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Heavy metals in drinking water and periodontitis: evidence from the national oral health survey from China

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资源类型：
Pubmed体系：
作者：
Zhou Shuduo[1,2] * ; Li Wenjing[3,4] * ; Wan Jun[5] ; Fu Yixuan[6] ; Lu Hongye[7] ; Li Na[1,2] ; Zhang Xu[8] ; Si Yan[9] ; Wang Xing[10] ; Feng Xiping[11] ; Tai Baojun[12] ; Hu Deyu[13] ; Lin Huancai[14] ; Wang Bo[10] ; Wang Chunxiao[15] ; Zheng Shuguo[9] ; Liu Xuenan[9] ; Rong Wensheng[9] ; Wang Weijian[9] ; Deng Xuliang[3] ; Zhang Zhenyu[1,2] ;
机构： [1]Department of Global Health, School of Public Health, Peking University, Beijing, China [2]Institute for Global Health and Development, Peking University, Beijing, China [3]Beijing Laboratory of Biomedical Materials, Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China [4]Beijing 100191, P. R. ChinaInstitute of Medical Technology, Peking University Health Science Center, [5]Department of Orthodontics, School and Hospital of Stomatology, Peking University, Beijing, China [6]Department of prosthodontics, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China [7]Stomatology Hospital, School of Stomatology, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Medicine, Cancer Center of Zhejiang University, Hangzhou, China [8]Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, China [9]Department of Preventive Dentistry, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China [10]Chinese Stomatological Association, Beijing, P.R. China [11]Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China [12]School & Hospital of Stomatology, Wuhan University, Wuhan, P.R. China [13]West China School of Stomatology, Sichuan University, Chengdu, P.R. China [14]Guanghua School of Stomatology, Hospital of Stomatology, Sun Yetsen University, Guangzhou, P.R. China [15]Chinese Center for Disease Control and Prevention, Beijing, P.R. China
出处：
DOI： 10.1186/s12889-023-16391-3

关键词： Drinking water Essential trace heavy metals Periodontitis Survey

摘要：
Periodontitis has become an increasingly important public health issue, coupled with a high economic burden for prevention and treatment. Exposure to essential trace heavy metals has been associated with various diseases; however, the relationships between essential trace heavy metals and periodontitis remain inconclusive.To investigate the association between essential trace heavy metals in tap water and periodontitis in a nationally representative sample in China.We conducted a nationwide study including 1348 participants from the Fourth National Oral Health Survey in the 2015-2016 period. The trace heavy metals concentration was measured in the local pipeline terminal tap water. Periodontitis was diagnosed according to the classification scheme proposed at the 2018 world workshop on the classification of periodontal and peri-implant diseases and conditions. We used weighted multivariable logistic regression to estimate the association between essential trace heavy metals and the risk of periodontitis. We additionally used spline analysis to explore the possible nonlinear dose-response associations.Periodontitis patients were exposed to higher concentrations of essential trace heavy metals. In adjusted models, for 1 SD increase in the concentration of iron, manganese, and copper in tap water, the risk of periodontitis increased by 30% (OR: 1.30, 95%CI: 1.12-1.50), 20% (OR: 1.20, 95%CI: 1.03-1.41), and 20% (OR: 1.20, 95%CI: 1.04-1.39), respectively. Stratified analyses demonstrated that the associations between essential trace heavy metals and periodontitis were higher in females, elders, and rural residents. Spline analysis revealed nonlinear exposure-response relationships between periodontitis and exposure to iron, manganese, and copper in tap water.Exposures to essential trace heavy metals in drinking water were associated with greater odds of periodontitis. Given the growing burden of periodontitis, our study sheds light on tailored public health policies for improving drinking water standards to alleviate periodontitis impairment.© 2023. BioMed Central Ltd., part of Springer Nature.

基金：
National Science Foundation of China (8220032473).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
第一作者：
第一作者机构： [1]Department of Global Health, School of Public Health, Peking University, Beijing, China [2]Institute for Global Health and Development, Peking University, Beijing, China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Global Health, School of Public Health, Peking University, Beijing, China [2]Institute for Global Health and Development, Peking University, Beijing, China
推荐引用方式(GB/T 7714)：
Zhou Shuduo,Li Wenjing,Wan Jun,et al.Heavy metals in drinking water and periodontitis: evidence from the national oral health survey from China[J].BMC public health.2023,23(1):1706.doi:10.1186/s12889-023-16391-3.
APA：
Zhou Shuduo,Li Wenjing,Wan Jun,Fu Yixuan,Lu Hongye...&Zhang Zhenyu.(2023).Heavy metals in drinking water and periodontitis: evidence from the national oral health survey from China.BMC public health,23,(1)
MLA：
Zhou Shuduo,et al."Heavy metals in drinking water and periodontitis: evidence from the national oral health survey from China".BMC public health 23..1(2023):1706

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