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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Nutrition | Research

Association between breastfeeding and periodontitis in Korean women using Korea National Health and Nutrition Examination Survey (KNHANES): a cross-sectional study

Authors: Zi-Lan Wang, Seung-Hee Ryu, Kwang-Hak Bae, Seon-Jip Kim, Hyun-Jae Cho

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Objectives

The effect of breastfeeding on periodontal disease in women remains unclear. This cross-sectional study used data from the Korean National Health and Nutrition Examination Survey to explore the association between breastfeeding and periodontitis in Korean women using data from the Korean National Health and Nutrition Examination Survey (KNHANES VII).

Materials and methods

Cross-sectional data was analyzed from the KNHANES 2016–2018. The study population included 5,587 parous women aged ≥ 30 years. The outcome variable was the presence or absence of periodontitis. The explanatory variable, period of breastfeeding, was defined as “none”, “1–11 months”, and “more than 12 months”. Confounder variables (socio-educational, personal healthcare practice, and systemic medical characteristics) were adjusted for in the logistic regression analysis.

Results

Approximately 60% of the participants breastfed for ≥ 12 months. In all statistical models, the prevalence of periodontitis was approximately 60% greater in women that did not breastfeed compared to women that had breastfed for 12 months or longer. When adjusted for age, statistical significance was only present in the 50–59 years age group (adjusted odds ratio [aOR], 1.678; 95% confidence interval [CIs], 1.046–2.691).

Conclusion

Our study shows that women that breastfed for a relatively long duration had a lower risk of periodontitis. Therefore, breastfeeding may be beneficial for women’s periodontal health. These results are expected to be helpful in oral health education for pregnant women.
Literature
1.
go back to reference Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2):72–80.PubMed Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2):72–80.PubMed
9.
go back to reference Rassie K, Mousa A, Joham A, Teede HJ. Metabolic Conditions Including Obesity, Diabetes, and Polycystic Ovary Syndrome: Implications for Breastfeeding and Breastmilk Composition. Semin Reprod Med. 2021;39(3–04):111–32.PubMed Rassie K, Mousa A, Joham A, Teede HJ. Metabolic Conditions Including Obesity, Diabetes, and Polycystic Ovary Syndrome: Implications for Breastfeeding and Breastmilk Composition. Semin Reprod Med. 2021;39(3–04):111–32.PubMed
10.
go back to reference Westerfield KL, Koenig K, Oh R. Breastfeeding: Common Questions and Answers. Am Fam Physician. 2018;98(6):368–73.PubMed Westerfield KL, Koenig K, Oh R. Breastfeeding: Common Questions and Answers. Am Fam Physician. 2018;98(6):368–73.PubMed
13.
go back to reference Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Adv Exp Med Biol. 2004;554:63–77.CrossRefPubMed Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Adv Exp Med Biol. 2004;554:63–77.CrossRefPubMed
18.
go back to reference Seidu AA, Ameyaw EK, Ahinkorah BO, Bonsu F. Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data. BMC Pregnancy Childbirth. 2020;20(1):632.CrossRefPubMedPubMedCentral Seidu AA, Ameyaw EK, Ahinkorah BO, Bonsu F. Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data. BMC Pregnancy Childbirth. 2020;20(1):632.CrossRefPubMedPubMedCentral
19.
go back to reference Raihana S, Alam A, Huda TM, Dibley MJ. Factors associated with delayed initiation of breastfeeding in health facilities: secondary analysis of Bangladesh demographic and health survey 2014. Int Breastfeed J. 2021;16(1):14.CrossRefPubMedPubMedCentral Raihana S, Alam A, Huda TM, Dibley MJ. Factors associated with delayed initiation of breastfeeding in health facilities: secondary analysis of Bangladesh demographic and health survey 2014. Int Breastfeed J. 2021;16(1):14.CrossRefPubMedPubMedCentral
21.
go back to reference Del Ciampo LA, Del Ciampo IRL. Breastfeeding and the Benefits of Lactation for Women’s Health. Rev Bras Ginecol Obstet. 2018;40(6):354–9.CrossRefPubMed Del Ciampo LA, Del Ciampo IRL. Breastfeeding and the Benefits of Lactation for Women’s Health. Rev Bras Ginecol Obstet. 2018;40(6):354–9.CrossRefPubMed
22.
go back to reference Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N, et al. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatr. 2015;104(467):96–113.CrossRefPubMedPubMedCentral Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N, et al. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatr. 2015;104(467):96–113.CrossRefPubMedPubMedCentral
23.
go back to reference Koletzko B, Godfrey KM, Poston L, Szajewska H, van Goudoever JB, de Waard M, et al. Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations. Ann Nutr Metab. 2019;74(2):93–106.CrossRefPubMed Koletzko B, Godfrey KM, Poston L, Szajewska H, van Goudoever JB, de Waard M, et al. Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations. Ann Nutr Metab. 2019;74(2):93–106.CrossRefPubMed
31.
go back to reference Kim YJ, Lee JY, Ku Y, Cho HJ. Association between the Number of Prosthetic Crowns and Periodontitis: The Korea National Health and Nutrition Examination Survey (KNANES VII) from 2016–2018. Int J Environ Res Public Health 2021; 18(11). https://doi.org/10.3390/ijerph18115957. Kim YJ, Lee JY, Ku Y, Cho HJ. Association between the Number of Prosthetic Crowns and Periodontitis: The Korea National Health and Nutrition Examination Survey (KNANES VII) from 2016–2018. Int J Environ Res Public Health 2021; 18(11). https://​doi.​org/​10.​3390/​ijerph18115957.
32.
go back to reference Kim YJ, Gil YM, Bae KH, Kim SJ, Ihm J, Cho HJ. The use of interdental cleaning devices and periodontal disease contingent on the number of remaining teeth in Korean adults. Sci Rep. 2022;12(1):13853.CrossRefPubMedPubMedCentral Kim YJ, Gil YM, Bae KH, Kim SJ, Ihm J, Cho HJ. The use of interdental cleaning devices and periodontal disease contingent on the number of remaining teeth in Korean adults. Sci Rep. 2022;12(1):13853.CrossRefPubMedPubMedCentral
34.
go back to reference Migliavacca Zucchetti B, Peccatori FA, Codacci-Pisanelli G. Pregnancy and Lactation: Risk or Protective Factors for Breast Cancer? Adv Exp Med Biol. 2020;1252:195–7.CrossRefPubMed Migliavacca Zucchetti B, Peccatori FA, Codacci-Pisanelli G. Pregnancy and Lactation: Risk or Protective Factors for Breast Cancer? Adv Exp Med Biol. 2020;1252:195–7.CrossRefPubMed
38.
go back to reference de Bataille C, Castellan M, Massabeau C, Jouve E, Lacaze JL, Sibaud V, et al. Oral mucosal changes induced by adjuvant endocrine therapies in breast cancer patients: clinical aspects and proposal for management. Support Care Cancer. 2021;29(4):1719–22.CrossRefPubMed de Bataille C, Castellan M, Massabeau C, Jouve E, Lacaze JL, Sibaud V, et al. Oral mucosal changes induced by adjuvant endocrine therapies in breast cancer patients: clinical aspects and proposal for management. Support Care Cancer. 2021;29(4):1719–22.CrossRefPubMed
39.
go back to reference Tschiderer L, Seekircher L, Kunutsor SK, Peters SAE, O'Keeffe LM, Willeit P. Breastfeeding Is Associated With a Reduced Maternal Cardiovascular Risk: Systematic Review and Meta-Analysis Involving Data From 8 Studies and 1 192 700 Parous Women. J Am Heart Assoc 2022; 11(2):e022746. https://doi.org/10.1161/JAHA.121.022746. Tschiderer L, Seekircher L, Kunutsor SK, Peters SAE, O'Keeffe LM, Willeit P. Breastfeeding Is Associated With a Reduced Maternal Cardiovascular Risk: Systematic Review and Meta-Analysis Involving Data From 8 Studies and 1 192 700 Parous Women. J Am Heart Assoc 2022; 11(2):e022746. https://​doi.​org/​10.​1161/​JAHA.​121.​022746.
41.
go back to reference Schwarz EB, Ray RM, Stuebe AM, Allison MA, Ness RB, Freiberg MS, et al. Duration of lactation and risk factors for maternal cardiovascular disease. Obstet Gynecol. 2009;113(5):974–82.CrossRefPubMedPubMedCentral Schwarz EB, Ray RM, Stuebe AM, Allison MA, Ness RB, Freiberg MS, et al. Duration of lactation and risk factors for maternal cardiovascular disease. Obstet Gynecol. 2009;113(5):974–82.CrossRefPubMedPubMedCentral
42.
go back to reference Fox M, Berzuini C, Knapp LA. Maternal breastfeeding history and Alzheimer’s disease risk. J Alzheimers Dis. 2013;37(4):809–21.CrossRefPubMed Fox M, Berzuini C, Knapp LA. Maternal breastfeeding history and Alzheimer’s disease risk. J Alzheimers Dis. 2013;37(4):809–21.CrossRefPubMed
43.
go back to reference Sanz M, Del Castillo AM, Jepsen S, Gonzalez-Juanatey JR, D’Aiuto F, Bouchard P, et al. Periodontitis and Cardiovascular Diseases. Consensus Report Glob Heart. 2020;15(1):1.CrossRefPubMed Sanz M, Del Castillo AM, Jepsen S, Gonzalez-Juanatey JR, D’Aiuto F, Bouchard P, et al. Periodontitis and Cardiovascular Diseases. Consensus Report Glob Heart. 2020;15(1):1.CrossRefPubMed
44.
go back to reference Muñoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res. 2020;116(1):28–39.CrossRefPubMed Muñoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res. 2020;116(1):28–39.CrossRefPubMed
53.
go back to reference Aldosari M, Helmi M, Kennedy EN, Badamia R, Odani S, Agaku I, et al. Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014. Fam Med Community Health 2020; 8(4). http://dx.doi.org/https://doi.org/10.1136/fmch-2020-000583. Aldosari M, Helmi M, Kennedy EN, Badamia R, Odani S, Agaku I, et al. Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014. Fam Med Community Health 2020; 8(4). http://​dx.​doi.​org/​https://​doi.​org/​10.​1136/​fmch-2020-000583.
Metadata
Title
Association between breastfeeding and periodontitis in Korean women using Korea National Health and Nutrition Examination Survey (KNHANES): a cross-sectional study
Authors
Zi-Lan Wang
Seung-Hee Ryu
Kwang-Hak Bae
Seon-Jip Kim
Hyun-Jae Cho
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03213-6

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