Key result
Adequate chewing capacity linked to ~137% higher likelihood of ideal cardiovascular health.
Why the study?
The association between chewing capacity and the level of cardiovascular health in adults was not previously studied.
Is adequate chewing capacity associated with improved cardiovascular health in adults?
Cross-Sectional (n=5,430)
Is adequate chewing capacity associated with improved cardiovascular health in adults?
Preserved chewing capacity in adulthood is associated with an increased likelihood of having ideal behavioral cardiovascular health, particularly driven by diet.
Answers are grounded in this paper and cite their sources.
Assessing chewing capacity may inform CV health screening; leaves open causality and needs prospective trials.
BACKGROUND AND AIMS: To study the association between chewing capacity-a prerequisite for eating- and the level of cardiovascular health (CVH). METHODS: This is a cross-sectional analysis conducted on 5430 study participants from the Paris Prospective Study 3 that were subjected to an oral examination by trained dentists at study recruitment between 2008 and 2012. Chewing capacity was determined by the number of functional tooth units (FTUs), and ≥ 5FTUs defined adequate chewing capacity. Subjects were categorized into poor, intermediate, or ideal CVH for the 4 behavioural (smoking status, body mass index, physical activity, diet) and the 3 biological (total cholesterol, fasting glycemia, and blood pressure) factors according to the American Heart Association Life's Simple 7. Multinomial logistic regression was used to explore the association between the number of FTUs (exposure) and ideal or intermediate vs. poor CVH (main outcome). RESULTS: 10.31% of the study participants had an ideal CVH and 7% presented an impaired chewing capacity (<5 FTUs). Subjects with at least 5 FTUs (OR = 2.37; 95% CI: 1.37-4.12) were more likely to have an ideal global CVH, after adjustment for age, sex, marital status, education, deprivation, depressive status, and dental plaque. This association existed for the behavioural but not the biological CVH, with the strongest association being observed with the diet metric. CONCLUSION: This is the first study suggesting that adults with a preserved chewing capacity have an increased likelihood to be at an ideal behavioural CVH.
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Rangé et al. (2019) conducted a cross-sectional in Cardiovascular health (n=5,430). Adequate chewing capacity (≥ 5 functional tooth units) vs. Impaired chewing capacity (< 5 functional tooth units) was evaluated on Ideal global cardiovascular health (OR 2.37, 95% CI 1.37-4.12). Adequate chewing capacity (≥5 functional tooth units) was associated with a higher likelihood of having ideal global cardiovascular health (OR 2.37; 95% CI 1.37-4.12).
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