight: T1 79.01 ± 15.62, T2 77.29 ± 17.00; waist circumference: T1 84.41 ± 10.1, T2 83.17 ± 10.47 (p &lt; .05). MEDAS revealed a sufficient diet adherence for MDG. Conclusion Within this study, gingival inflammatory parameters were significantly reduced by MD, whereas plaque parameters remained constant. The diet counselling achieved sufficient adherence with beneficial changes in weight loss and waist circumference.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.13576</identifier><identifier>PMID: 34818686</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Body Weight ; Body weight loss ; Diet ; Diet, Mediterranean ; Gingiva ; Gingival index ; Gingivitis ; Gingivitis - prevention &amp; control ; Gum disease ; Humans ; Inflammation ; periodontal disease ; Periodontal Index ; Surveys and Questionnaires</subject><ispartof>Journal of clinical periodontology, 2022-02, Vol.49 (2), p.111-122</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2021 The Authors. Journal of Clinical Periodontology published by John Wiley &amp; Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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Materials and methods Forty‐two participants were allocated to MD group (MDG) or control group (CG). After a 2‐week equilibration period regarding dental care procedures, only MDG changed their diet to MD for 6 weeks, supported by a diet counselling. Gingival and anthropometric parameters were assessed at baseline (T0), Week 2 (T1, beginning of MD intervention), and Week 8 (T2). Adherence to MD was assessed by the Mediterranean Diet Adherence Screener (MEDAS); dietary behaviour was evaluated by the German Health Interview and Examination Survey for Adults Food Frequency Questionnaire (DEGS‐FFQ). Results Plaque values remained constant in both groups. Inflammatory periodontal and anthropometric parameters decreased in the MDG only (gingival index: T1 1.51 ± 0.21, T2 1.49 ± 0.24; bleeding on probing: T1 51.00 ± 14.65, T2 39.93 ± 13.74; body weight: T1 79.01 ± 15.62, T2 77.29 ± 17.00; waist circumference: T1 84.41 ± 10.1, T2 83.17 ± 10.47 (p &lt; .05). MEDAS revealed a sufficient diet adherence for MDG. Conclusion Within this study, gingival inflammatory parameters were significantly reduced by MD, whereas plaque parameters remained constant. The diet counselling achieved sufficient adherence with beneficial changes in weight loss and waist circumference.</description><subject>Adult</subject><subject>Body Weight</subject><subject>Body weight loss</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Gingiva</subject><subject>Gingival index</subject><subject>Gingivitis</subject><subject>Gingivitis - prevention &amp; control</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Inflammation</subject><subject>periodontal disease</subject><subject>Periodontal Index</subject><subject>Surveys and Questionnaires</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kE1Lw0AQhhdRbP24-AMk4EWE1NlssrvxVkr9okUPCt7CNjupW9Kk7iZK_fVuTfXgwbnMwPvwMLyEnFAYUD-Xi3yFA8oSwXdIn3KAEBL6skv6wICFPBVpjxw4twCggjG2T3osllRyyftkOi4KzJugLoLmFYMpatOgtapCVQXaoE-qYG6quXk3jXFXwTDwoa6X5hN1kNdVY-uy9GdjjSqPyF6hSofH231Inq_HT6PbcPJwczcaTsKcpYyHOmI8SlDNpNApK2JEzuNYSBEnFOhMiJxqiIWANOdaKmBScZ6wokgSJaXk7JCcd96Vrd9adE22NC7HsvR_163LIg4Rj5mIwKNnf9BF3drKf-epiMYJUNgILzoqt7VzFotsZc1S2XVGIduUnG1Kzr5L9vDpVtnOlqh_0Z9WPUA74MOUuP5Hld2PHsed9AvJ04TC</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Bartha, Valentin</creator><creator>Exner, Lea</creator><creator>Schweikert, Daniela</creator><creator>Woelber, Johan Peter</creator><creator>Vach, Kirstin</creator><creator>Meyer, Anna‐Lisa</creator><creator>Basrai, Maryam</creator><creator>Bischoff, Stephan C.</creator><creator>Meller, Christian</creator><creator>Wolff, Diana</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0921-4630</orcidid></search><sort><creationdate>202202</creationdate><title>Effect of the Mediterranean diet on gingivitis: A randomized controlled trial</title><author>Bartha, Valentin ; Exner, Lea ; Schweikert, Daniela ; Woelber, Johan Peter ; Vach, Kirstin ; Meyer, Anna‐Lisa ; Basrai, Maryam ; Bischoff, Stephan C. ; Meller, Christian ; Wolff, Diana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-d23625eab87d93f4ee664478745101b77c1d047709c6d8a038a6653ff55a88863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Body Weight</topic><topic>Body weight loss</topic><topic>Diet</topic><topic>Diet, Mediterranean</topic><topic>Gingiva</topic><topic>Gingival index</topic><topic>Gingivitis</topic><topic>Gingivitis - prevention &amp; control</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Inflammation</topic><topic>periodontal disease</topic><topic>Periodontal Index</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bartha, Valentin</creatorcontrib><creatorcontrib>Exner, Lea</creatorcontrib><creatorcontrib>Schweikert, Daniela</creatorcontrib><creatorcontrib>Woelber, Johan Peter</creatorcontrib><creatorcontrib>Vach, Kirstin</creatorcontrib><creatorcontrib>Meyer, Anna‐Lisa</creatorcontrib><creatorcontrib>Basrai, Maryam</creatorcontrib><creatorcontrib>Bischoff, Stephan C.</creatorcontrib><creatorcontrib>Meller, Christian</creatorcontrib><creatorcontrib>Wolff, Diana</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley-Blackwell Free Backfiles(OpenAccess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bartha, Valentin</au><au>Exner, Lea</au><au>Schweikert, Daniela</au><au>Woelber, Johan Peter</au><au>Vach, Kirstin</au><au>Meyer, Anna‐Lisa</au><au>Basrai, Maryam</au><au>Bischoff, Stephan C.</au><au>Meller, Christian</au><au>Wolff, Diana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of the Mediterranean diet on gingivitis: A randomized controlled trial</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2022-02</date><risdate>2022</risdate><volume>49</volume><issue>2</issue><spage>111</spage><epage>122</epage><pages>111-122</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim This study aimed to investigate the effects of a 6‐week Mediterranean diet (MD) intervention on gingival inflammatory and anthropometric parameters of patients with gingivitis. Materials and methods Forty‐two participants were allocated to MD group (MDG) or control group (CG). After a 2‐week equilibration period regarding dental care procedures, only MDG changed their diet to MD for 6 weeks, supported by a diet counselling. Gingival and anthropometric parameters were assessed at baseline (T0), Week 2 (T1, beginning of MD intervention), and Week 8 (T2). Adherence to MD was assessed by the Mediterranean Diet Adherence Screener (MEDAS); dietary behaviour was evaluated by the German Health Interview and Examination Survey for Adults Food Frequency Questionnaire (DEGS‐FFQ). Results Plaque values remained constant in both groups. Inflammatory periodontal and anthropometric parameters decreased in the MDG only (gingival index: T1 1.51 ± 0.21, T2 1.49 ± 0.24; bleeding on probing: T1 51.00 ± 14.65, T2 39.93 ± 13.74; body weight: T1 79.01 ± 15.62, T2 77.29 ± 17.00; waist circumference: T1 84.41 ± 10.1, T2 83.17 ± 10.47 (p &lt; .05). MEDAS revealed a sufficient diet adherence for MDG. Conclusion Within this study, gingival inflammatory parameters were significantly reduced by MD, whereas plaque parameters remained constant. The diet counselling achieved sufficient adherence with beneficial changes in weight loss and waist circumference.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>34818686</pmid><doi>10.1111/jcpe.13576</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0921-4630</orcidid><oa>free_for_read</oa></addata></record>
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1600-051X
language eng
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Body Weight
Body weight loss
Diet
Diet, Mediterranean
Gingiva
Gingival index
Gingivitis
Gingivitis - prevention & control
Gum disease
Humans
Inflammation
periodontal disease
Periodontal Index
Surveys and Questionnaires
title Effect of the Mediterranean diet on gingivitis: A randomized controlled trial
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