Evidence map›Paper›PMID 40448051›Full record

ArticleBMC oral health2025

Cross-sectional associations between vitamin D status and periodontitis in adults in Northern Norway: The Tromsø Study 2015-2016.

Fanny Maria Lindholm, Birgitta Jönsson, Magritt Brustad

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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Fanny Maria LindholmDepartment of Community Medicine, UIT The Arctic University of Norway, Tromsø, Norway.
Birgitta JönssonThe Public Dental Health Service Competence Centre of Northern Norway, Tromsø, Norway.
Magritt BrustadDepartment of Community Medicine, UIT The Arctic University of Norway, Tromsø, Norway. magritt.brustad@uit.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D is involved in the immune system by regulating inflammatory processes. Over the recent decades, there has been an increase in studies investigating the potential influence of vitamin D status on inflammatory diseases and conditions. However, research on the link between vitamin D and periodontitis remains scarce. Hence, we aimed to examine the relationship between serum 25(OH)D levels and periodontitis in an adult population in Northern Norway.

methodsThe study was based on cross-sectional data from a population-based study: the seventh Tromsø study, conducted in 2015 - 2016. Eligible participants were adults ( ≥ 40 years old) who had both a valid periodontal diagnosis and data on serum 25(OH)D levels, giving a total study sample of n = 3,693 participants (51.4% women). Periodontitis was defined according to the 2017 AAP/EFP classification system. Two groups were compared: no-periodontitis/stage I periodontitis versus stages II-III/IV periodontitis. Using a bivariate logistic regression analysis, the association between these two groups and serum 25(OH)D was tested, controlling for age, sex, smoking, toothbrushing frequency, and socioeconomic status. Periodontal pockets of ≥ 5 mm and their association with serum 25(OH)D were also tested.

resultsAbout 89% were classified as having periodontitis, and 51.6% had stages II-III/IV periodontitis. About 4% of the participants were at deficient levels of serum 25(OH)D (< 30 nmol/L). Levels of serum 25(OH)D of < 30 nmol/L were associated with periodontitis stage II-III/IV (odds ratio [OR] 1.53, 95% confidence interval [CI]: 1.03-2.28). Stratified by when the season serum 25(OH)D was measured (March-September vs October-February), the summer strata was significantly associated with periodontitis II-III/IV (30-50 nmol/L = OR 1.31, 95% CI:1.05-1.63, p = 0.018). Vitamin D deficiency and insufficiency were associated with having at least one periodontal pocket of ≥ 5 mm (< 30 nmol/L = 1.78, 95% CI:1.22-2.60, p = 0.003: 30-50 nmol/L = OR was 1.23, 95% CI:1.03-1.47, p = 0.020, respectively).

conclusionIn this Norwegian adult population, blood 25-hydroxy vitamin D [25(OH)D] levels were associated to periodontitis stage II-III/IV and a periodontal pocket depth of ≥ 5 mm.

Indexed as

PeriodontitisVitamin DAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNorwayVitamin D Deficiency25-hydroxyvitamin DVitamin D25-hydroxyvitamin DEpidemiologyInflammationObservational StudyPeriodontal DiseasesPeriodontitis

Identifiers

PMID40448051
PMCPMC12125715

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