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August 30, 2026MedicineOpen Access

Body roundness index as a novel marker of periodontitis in US adults

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Authors

JFJun FangMWMinghua WangYSYanni Sun

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Overview

Cross-sectional analysis demonstrates an independent association between body roundness index and periodontitis, highlighting its utility for oral health risk stratification.

Key Points

  • To evaluate the relationship between the Body Roundness Index (BRI) and periodontitis risk in American adults.
  • Analyzed 10,790 participants from the 2009–2014 National Health and Nutrition Examination Survey (NHANES).
  • Conducted 1:1 propensity score matching (PSM) adjusting for age, sex, race/ethnicity, and poverty ratio.
  • Assessed associations using multivariable logistic regression, restricted cubic splines, and XGBoost machine learning with SHAP values.
  • In the matched cohort, mean BRI was significantly elevated in the periodontitis group (5.34 ± 2.16) compared with controls (5.07 ± 2.12; P < .001).
  • Continuous BRI independently correlated with increased periodontitis risk (OR: 1.053, 95% CI: 1.016–1.092, P = .0051).
  • Comparing highest to lowest quartiles demonstrated significantly higher odds of periodontitis (Q4 vs. Q1 OR: 1.299, 95% CI: 1.047–1.612, P = .0175), with restricted cubic spline analysis showing a positive nonlinear relationship.

Cite This Study

Fang et al. (2026) studied this question.

synapsesocial.com/papers/6a93f08e6c1a8fb52e79cd73https://doi.org/10.1097/md.0000000000050419
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Also Consider

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