Oral Diseases Associated with Nonalcoholic Fatty Liver Disease in the United States

The US prevalence of nonalcoholic fatty liver disease (NAFLD) is 30.6% and increasing. NAFLD shares some risk factors with periodontitis and dental caries. We explored the association between NAFLD and several oral conditions among US adults, using data from the cross-sectional, nationally represent...

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Bibliographic Details
Published in:Journal of dental research 2019-10, Vol.98 (11), p.1219-1226
Main Authors: Weintraub, J.A., Lopez Mitnik, G., Dye, B.A.
Format: Article
Language:English
Subjects:
Alcohol
Algorithms
Biopsy
Cross-sectional studies
Data analysis
Dental caries
Diabetes
Disease control
Ethnicity
Fatty liver
Fibrosis
Gum disease
Hepatitis B
Laboratories
Liver diseases
Marital status
Metabolic syndrome
Oral diseases
Oral hygiene
Pathogens
Periodontitis
Population
Research Reports
Risk factors
Secondary schools
Sociodemographics
Studies
Teeth
Transferrins
Ultrasound
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Summary:The US prevalence of nonalcoholic fatty liver disease (NAFLD) is 30.6% and increasing. NAFLD shares some risk factors with periodontitis and dental caries. We explored the association between NAFLD and several oral conditions among US adults, using data from the cross-sectional, nationally representative National Health and Nutrition Examination Survey (NHANES), 1988 to 1994. NAFLD was assessed with ultrasonography (USON), the screening gold standard not available in the more recent NHANES, and the noninvasive Fibrosis Score (FS), Fatty Liver Index (FLI), and US Fatty Liver Index (US-FLI) as other screening alternatives. There were 5,421 eligible dentate adults aged 21 to 74 y with complete relevant data, with transferrin levels ≤50%, without hepatitis B or C, who were not heavy drinkers. Multivariable models were developed to examine the independent effects of moderate-severe periodontitis, untreated dental caries, caries experience, and tooth loss (
ISSN:0022-0345
1544-0591
DOI:10.1177/0022034519866442